ICD-10-PCS 2027 procedure code
03LY4DZOcclusion of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach
Short description: Occlusion of Up Art with Intralum Dev, 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 03LY4DZ
03LY4DZ is the ICD-10-PCS code for a occlusion procedure on the upper artery using a percutaneous endoscopic approach with intraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to other surgical occlusion of vessels, unspecified site, the ICD-9-CM procedure title it maps to (38.80).
For a different body part, codes include 03L04DZ (right internal mammary artery), 03L14DZ (left internal mammary artery), 03L24DZ (innominate artery), 03L34DZ (right subclavian artery), 03L44DZ (left subclavian artery), 03L54DZ (right axillary artery) and 23 more.
The same procedure with a different approach is coded 03LY0DZ (open) and 03LY3DZ (percutaneous).
With a different device, use 03LY4CZ (extraluminal device) and 03LY4ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC), DRG 168 (Other Respiratory System O.R. 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 “Other Respiratory System O.R. Procedures”, “Other Vascular Procedures”, “Other O.R. Procedures for Injuries” and 1 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
- 3Upper Arteries
- 3. Operation
- LOcclusion
Completely closing an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice
Includes: Fallopian tube ligation, ligation of inferior vena cava
- 4. Body Part
- YUpper Artery
Includes: Aortic intercostal artery; Bronchial artery; Esophageal artery; Subcostal 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
- DIntraluminal Device
Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System; Acculink (RX) Carotid Stent System; AFX(R) Endovascular AAA System; AneuRx(R) AAA Advantage(R); Assurant (Cobalt) stent; Carotid WALLSTENT(R) Monorail(R) Endoprosthesis; CoAxia NeuroFlo catheter; Colonic Z-Stent(R); Complete (SE) stent; Cook Zenith AAA Endovascular Graft; Driver stent (RX) (OTW); E-Luminexx(tm) (Biliary)(Vascular) Stent; Embolization coil(s); Endologix AFX(R) Endovascular AAA System; Endurant(R) Endovascular Stent Graft; Endurant(R) II AAA stent graft system; EXCLUDER(R) AAA Endoprosthesis; Express(R) (LD) Premounted Stent System; Express(R) Biliary SD Monorail(R) Premounted Stent System; Express(R) SD Renal Monorail(R) Premounted Stent System; FLAIR(R) Endovascular Stent Graft; Formula(tm) Balloon-Expandable Renal Stent System; GORE EXCLUDER(R) AAA Endoprosthesis; GORE TAG(R) Thoracic Endoprosthesis; GORE(R) VIABAHN(R) Endoprosthesis; GORE(R) VIABIL(R) Biliary Endoprosthesis; Herculink (RX) Elite Renal Stent System; Innova(tm) stent; LifeStent(R) (Flexstar)(XL) Vascular Stent System; Medtronic Endurant(R) II AAA stent graft system; Micro-Driver stent (RX) (OTW); MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System; Omnilink Elite Vascular Balloon Expandable Stent System; Protege(R) RX Carotid Stent System; Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary); Talent(R) Converter; Talent(R) Occluder; Talent(R) Stent Graft (abdominal)(thoracic); Therapeutic occlusion coil(s); Ultraflex(tm) Precision Colonic Stent System; Valiant Thoracic Stent Graft; WALLSTENT(R) Endoprosthesis; Xact Carotid Stent System; Zenith AAA Endovascular Graft; Zenith Flex(R) AAA Endovascular Graft; Zenith TX2(R) TAA Endovascular Graft; Zenith(R) Renu(tm) AAA Ancillary Graft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 03L04DZInternal Mammary Artery, Right
- 03L14DZInternal Mammary Artery, Left
- 03L24DZInnominate Artery
- 03L34DZSubclavian Artery, Right
- 03L44DZSubclavian Artery, Left
- 03L54DZAxillary Artery, Right
- 03L64DZAxillary Artery, Left
- 03L74DZBrachial Artery, Right
- 03L84DZBrachial Artery, Left
- 03L94DZUlnar Artery, Right
- 03LA4DZUlnar Artery, Left
- 03LB4DZRadial Artery, Right
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Other Respiratory System O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular 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 →- 38.80Other surgical occlusion of vessels, unspecified siteapproximate
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 03LY4DZ
Is 03LY4DZ a valid ICD-10-PCS code for 2027?
- Yes. 03LY4DZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03LY4DZ an O.R. procedure?
- Yes. 03LY4DZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 03LY4DZ group to?
- Depending on the principal diagnosis, 03LY4DZ can group to MS-DRG 166, MS-DRG 167, MS-DRG 168, MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 03LY4DZ?
- The CMS GEMs map 03LY4DZ to ICD-9-CM 38.80 (Other surgical occlusion of vessels, unspecified site).