04LE0DVOcclusion of Right Prostatic Artery with Intraluminal Device, Open Approach
- Billable / Specific Code
04LE0DV is a billable ICD-10-PCS procedure code for Occlusion of Right Prostatic Artery with Intraluminal Device, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 13 MS-DRGs. The root operation Occlusion involves completely closing an orifice or the lumen of a tubular body part.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 4 | Lower Arteries |
| 3 | Operation | L | Occlusion |
| 4 | BodyPart | E | Internal Iliac Artery, Right |
| 5 | Approach | 0 | Open |
| 6 | Device | D | Intraluminal Device |
| 7 | Qualifier | V | Prostatic Artery, Right |
Code History
- 04LE0DZ — Occlusion R Int Iliac Art w Intralum Dev, Open
Similar Procedure Codes
Questions About 04LE0DV
Is 04LE0DV a billable code?
Yes. 04LE0DV is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Right Prostatic Artery with Intraluminal Device, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 04LE0DV mean?
04LE0DV 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 E is the BodyPart (Internal Iliac Artery, Right); the 5th character 0 is the Approach (Open); the 6th character D is the Device (Intraluminal Device); the 7th character V is the Qualifier (Prostatic Artery, Right).
What MS-DRG does 04LE0DV group to?
On an inpatient stay, Occlusion of Right Prostatic Artery with Intraluminal Device, Open Approach maps to MS-DRGs 252, 253, 254, 715, 716, 717, 718, 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.
