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ICD-10-PCS 2027 procedure code

4A0635ZMeasurement of Lymphatic Flow, Percutaneous Approach

✓ Valid for 2027

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 4A0635Z

4A0635Z is the ICD-10-PCS code for a measurement procedure on the lymphatic using a percutaneous approach with flow. In ICD-10-PCS, measurement means determining the level of a physiological or physical function at a point in time.

In plain terms, this corresponds to other diagnostic procedures on lymphatic structures, the ICD-9-CM procedure title it maps to (40.19).

For a different body part, codes include 4A0C35Z (biliary).

The same procedure with a different approach is coded 4A0605Z (open), 4A0675Z (via natural or artificial opening) and 4A0685Z (via natural or artificial opening endoscopic).

With a different device, use 4A063BZ (pressure).

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
4Measurement and Monitoring
2. Body System
APhysiological Systems
3. Operation
0Measurement

Determining the level of a physiological or physical function at a point in time

4. Body System
6Lymphatic
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Function / Device
5Flow
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body system

Different function / device

ICD-9-CM equivalent

Converter →
  • 40.19Other diagnostic procedures on lymphatic structuresapproximate

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 4A0635Z

Is 4A0635Z a valid ICD-10-PCS code for 2027?

Yes. 4A0635Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 4A0635Z?

The CMS GEMs map 4A0635Z to ICD-9-CM 40.19 (Other diagnostic procedures on lymphatic structures).