04FR3Z0Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic

Medical and Surgical›Lower Arteries›Fragmentation
  • Billable / Specific Code
ICD-10-PCS 04FR3Z0
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04FR3Z0 is a billable ICD-10-PCS procedure code for Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 5 MS-DRGs. The root operation Fragmentation involves breaking solid matter in a body part into pieces.

Code Identity

ICD-10-PCS Code
04FR3Z0
Billable Status
Yes — Valid for Submission
Code Describes
Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic
Parent Code
04F
Short Description
Fragmentation of R Post Tib Art, Perc Approach, US

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
3OperationFFragmentation
4BodyPartRPosterior Tibial Artery, Right
5Approach3Percutaneous
6DeviceZNo Device
7Qualifier0Ultrasonic

Code History

Replaces previously assigned code(s):
  • 3E05317 — Introduce of Oth Thrombolytic into Periph Art, Perc Approach
  • 3E06317 — Introduce Oth Thrombolytic in Central Art, Perc
  • 6A750Z7 — Ultrasound Therapy of Other Vessels, Single

Similar Procedure Codes

Questions About 04FR3Z0

Is 04FR3Z0 a billable code?

Yes. 04FR3Z0 is a complete seven-character ICD-10-PCS code, specific enough to report Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04FR3Z0 mean?

04FR3Z0 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 F is the Operation (Fragmentation); the 4th character R is the BodyPart (Posterior Tibial Artery, Right); the 5th character 3 is the Approach (Percutaneous); the 6th character Z is the Device (No Device); the 7th character 0 is the Qualifier (Ultrasonic).

What MS-DRG does 04FR3Z0 group to?

On an inpatient stay, Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic maps to MS-DRGs 252, 253, 254, 278, 279, with relative weights from 1.7817 to 5.5662. The MS-DRG sets the fixed Medicare payment for the stay.