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ICD-10-PCS 2027 procedure code

04LB3ZZOcclusion of Inferior Mesenteric Artery, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Inferior Mesenteric Artery, Perc 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 04LB3ZZ

04LB3ZZ is the ICD-10-PCS code for a occlusion procedure on the inferior mesenteric artery using a percutaneous approach. 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 04L03ZZ (abdominal aorta), 04L13ZZ (celiac artery), 04L23ZZ (gastric artery), 04L33ZZ (hepatic artery), 04L43ZZ (splenic artery), 04L53ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04LB0ZZ (open) and 04LB4ZZ (percutaneous endoscopic).

With a different device, use 04LB3CZ (extraluminal device) and 04LB3DZ (intraluminal 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 O.R. Procedures for Injuries” and 1 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
BInferior Mesenteric Artery

Includes: Sigmoid artery; Superior rectal artery

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
ZNo Device
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 04LB3ZZ

Is 04LB3ZZ a valid ICD-10-PCS code for 2027?

Yes. 04LB3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04LB3ZZ an O.R. procedure?

Yes. 04LB3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04LB3ZZ group to?

Depending on the principal diagnosis, 04LB3ZZ 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 04LB3ZZ?

The CMS GEMs map 04LB3ZZ to ICD-9-CM 38.86 (Other surgical occlusion of vessels, abdominal arteries).