ICD-10-PCS 2027 procedure code
04LE4CVOcclusion of Right Prostatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
Short description: Occlusion of R Pros A with Extralum Dev, Perc Endo 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 04LE4CV
04LE4CV is the ICD-10-PCS code for a occlusion procedure on the right internal iliac artery using a percutaneous endoscopic approach with extraluminal 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 04LE0CV (open) and 04LE3CV (percutaneous).
With a different device, use 04LE4DV (intraluminal device) and 04LE4ZV (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC), DRG 254 (Other Vascular Procedures without CC/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) and DRG 717 (Other Male Reproductive System O.R. Procedures with CC/MCC), under the surgical categories “Other Vascular 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
- 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
- CExtraluminal Device
Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band
- 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 Vascular 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 04LE4CV
Is 04LE4CV a valid ICD-10-PCS code for 2027?
- Yes. 04LE4CV is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04LE4CV an O.R. procedure?
- Yes. 04LE4CV is an O.R. procedure in MS-DRG v44.0.
What DRG does 04LE4CV group to?
- Depending on the principal diagnosis, 04LE4CV can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 715, MS-DRG 716 and MS-DRG 717.