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ICD-10-PCS 2027 procedure code

04NF4ZZRelease Left Internal Iliac Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Release Left Internal Iliac Artery, Perc Endo 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 04NF4ZZ

04NF4ZZ is the ICD-10-PCS code for a release procedure on the left internal iliac artery using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.

In plain terms, this corresponds to Freeing of vessel, the ICD-9-CM procedure title it maps to (39.91).

For a different body part, codes include 04N04ZZ (abdominal aorta), 04N14ZZ (celiac artery), 04N24ZZ (gastric artery), 04N34ZZ (hepatic artery), 04N44ZZ (splenic artery), 04N54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04NF0ZZ (open) and 04NF3ZZ (percutaneous).

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 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC) and DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), under the surgical categories “Other Vascular Procedures” and “Other Digestive System O.R. Procedures”.

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
NRelease

Freeing a body part from an abnormal physical constraint by cutting or by the use of force

Some of the restraining tissue may be taken out but none of the body part is taken out

Includes: Adhesiolysis, carpal tunnel release

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
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
ZNo Device
7. Qualifier
ZNo Qualifier

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.

ICD-9-CM equivalent

Converter →
  • 39.91Freeing of vesselapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 04NF4ZZ

Is 04NF4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04NF4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04NF4ZZ an O.R. procedure?

Yes. 04NF4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04NF4ZZ group to?

Depending on the principal diagnosis, 04NF4ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 356, MS-DRG 357 and MS-DRG 358.

What is the ICD-9 procedure code for 04NF4ZZ?

The CMS GEMs map 04NF4ZZ to ICD-9-CM 39.91 (Freeing of vessel).