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ICD-10-PCS 2027 procedure code

04SA4ZZReposition Left Renal Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Left Renal 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 04SA4ZZ

04SA4ZZ is the ICD-10-PCS code for a reposition procedure on the left renal artery using a percutaneous endoscopic approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to reimplantation of aberrant renal vessel, the ICD-9-CM procedure title it maps to (39.55).

For a different body part, codes include 04S04ZZ (abdominal aorta), 04S14ZZ (celiac artery), 04S24ZZ (gastric artery), 04S34ZZ (hepatic artery), 04S44ZZ (splenic artery), 04S54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04SA0ZZ (open) and 04SA3ZZ (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 656 (Kidney and Ureter Procedures for Neoplasm with MCC), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC) and DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), under the surgical categories “Other Vascular Procedures”, “” and “Kidney and Ureter Procedures for Non-Neoplasm”.

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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
ARenal Artery, Left

Includes: Inferior suprarenal artery; Renal segmental 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 →
  • 39.55Reimplantation of aberrant renal vesselapproximate

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 04SA4ZZ

Is 04SA4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04SA4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04SA4ZZ an O.R. procedure?

Yes. 04SA4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04SA4ZZ group to?

Depending on the principal diagnosis, 04SA4ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 656, MS-DRG 657 and MS-DRG 658.

What is the ICD-9 procedure code for 04SA4ZZ?

The CMS GEMs map 04SA4ZZ to ICD-9-CM 39.55 (Reimplantation of aberrant renal vessel).