04LA4ZZOcclusion of Left Renal Artery, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04LA4ZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

04LA4ZZ is a billable ICD-10-PCS procedure code for Occlusion of Left Renal Artery, Percutaneous Endoscopic 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 Occlusion involves completely closing an orifice or the lumen of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Ligation and embolization of vessels.

Code Identity

ICD-10-PCS Code
04LA4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Occlusion of Left Renal Artery, Percutaneous Endoscopic Approach
Short Description
Occlusion of Left Renal 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
3OperationLOcclusion
4BodyPartARenal Artery, Left
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

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

To code occlusion of the left renal artery, open the FY 2027 ICD-10-PCS Alphabetic Index at Occlusion, then the subterms Artery, Renal, Left. The index leads to table 04L, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 04LA4ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR010
Ligation and embolization of vessels
Clinical domain: Cardiovascular Procedures

Convert to ICD-9-PCS

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

38.86
Other surgical occlusion of vessels, abdominal arteries
Approximate match.

Similar Procedure Codes

Questions About 04LA4ZZ

Is 04LA4ZZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Left Renal Artery, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 04LA4ZZ 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 L is the Operation (Occlusion); the 4th character A is the BodyPart (Renal 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 04LA4ZZ group to?

On an inpatient stay, Occlusion of Left Renal Artery, Percutaneous Endoscopic 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 04LA4ZZ?

Under the General Equivalence Mappings, Occlusion of Left Renal Artery, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.86 (Other surgical occlusion of vessels, abdominal arteries). The mapping is approximate, so confirm it fits the documentation.