ICD-10-PCS 2027 procedure code
04NP0ZZRelease Right Anterior Tibial 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 04NP0ZZ
04NP0ZZ is the ICD-10-PCS code for a release procedure on the right anterior tibial 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 04NP3ZZ (percutaneous) and 04NP4ZZ (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) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular 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
- PAnterior Tibial 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
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 04NP0ZZ
Is 04NP0ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04NP0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04NP0ZZ an O.R. procedure?
- Yes. 04NP0ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04NP0ZZ group to?
- Depending on the principal diagnosis, 04NP0ZZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 04NP0ZZ?
- The CMS GEMs map 04NP0ZZ to ICD-9-CM 39.91 (Freeing of vessel).