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ICD-10-PCS 2027 procedure code

04LA0CZOcclusion of Left Renal Artery with Extraluminal Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of L Renal Art with Extralum Dev, Open Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 04LA0CZ

04LA0CZ is the ICD-10-PCS code for a occlusion procedure on the left renal artery using an open approach with extraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other surgical occlusion of vessels, abdominal arteries, the ICD-9-CM procedure title it maps to (38.86).

For a different body part, codes include 04L00CZ (abdominal aorta), 04L10CZ (celiac artery), 04L20CZ (gastric artery), 04L30CZ (hepatic artery), 04L40CZ (splenic artery), 04L50CZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04LA3CZ (percutaneous) and 04LA4CZ (percutaneous endoscopic).

With a different device, use 04LA0DZ (intraluminal device) and 04LA0ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC) and DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Digestive System O.R. Procedures”, “Other Kidney and Urinary Tract Procedures” and 2 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
4Lower Arteries
3. Operation
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
ARenal Artery, Left

Includes: Inferior suprarenal artery; Renal segmental artery

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 38.86Other surgical occlusion of vessels, abdominal arteriesapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 04LA0CZ

Is 04LA0CZ a valid ICD-10-PCS code for 2027?

Yes. 04LA0CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04LA0CZ an O.R. procedure?

Yes. 04LA0CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04LA0CZ group to?

Depending on the principal diagnosis, 04LA0CZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 356, MS-DRG 357 and MS-DRG 358.

What is the ICD-9 procedure code for 04LA0CZ?

The CMS GEMs map 04LA0CZ to ICD-9-CM 38.86 (Other surgical occlusion of vessels, abdominal arteries).