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ICD-10-PCS 2027 procedure code

04LC4ZZOcclusion of Right Common Iliac Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Right Common Iliac Artery, Perc Endo 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 04LC4ZZ

04LC4ZZ is the ICD-10-PCS code for a occlusion procedure on the right common iliac artery using a percutaneous endoscopic 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 04L04ZZ (abdominal aorta), 04L14ZZ (celiac artery), 04L24ZZ (gastric artery), 04L34ZZ (hepatic artery), 04L44ZZ (splenic artery), 04L54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04LC0ZZ (open) and 04LC3ZZ (percutaneous).

With a different device, use 04LC4CZ (extraluminal device) and 04LC4DZ (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
CCommon Iliac Artery, Right
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize 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 04LC4ZZ

Is 04LC4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04LC4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04LC4ZZ an O.R. procedure?

Yes. 04LC4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04LC4ZZ group to?

Depending on the principal diagnosis, 04LC4ZZ 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 04LC4ZZ?

The CMS GEMs map 04LC4ZZ to ICD-9-CM 38.86 (Other surgical occlusion of vessels, abdominal arteries).