04LM4DZOcclusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
- Billable / Specific Code
04LM4DZ is a billable ICD-10-PCS procedure code for Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 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 | M | Popliteal Artery, Right |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | D | Intraluminal Device |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 04LM4DZ under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 04LM4DZ
Is 04LM4DZ a billable code?
Yes. 04LM4DZ is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 04LM4DZ mean?
04LM4DZ 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 M is the BodyPart (Popliteal Artery, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 04LM4DZ group to?
On an inpatient stay, Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach maps to MS-DRGs 252, 253, 254, 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 04LM4DZ?
Under the General Equivalence Mappings, Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.88. The mapping is approximate, so confirm it fits the documentation.
