03LY0ZZOcclusion of Upper Artery, Open Approach

  • Billable / Specific Code
ICD-10-PCS 03LY0ZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

03LY0ZZ is a billable ICD-10-PCS procedure code for Occlusion of Upper Artery, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 9 MS-DRGs. The root operation Occlusion involves completely closing an orifice or the lumen of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Ligation and embolization of vessels.

Code Identity

ICD-10-PCS Code
03LY0ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Occlusion of Upper Artery, Open Approach
Short Description
Occlusion of Upper Artery, Open Approach
Same as the full description in the CMS dataset.
Parent Code

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System3Upper Arteries
3OperationLOcclusion
4BodyPartYUpper Artery
5Approach0Open
6DeviceZNo Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Anatomy or device term that leads here
Anatomy or device term that leads here
Occlusion, Artery, Upper
Leads to this code's table
Anatomy or device term that leads here

To code occlusion of the upper artery, open the FY 2027 ICD-10-PCS Alphabetic Index at Occlusion, then the subterms Artery, Upper. The index leads to table 03L, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 03LY0ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR010
Ligation and embolization of vessels
Clinical domain: Cardiovascular Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

38.80
Other surgical occlusion of vessels, unspecified site
Approximate match.

Similar Procedure Codes

Questions About 03LY0ZZ

Is 03LY0ZZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Upper Artery, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 03LY0ZZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 3 is the Body System (Upper Arteries); the 3rd character L is the Operation (Occlusion); the 4th character Y is the BodyPart (Upper Artery); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 03LY0ZZ group to?

On an inpatient stay, Occlusion of Upper Artery, Open Approach maps to MS-DRGs 252, 253, 254, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 03LY0ZZ?

Under the General Equivalence Mappings, Occlusion of Upper Artery, Open Approach crosswalks to ICD-9-PCS 38.80 (Other surgical occlusion of vessels, unspecified site). The mapping is approximate, so confirm it fits the documentation.