ICD-10-PCS 2027 procedure code
04QL4ZZRepair Left Femoral Artery, Percutaneous Endoscopic 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 04QL4ZZ
04QL4ZZ is the ICD-10-PCS code for a repair procedure on the left femoral 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 04QL0ZZ (open) and 04QL3ZZ (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
- LFemoral Artery, Left
Includes: Circumflex iliac artery; Deep femoral artery; Descending genicular artery; External pudendal artery; Superficial 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
Different body part
- 04Q04ZZAbdominal Aorta
- 04Q14ZZCeliac Artery
- 04Q24ZZGastric Artery
- 04Q34ZZHepatic Artery
- 04Q44ZZSplenic Artery
- 04Q54ZZSuperior Mesenteric Artery
- 04Q64ZZColic Artery, Right
- 04Q74ZZColic Artery, Left
- 04Q84ZZColic Artery, Middle
- 04Q94ZZRenal Artery, Right
- 04QA4ZZRenal Artery, Left
- 04QB4ZZInferior 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 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 39.31Suture of arteryapproximate
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 04QL4ZZ
Is 04QL4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04QL4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04QL4ZZ an O.R. procedure?
- Yes. 04QL4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04QL4ZZ group to?
- Depending on the principal diagnosis, 04QL4ZZ 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 04QL4ZZ?
- The CMS GEMs map 04QL4ZZ to ICD-9-CM 39.31 (Suture of artery).