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Dx

ICD-10-PCS 2027 procedure code

04LF0CWOcclusion of Left Prostatic Artery with Extraluminal Device, Open Approach

✓ Valid for 2027O.R. procedureMale only

Short description: Occlusion of L Pros A with Extralum Dev, Open 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 04LF0CW

04LF0CW is the ICD-10-PCS code for a occlusion procedure on the left internal iliac artery using an open approach with extraluminal device (qualifier: left 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 04LF3CW (percutaneous) and 04LF4CW (percutaneous endoscopic).

With a different device, use 04LF0DW (intraluminal device) and 04LF0ZW (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
FInternal Iliac Artery, Left

Includes: Deferential artery; Hypogastric artery; Iliolumbar artery; Inferior gluteal artery; Inferior vesical artery; Internal pudendal artery; Lateral sacral artery; Middle rectal artery; Obturator artery; Prostatic artery; Superior gluteal artery; Superior vesical artery; Umbilical artery; Uterine Artery; Vaginal artery

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
WProstatic Artery, Left

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.

MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures

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
  • FY2023 (effective 10/1/2022): Added
  • No changes since FY2023.

Common questions about 04LF0CW

Is 04LF0CW a valid ICD-10-PCS code for 2027?

Yes. 04LF0CW is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04LF0CW an O.R. procedure?

Yes. 04LF0CW is an O.R. procedure in MS-DRG v44.0.

What DRG does 04LF0CW group to?

Depending on the principal diagnosis, 04LF0CW can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 715, MS-DRG 716 and MS-DRG 717.