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ICD-10-PCS 2027 procedure code

04QJ4ZZRepair Left External Iliac Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Repair Left External 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 04QJ4ZZ

04QJ4ZZ is the ICD-10-PCS code for a repair procedure on the left external iliac artery using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to suture of artery, the ICD-9-CM procedure title it maps to (39.31).

For a different body part, codes include 04Q04ZZ (abdominal aorta), 04Q14ZZ (celiac artery), 04Q24ZZ (gastric artery), 04Q34ZZ (hepatic artery), 04Q44ZZ (splenic artery), 04Q54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04QJ0ZZ (open) and 04QJ3ZZ (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 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Vascular Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures” and 2 more.

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

4. Body Part
JExternal Iliac Artery, Left

Includes: Deep circumflex iliac artery; Inferior epigastric 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 →
  • 39.31Suture of arteryapproximate

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 04QJ4ZZ

Is 04QJ4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04QJ4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04QJ4ZZ an O.R. procedure?

Yes. 04QJ4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04QJ4ZZ group to?

Depending on the principal diagnosis, 04QJ4ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 04QJ4ZZ?

The CMS GEMs map 04QJ4ZZ to ICD-9-CM 39.31 (Suture of artery).