04L54CZOcclusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04L54CZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04L54CZ is a billable ICD-10-PCS procedure code for Occlusion of Superior Mesenteric Artery with Extraluminal Device, 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 Occlusion involves completely closing an orifice or the lumen of a tubular body part.

Code Identity

ICD-10-PCS Code
04L54CZ
Billable Status
Yes — Valid for Submission
Code Describes
Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
Parent Code
Short Description
Occlusion Sup Mesent Art w Extralum Dev, Perc Endo

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
3OperationLOcclusion
4BodyPart5Superior Mesenteric Artery
5Approach4Percutaneous Endoscopic
6DeviceCExtraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04L54CZ under the General Equivalence Mappings.

38.86
Approximate match.

Similar Procedure Codes

Questions About 04L54CZ

Is 04L54CZ a billable code?

Yes. 04L54CZ is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04L54CZ mean?

04L54CZ 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 L is the Operation (Occlusion); the 4th character 5 is the BodyPart (Superior Mesenteric Artery); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character C is the Device (Extraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04L54CZ group to?

On an inpatient stay, Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach maps to MS-DRGs 270, 271, 272, 356, 357, 358, 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 04L54CZ?

Under the General Equivalence Mappings, Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.86. The mapping is approximate, so confirm it fits the documentation.