045Q4ZZDestruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 045Q4ZZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

045Q4ZZ is a billable ICD-10-PCS procedure code for Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Destruction involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

Code Identity

ICD-10-PCS Code
045Q4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach
Parent Code
Short Description
Destruction of L Ant Tib Art, Perc Endo Approach

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 System4Lower Arteries
3Operation5Destruction
4BodyPartQAnterior Tibial Artery, Left
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 045Q4ZZ under the General Equivalence Mappings.

38.68
Approximate match.

Similar Procedure Codes

Questions About 045Q4ZZ

Is 045Q4ZZ a billable code?

Yes. 045Q4ZZ is a complete seven-character ICD-10-PCS code, specific enough to report Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 045Q4ZZ mean?

045Q4ZZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 4 is the Body System (Lower Arteries); the 3rd character 5 is the Operation (Destruction); the 4th character Q is the BodyPart (Anterior Tibial Artery, Left); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 045Q4ZZ group to?

On an inpatient stay, Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach maps to MS-DRGs 252, 253, 254, 628, 629, 630, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 045Q4ZZ?

Under the General Equivalence Mappings, Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.68. The mapping is approximate, so confirm it fits the documentation.