2025 ICD-10-CM Procedure Code 04BL4ZX

Excision of Left Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic

ICD-10-PCS Code:: 04BL4ZX
ICD-10-PCS Code for:: Excision of Left Femoral Artery, Perc Endo Approach, Diagn
Is Billable?: Yes - Valid for Submission
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04BL4ZX is a billable procedure code used to specify the performance of excision of left femoral artery, percutaneous endoscopic approach, diagnostic. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves cutting out or off, without replacement, a portion of a body part. Procedure code explanation: the qualifier diagnostic is used to identify excision procedures that are biopsies partial nephrectomy, liver biopsy

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

04BL4ZX PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the lower arteries body system, classified under excision operation. The applicable bodypart for this procedure code is femoral artery, left.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	4	Lower Arteries
3	Operation	B	Excision	Involves: Cutting out or off, without replacement, a portion of a body part Explanation: The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies Includes: Partial nephrectomy, liver biopsy
4	BodyPart	L	Femoral Artery, Left	Includes: Circumflex iliac artery Deep femoral artery Descending genicular artery External pudendal artery Superficial epigastric artery
5	Approach	4	Percutaneous Endoscopic	Involves: 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	Z	No Device	Explanation: The value Z is used for the sixth character to indicate that a specific device does not apply to the procedure.
7	Qualifier	X	Diagnostic

Clinical Classification

Clinical Category is Artery, vein, and great vessel procedures, NEC
CCSR Category Code: CAR021
Clinical Domain is Cardiovascular Procedures - CAR contains 29 categories that include cardiovascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), and aneurysm repair procedures.

04BL4ZX is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 04BL4ZX is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
252	Other Vascular Procedures with MCC	05
253	Other Vascular Procedures with CC	05
254	Other Vascular Procedures without CC/MCC	05

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 3821 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Excision Femoral Artery, Left

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.