ICD-10-PCS 2027 procedure code
04NH0ZZRelease Right External Iliac Artery, Open 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 04NH0ZZ
04NH0ZZ is the ICD-10-PCS code for a release procedure on the right external iliac artery using an open 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 04N00ZZ (abdominal aorta), 04N10ZZ (celiac artery), 04N20ZZ (gastric artery), 04N30ZZ (hepatic artery), 04N40ZZ (splenic artery), 04N50ZZ (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 04NH3ZZ (percutaneous) and 04NH4ZZ (percutaneous endoscopic).
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
- HExternal Iliac Artery, Right
- 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 04N00ZZAbdominal Aorta
- 04N10ZZCeliac Artery
- 04N20ZZGastric Artery
- 04N30ZZHepatic Artery
- 04N40ZZSplenic Artery
- 04N50ZZSuperior Mesenteric Artery
- 04N60ZZColic Artery, Right
- 04N70ZZColic Artery, Left
- 04N80ZZColic Artery, Middle
- 04N90ZZRenal Artery, Right
- 04NA0ZZRenal Artery, Left
- 04NB0ZZInferior Mesenteric Artery
Different approach
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 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
ICD-9-CM equivalent
Converter →- 39.91Freeing of vesselapproximate
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 04NH0ZZ
Is 04NH0ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04NH0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04NH0ZZ an O.R. procedure?
- Yes. 04NH0ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04NH0ZZ group to?
- Depending on the principal diagnosis, 04NH0ZZ 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 04NH0ZZ?
- The CMS GEMs map 04NH0ZZ to ICD-9-CM 39.91 (Freeing of vessel).