04LW3DZOcclusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach

  • Billable / Specific Code
ICD-10-PCS 04LW3DZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04LW3DZ is a billable ICD-10-PCS procedure code for Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous 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

ICD-10-PCS Code
04LW3DZ
Billable Status
Yes — Valid for Submission
Code Describes
Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach
Parent Code
Short Description
Occlusion of L Foot Art with Intralum Dev, Perc Approach

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
4BodyPartWFoot Artery, Left
5Approach3Percutaneous
6DeviceDIntraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04LW3DZ under the General Equivalence Mappings.

38.88
Approximate match.

Similar Procedure Codes

Questions About 04LW3DZ

Is 04LW3DZ a billable code?

Yes. 04LW3DZ is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04LW3DZ mean?

04LW3DZ 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 W is the BodyPart (Foot Artery, Left); the 5th character 3 is the Approach (Percutaneous); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04LW3DZ group to?

On an inpatient stay, Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous 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 04LW3DZ?

Under the General Equivalence Mappings, Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach crosswalks to ICD-9-PCS 38.88. The mapping is approximate, so confirm it fits the documentation.