ICD-10-PCS 2027 procedure code
04LR3ZZOcclusion of Right Posterior Tibial Artery, Percutaneous Approach
Short description: Occlusion of Right Posterior Tibial Artery, Perc Approach
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 04LR3ZZ
04LR3ZZ is the ICD-10-PCS code for a occlusion procedure on the right posterior tibial artery using a percutaneous approach. 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, lower limb arteries, the ICD-9-CM procedure title it maps to (38.88).
For a different body part, codes include 04L03ZZ (abdominal aorta), 04L13ZZ (celiac artery), 04L23ZZ (gastric artery), 04L33ZZ (hepatic artery), 04L43ZZ (splenic artery), 04L53ZZ (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 04LR0ZZ (open) and 04LR4ZZ (percutaneous endoscopic).
With a different device, use 04LR3CZ (extraluminal device) and 04LR3DZ (intraluminal 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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Vascular Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
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
- RPosterior Tibial 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 04L03ZZAbdominal Aorta
- 04L13ZZCeliac Artery
- 04L23ZZGastric Artery
- 04L33ZZHepatic Artery
- 04L43ZZSplenic Artery
- 04L53ZZSuperior Mesenteric Artery
- 04L63ZZColic Artery, Right
- 04L73ZZColic Artery, Left
- 04L83ZZColic Artery, Middle
- 04L93ZZRenal Artery, Right
- 04LA3ZZRenal Artery, Left
- 04LB3ZZInferior Mesenteric Artery
Different approach
Different device
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 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 →- 38.88Other surgical occlusion of vessels, lower limb 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 04LR3ZZ
Is 04LR3ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04LR3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04LR3ZZ an O.R. procedure?
- Yes. 04LR3ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04LR3ZZ group to?
- Depending on the principal diagnosis, 04LR3ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 04LR3ZZ?
- The CMS GEMs map 04LR3ZZ to ICD-9-CM 38.88 (Other surgical occlusion of vessels, lower limb arteries).