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ICD-10-PCS 2027 procedure code

03PY4YZRemoval of Other Device from Upper Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Other Device from Up Art, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 03PY4YZ

03PY4YZ is the ICD-10-PCS code for a removal procedure on the upper artery using a percutaneous endoscopic approach with other device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision of vessel, upper limb vessels, the ICD-9-CM procedure title it maps to (38.03).

The same procedure with a different approach is coded 03PY0YZ (open) and 03PY3YZ (percutaneous).

With a different device, use 03PY40Z (drainage device), 03PY42Z (monitoring device), 03PY43Z (infusion device), 03PY47Z (autologous tissue substitute), 03PY4CZ (extraluminal device), 03PY4DZ (intraluminal device) and 3 more.

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
3Upper Arteries
3. Operation
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

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
YOther Device

Includes: Alfapump(R) system

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 38.03Incision of vessel, upper limb vesselsapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 03PY4YZ

Is 03PY4YZ a valid ICD-10-PCS code for 2027?

Yes. 03PY4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 03PY4YZ?

The CMS GEMs map 03PY4YZ to ICD-9-CM 38.03 (Incision of vessel, upper limb vessels).