Skip to content
Dx

ICD-10-PCS 2027 procedure code

035P4ZZDestruction of Right Vertebral Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Right Vertebral 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 035P4ZZ

035P4ZZ is the ICD-10-PCS code for a destruction procedure on the right vertebral artery using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other excision of vessels, other vessels of head and neck, the ICD-9-CM procedure title it maps to (38.62).

For a different body part, codes include 03504ZZ (right internal mammary artery), 03514ZZ (left internal mammary artery), 03524ZZ (innominate artery), 03534ZZ (right subclavian artery), 03544ZZ (left subclavian artery), 03554ZZ (right axillary artery) and 23 more.

The same procedure with a different approach is coded 035P0ZZ (open) and 035P3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), 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 categories “Extracranial Procedures”, “Other Vascular Procedures” and “Other O.R. Procedures for Injuries”.

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
3Upper Arteries
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
PVertebral Artery, Right
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 →
  • 38.62Other excision of vessels, other vessels of head and neckapproximate

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 035P4ZZ

Is 035P4ZZ a valid ICD-10-PCS code for 2027?

Yes. 035P4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 035P4ZZ an O.R. procedure?

Yes. 035P4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 035P4ZZ group to?

Depending on the principal diagnosis, 035P4ZZ can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 035P4ZZ?

The CMS GEMs map 035P4ZZ to ICD-9-CM 38.62 (Other excision of vessels, other vessels of head and neck).