ICD-10-PCS 2027 procedure code
04LE0CZOcclusion of Right Internal Iliac Artery with Extraluminal Device, Open Approach
Short description: Occlusion R Int Iliac Art w Extralum Dev, Open
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 04LE0CZ
04LE0CZ is the ICD-10-PCS code for a occlusion procedure on the right internal iliac 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 04LE3CZ (percutaneous) and 04LE4CZ (percutaneous endoscopic).
With a different device, use 04LE0DZ (intraluminal device) and 04LE0ZZ (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 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
- EInternal Iliac Artery, Right
- 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
Different body part
- 04L00CZAbdominal Aorta
- 04L10CZCeliac Artery
- 04L20CZGastric Artery
- 04L30CZHepatic Artery
- 04L40CZSplenic Artery
- 04L50CZSuperior Mesenteric Artery
- 04L60CZColic Artery, Right
- 04L70CZColic Artery, Left
- 04L80CZColic Artery, Middle
- 04L90CZRenal Artery, Right
- 04LA0CZRenal Artery, Left
- 04LB0CZInferior Mesenteric Artery
Different approach
Different device
Different qualifier
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 04LE0CZ
Is 04LE0CZ a valid ICD-10-PCS code for 2027?
- Yes. 04LE0CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04LE0CZ an O.R. procedure?
- Yes. 04LE0CZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04LE0CZ group to?
- Depending on the principal diagnosis, 04LE0CZ 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 04LE0CZ?
- The CMS GEMs map 04LE0CZ to ICD-9-CM 38.86 (Other surgical occlusion of vessels, abdominal arteries).