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Dx

ICD-10-PCS 2027 procedure code

04LF3CWOcclusion of Left Prostatic Artery with Extraluminal Device, Percutaneous Approach

✓ Valid for 2027O.R. procedureMale only

Short description: Occlusion of L Pros A with Extralum 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 04LF3CW

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

With a different device, use 04LF3DW (intraluminal device) and 04LF3ZW (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
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
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
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 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

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 04LF3CW

Is 04LF3CW a valid ICD-10-PCS code for 2027?

Yes. 04LF3CW is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04LF3CW an O.R. procedure?

Yes. 04LF3CW is an O.R. procedure in MS-DRG v44.0.

What DRG does 04LF3CW group to?

Depending on the principal diagnosis, 04LF3CW can group to MS-DRG 361, MS-DRG 362, MS-DRG 715, MS-DRG 716, MS-DRG 717 and MS-DRG 718.