ICD-10-PCS 2027 procedure code
04LE3DVOcclusion of Right Prostatic Artery with Intraluminal Device, Percutaneous Approach
Short description: Occlusion of R Pros A with Intralum Dev, Perc Approach
Code last changed in FY2023 (effective October 1, 2022). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 04LE3DV
04LE3DV is the ICD-10-PCS code for a occlusion procedure on the right internal iliac artery using a percutaneous approach with intraluminal device (qualifier: right prostatic artery). In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.
The same procedure with a different approach is coded 04LE0DV (open) and 04LE4DV (percutaneous endoscopic).
With a different device, use 04LE3CV (extraluminal device) and 04LE3ZV (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC), DRG 715 (Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC), DRG 716 (Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC), DRG 717 (Other Male Reproductive System O.R. Procedures with CC/MCC) and DRG 718 (Other Male Reproductive System O.R. Procedures without CC/MCC), under the surgical categories “Other Circulatory System O.R. Procedures”, “”, “Other Male Reproductive System O.R. Procedures” and 2 more.
It was added in FY2023, effective October 1, 2022.
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
- 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
- DIntraluminal Device
Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System; Acculink (RX) Carotid Stent System; AFX(R) Endovascular AAA System; AneuRx(R) AAA Advantage(R); Assurant (Cobalt) stent; Carotid WALLSTENT(R) Monorail(R) Endoprosthesis; CoAxia NeuroFlo catheter; Colonic Z-Stent(R); Complete (SE) stent; Cook Zenith AAA Endovascular Graft; Driver stent (RX) (OTW); E-Luminexx(tm) (Biliary)(Vascular) Stent; Embolization coil(s); Endologix AFX(R) Endovascular AAA System; Endurant(R) Endovascular Stent Graft; Endurant(R) II AAA stent graft system; EXCLUDER(R) AAA Endoprosthesis; Express(R) (LD) Premounted Stent System; Express(R) Biliary SD Monorail(R) Premounted Stent System; Express(R) SD Renal Monorail(R) Premounted Stent System; FLAIR(R) Endovascular Stent Graft; Formula(tm) Balloon-Expandable Renal Stent System; GORE EXCLUDER(R) AAA Endoprosthesis; GORE TAG(R) Thoracic Endoprosthesis; GORE(R) VIABAHN(R) Endoprosthesis; GORE(R) VIABIL(R) Biliary Endoprosthesis; Herculink (RX) Elite Renal Stent System; Innova(tm) stent; LifeStent(R) (Flexstar)(XL) Vascular Stent System; Medtronic Endurant(R) II AAA stent graft system; Micro-Driver stent (RX) (OTW); MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System; Omnilink Elite Vascular Balloon Expandable Stent System; Protege(R) RX Carotid Stent System; Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary); Talent(R) Converter; Talent(R) Occluder; Talent(R) Stent Graft (abdominal)(thoracic); Therapeutic occlusion coil(s); Ultraflex(tm) Precision Colonic Stent System; Valiant Thoracic Stent Graft; WALLSTENT(R) Endoprosthesis; Xact Carotid Stent System; Zenith AAA Endovascular Graft; Zenith Flex(R) AAA Endovascular Graft; Zenith TX2(R) TAA Endovascular Graft; Zenith(R) Renu(tm) AAA Ancillary Graft
- 7. Qualifier
- VProstatic Artery, Right
Other versions of this procedure
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 Circulatory System O.R. Procedures
MDC 12 · Diseases and Disorders of the Male Reproductive System
MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive 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
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2023 (effective 10/1/2022): Added
- No changes since FY2023.
Common questions about 04LE3DV
Is 04LE3DV a valid ICD-10-PCS code for 2027?
- Yes. 04LE3DV is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04LE3DV an O.R. procedure?
- Yes. 04LE3DV is an O.R. procedure in MS-DRG v44.0.
What DRG does 04LE3DV group to?
- Depending on the principal diagnosis, 04LE3DV can group to MS-DRG 361, MS-DRG 362, MS-DRG 715, MS-DRG 716, MS-DRG 717 and MS-DRG 718.