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ICD-10-PCS 2027 procedure code

04PY4KZRemoval of Nonautologous Tissue Substitute from Lower Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub from Low Art, 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 04PY4KZ

04PY4KZ is the ICD-10-PCS code for a removal procedure on the lower artery using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision of vessel, unspecified site, the ICD-9-CM procedure title it maps to (38.00).

The same procedure with a different approach is coded 04PY0KZ (open) and 04PY3KZ (percutaneous).

With a different device, use 04PY40Z (drainage device), 04PY42Z (monitoring device), 04PY43Z (infusion device), 04PY47Z (autologous tissue substitute), 04PY4CZ (extraluminal device), 04PY4DZ (intraluminal device) and 2 more.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
YLower Artery

Includes: Umbilical 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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 38.00Incision of vessel, unspecified siteapproximate

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 04PY4KZ

Is 04PY4KZ a valid ICD-10-PCS code for 2027?

Yes. 04PY4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04PY4KZ an O.R. procedure?

Yes. 04PY4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04PY4KZ group to?

Depending on the principal diagnosis, 04PY4KZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 04PY4KZ?

The CMS GEMs map 04PY4KZ to ICD-9-CM 38.00 (Incision of vessel, unspecified site).