04B40ZZExcision of Splenic Artery, Open Approach
- Billable / Specific Code
04B40ZZ is a billable ICD-10-PCS procedure code for Excision of Splenic Artery, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 15 MS-DRGs. The root operation Excision involves cutting out or off, without replacement, a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Saphenous vein harvest and other therapeutic vessel removal.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 4 | Lower Arteries |
| 3 | Operation | B | Excision |
| 4 | BodyPart | 4 | Splenic Artery |
| 5 | Approach | 0 | Open |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code excision of the splenic artery, open the FY 2027 ICD-10-PCS Alphabetic Index at Excision, then the subterms Artery, Splenic. The index leads to table 04B, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 04B40ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 04B40ZZ
Is 04B40ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Splenic Artery, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 04B40ZZ mean?
The code 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 B is the Operation (Excision); the 4th character 4 is the BodyPart (Splenic 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 04B40ZZ group to?
On an inpatient stay, Excision of Splenic Artery, Open Approach maps to MS-DRGs 270, 271, 272, 356, 357, 358, 673, 674, 675, 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 04B40ZZ?
Under the General Equivalence Mappings, Excision of Splenic Artery, Open Approach crosswalks to ICD-9-PCS 38.36 (Resection of vessel with anastomosis, abdominal arteries) and 38.66 (Other excision of vessels, abdominal arteries). The mapping is approximate, so confirm it fits the documentation.
