04BU4ZZExcision of Left Peroneal Artery, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04BU4ZZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04BU4ZZ is a billable ICD-10-PCS procedure code for Excision of Left Peroneal 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 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

ICD-10-PCS Code
04BU4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Left Peroneal Artery, Percutaneous Endoscopic Approach
Short Description
Excision of Left Peroneal Artery, Perc Endo Approach
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 System4Lower Arteries
3OperationBExcision
4BodyPartUPeroneal Artery, Left
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2026 ICD-10-PCS Alphabetic Index entries lead to this code:

Anatomy or device term that leads here
Excision, Artery, Peroneal, Left
Leads to this code's table

To code excision of the left peroneal artery, open the FY 2026 ICD-10-PCS Alphabetic Index at Excision, then the subterms Artery, Peroneal, Left. The index leads to table 04B, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 04BU4ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR020
Saphenous vein harvest and other therapeutic vessel removal
Clinical domain: Cardiovascular Procedures

Convert to ICD-9-PCS

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

38.38
Resection of vessel with anastomosis, lower limb arteries
Approximate match.
38.68
Other excision of vessels, lower limb arteries
Approximate match.

Similar Procedure Codes

Questions About 04BU4ZZ

Is 04BU4ZZ a billable code?

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

What do the characters in 04BU4ZZ 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 U is the BodyPart (Peroneal 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 04BU4ZZ group to?

On an inpatient stay, Excision of Left Peroneal 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 04BU4ZZ?

Under the General Equivalence Mappings, Excision of Left Peroneal Artery, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.38 (Resection of vessel with anastomosis, lower limb arteries) and 38.68 (Other excision of vessels, lower limb arteries). The mapping is approximate, so confirm it fits the documentation.