04LU0DZOcclusion of Left Peroneal Artery with Intraluminal Device, Open Approach
- Billable / Specific Code
04LU0DZ is a billable ICD-10-PCS procedure code for Occlusion of Left Peroneal 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 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 | U | Peroneal Artery, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | D | Intraluminal Device |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 04LU0DZ under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 04LU0DZ
Is 04LU0DZ a billable code?
Yes. 04LU0DZ is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Left Peroneal Artery with Intraluminal Device, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 04LU0DZ mean?
04LU0DZ 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 U is the BodyPart (Peroneal Artery, Left); the 5th character 0 is the Approach (Open); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 04LU0DZ group to?
On an inpatient stay, Occlusion of Left Peroneal Artery with Intraluminal Device, Open 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 04LU0DZ?
Under the General Equivalence Mappings, Occlusion of Left Peroneal Artery with Intraluminal Device, Open Approach crosswalks to ICD-9-PCS 38.88. The mapping is approximate, so confirm it fits the documentation.
