ICD-10-PCS 2027 procedure code
049A4ZZDrainage of Left Renal Artery, Percutaneous Endoscopic Approach
Short description: Drainage of 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 049A4ZZ
049A4ZZ is the ICD-10-PCS code for a drainage procedure on the left renal artery using a percutaneous endoscopic approach. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.
In plain terms, this corresponds to other puncture of artery, the ICD-9-CM procedure title it maps to (38.98).
For a different body part, codes include 04904ZZ (abdominal aorta), 04914ZZ (celiac artery), 04924ZZ (gastric artery), 04934ZZ (hepatic artery), 04944ZZ (splenic artery), 04954ZZ (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 049A0ZZ (open) and 049A3ZZ (percutaneous).
With a different device, use 049A40Z (drainage device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- 9Drainage
Taking or letting out fluids and/or gases from a body part
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Includes: Thoracentesis, incision and drainage
- 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
Different body part
- 04904ZZAbdominal Aorta
- 04914ZZCeliac Artery
- 04924ZZGastric Artery
- 04934ZZHepatic Artery
- 04944ZZSplenic Artery
- 04954ZZSuperior Mesenteric Artery
- 04964ZZColic Artery, Right
- 04974ZZColic Artery, Left
- 04984ZZColic Artery, Middle
- 04994ZZRenal Artery, Right
- 049B4ZZInferior Mesenteric Artery
- 049C4ZZCommon Iliac Artery, Right
Different approach
Different device
Different qualifier
ICD-9-CM equivalent
Converter →- 38.98Other puncture 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 049A4ZZ
Is 049A4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 049A4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 049A4ZZ?
- The CMS GEMs map 049A4ZZ to ICD-9-CM 38.98 (Other puncture of artery).