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ICD-10-PCS 2027 procedure code

04PY4CZRemoval of Extraluminal Device from Lower Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Extralum Dev from Low Art, 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 04PY4CZ

04PY4CZ is the ICD-10-PCS code for a removal procedure on the lower artery using a percutaneous endoscopic approach with extraluminal 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, lower limb arteries, the ICD-9-CM procedure title it maps to (38.08).

The same procedure with a different approach is coded 04PY0CZ (open) and 04PY3CZ (percutaneous).

With a different device, use 04PY40Z (drainage device), 04PY42Z (monitoring device), 04PY43Z (infusion device), 04PY47Z (autologous tissue substitute), 04PY4DZ (intraluminal device), 04PY4JZ (synthetic substitute) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC), DRG 254 (Other Vascular Procedures without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Other Vascular Procedures”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 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
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
YLower Artery

Includes: Umbilical 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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

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 →
  • 38.08Incision of vessel, lower limb 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 04PY4CZ

Is 04PY4CZ a valid ICD-10-PCS code for 2027?

Yes. 04PY4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04PY4CZ an O.R. procedure?

Yes. 04PY4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04PY4CZ group to?

Depending on the principal diagnosis, 04PY4CZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 628, MS-DRG 629 and MS-DRG 630.

What is the ICD-9 procedure code for 04PY4CZ?

The CMS GEMs map 04PY4CZ to ICD-9-CM 38.08 (Incision of vessel, lower limb arteries).