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ICD-10-PCS 2027 procedure code

04LF4ZZOcclusion of Left Internal Iliac Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Left Internal Iliac 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 04LF4ZZ

04LF4ZZ is the ICD-10-PCS code for a occlusion procedure on the left internal iliac artery using a percutaneous endoscopic approach. 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, abdominal arteries, the ICD-9-CM procedure title it maps to (38.86).

For a different body part, codes include 04L04ZZ (abdominal aorta), 04L14ZZ (celiac artery), 04L24ZZ (gastric artery), 04L34ZZ (hepatic artery), 04L44ZZ (splenic artery), 04L54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04LF0ZZ (open) and 04LF3ZZ (percutaneous).

With a different device, use 04LF4CZ (extraluminal device) and 04LF4DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC) and DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Digestive System O.R. 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
4Lower 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
FInternal Iliac Artery, Left

Includes: Deferential artery; Hypogastric artery; Iliolumbar artery; Inferior gluteal artery; Inferior vesical artery; Internal pudendal artery; Lateral sacral artery; Middle rectal artery; Obturator artery; Prostatic artery; Superior gluteal artery; Superior vesical artery; Umbilical artery; Uterine Artery; Vaginal 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 →
  • 38.86Other surgical occlusion of vessels, abdominal arteriesapproximate

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 04LF4ZZ

Is 04LF4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04LF4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04LF4ZZ an O.R. procedure?

Yes. 04LF4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04LF4ZZ group to?

Depending on the principal diagnosis, 04LF4ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 356, MS-DRG 357 and MS-DRG 358.

What is the ICD-9 procedure code for 04LF4ZZ?

The CMS GEMs map 04LF4ZZ to ICD-9-CM 38.86 (Other surgical occlusion of vessels, abdominal arteries).