045 Destruction - Lower Arteries ICD-10-PCS
The 045 code range contains 94 ICD-10-PCS codes for Destruction procedures on the lower arteries. 93 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent.
Codes in the 045 Range 94 codes · 93 billable
- 045 Lower Arteries, DestructionNon-billable header
- 04500ZZ Destruction of Abdominal Aorta, Open Approach
- 04503ZZ Destruction of Abdominal Aorta, Percutaneous Approach
- 04504ZZ Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach
- 04510ZZ Destruction of Celiac Artery, Open Approach
- 04513ZZ Destruction of Celiac Artery, Percutaneous Approach
- 04514ZZ Destruction of Celiac Artery, Percutaneous Endoscopic Approach
- 04520ZZ Destruction of Gastric Artery, Open Approach
- 04523ZZ Destruction of Gastric Artery, Percutaneous Approach
- 04524ZZ Destruction of Gastric Artery, Percutaneous Endoscopic Approach
- 04530ZZ Destruction of Hepatic Artery, Open Approach
- 04533ZZ Destruction of Hepatic Artery, Percutaneous Approach
- 04534ZZ Destruction of Hepatic Artery, Percutaneous Endoscopic Approach
- 04540ZZ Destruction of Splenic Artery, Open Approach
- 04543ZZ Destruction of Splenic Artery, Percutaneous Approach
- 04544ZZ Destruction of Splenic Artery, Percutaneous Endoscopic Approach
- 04550ZZ Destruction of Superior Mesenteric Artery, Open Approach
- 04553ZZ Destruction of Superior Mesenteric Artery, Percutaneous Approach
- 04554ZZ Destruction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach
- 04560ZZ Destruction of Right Colic Artery, Open Approach
- 04563ZZ Destruction of Right Colic Artery, Percutaneous Approach
- 04564ZZ Destruction of Right Colic Artery, Percutaneous Endoscopic Approach
- 04570ZZ Destruction of Left Colic Artery, Open Approach
- 04573ZZ Destruction of Left Colic Artery, Percutaneous Approach
- 04574ZZ Destruction of Left Colic Artery, Percutaneous Endoscopic Approach
- 04580ZZ Destruction of Middle Colic Artery, Open Approach
- 04583ZZ Destruction of Middle Colic Artery, Percutaneous Approach
- 04584ZZ Destruction of Middle Colic Artery, Percutaneous Endoscopic Approach
- 04590ZZ Destruction of Right Renal Artery, Open Approach
- 04593ZZ Destruction of Right Renal Artery, Percutaneous Approach
- 04594ZZ Destruction of Right Renal Artery, Percutaneous Endoscopic Approach
- 045A0ZZ Destruction of Left Renal Artery, Open Approach
- 045A3ZZ Destruction of Left Renal Artery, Percutaneous Approach
- 045A4ZZ Destruction of Left Renal Artery, Percutaneous Endoscopic Approach
- 045B0ZZ Destruction of Inferior Mesenteric Artery, Open Approach
- 045B3ZZ Destruction of Inferior Mesenteric Artery, Percutaneous Approach
- 045B4ZZ Destruction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach
- 045C0ZZ Destruction of Right Common Iliac Artery, Open Approach
- 045C3ZZ Destruction of Right Common Iliac Artery, Percutaneous Approach
- 045C4ZZ Destruction of Right Common Iliac Artery, Percutaneous Endoscopic Approach
- 045D0ZZ Destruction of Left Common Iliac Artery, Open Approach
- 045D3ZZ Destruction of Left Common Iliac Artery, Percutaneous Approach
- 045D4ZZ Destruction of Left Common Iliac Artery, Percutaneous Endoscopic Approach
- 045E0ZZ Destruction of Right Internal Iliac Artery, Open Approach
- 045E3ZZ Destruction of Right Internal Iliac Artery, Percutaneous Approach
- 045E4ZZ Destruction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach
- 045F0ZZ Destruction of Left Internal Iliac Artery, Open Approach
- 045F3ZZ Destruction of Left Internal Iliac Artery, Percutaneous Approach
- 045F4ZZ Destruction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach
- 045H0ZZ Destruction of Right External Iliac Artery, Open Approach
- 045H3ZZ Destruction of Right External Iliac Artery, Percutaneous Approach
- 045H4ZZ Destruction of Right External Iliac Artery, Percutaneous Endoscopic Approach
- 045J0ZZ Destruction of Left External Iliac Artery, Open Approach
- 045J3ZZ Destruction of Left External Iliac Artery, Percutaneous Approach
- 045J4ZZ Destruction of Left External Iliac Artery, Percutaneous Endoscopic Approach
- 045K0ZZ Destruction of Right Femoral Artery, Open Approach
- 045K3ZZ Destruction of Right Femoral Artery, Percutaneous Approach
- 045K4ZZ Destruction of Right Femoral Artery, Percutaneous Endoscopic Approach
- 045L0ZZ Destruction of Left Femoral Artery, Open Approach
- 045L3ZZ Destruction of Left Femoral Artery, Percutaneous Approach
- 045L4ZZ Destruction of Left Femoral Artery, Percutaneous Endoscopic Approach
- 045M0ZZ Destruction of Right Popliteal Artery, Open Approach
- 045M3ZZ Destruction of Right Popliteal Artery, Percutaneous Approach
- 045M4ZZ Destruction of Right Popliteal Artery, Percutaneous Endoscopic Approach
- 045N0ZZ Destruction of Left Popliteal Artery, Open Approach
- 045N3ZZ Destruction of Left Popliteal Artery, Percutaneous Approach
- 045N4ZZ Destruction of Left Popliteal Artery, Percutaneous Endoscopic Approach
- 045P0ZZ Destruction of Right Anterior Tibial Artery, Open Approach
- 045P3ZZ Destruction of Right Anterior Tibial Artery, Percutaneous Approach
- 045P4ZZ Destruction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach
- 045Q0ZZ Destruction of Left Anterior Tibial Artery, Open Approach
- 045Q3ZZ Destruction of Left Anterior Tibial Artery, Percutaneous Approach
- 045Q4ZZ Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach
- 045R0ZZ Destruction of Right Posterior Tibial Artery, Open Approach
- 045R3ZZ Destruction of Right Posterior Tibial Artery, Percutaneous Approach
- 045R4ZZ Destruction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
- 045S0ZZ Destruction of Left Posterior Tibial Artery, Open Approach
- 045S3ZZ Destruction of Left Posterior Tibial Artery, Percutaneous Approach
- 045S4ZZ Destruction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach
- 045T0ZZ Destruction of Right Peroneal Artery, Open Approach
- 045T3ZZ Destruction of Right Peroneal Artery, Percutaneous Approach
- 045T4ZZ Destruction of Right Peroneal Artery, Percutaneous Endoscopic Approach
- 045U0ZZ Destruction of Left Peroneal Artery, Open Approach
- 045U3ZZ Destruction of Left Peroneal Artery, Percutaneous Approach
- 045U4ZZ Destruction of Left Peroneal Artery, Percutaneous Endoscopic Approach
- 045V0ZZ Destruction of Right Foot Artery, Open Approach
- 045V3ZZ Destruction of Right Foot Artery, Percutaneous Approach
- 045V4ZZ Destruction of Right Foot Artery, Percutaneous Endoscopic Approach
- 045W0ZZ Destruction of Left Foot Artery, Open Approach
- 045W3ZZ Destruction of Left Foot Artery, Percutaneous Approach
- 045W4ZZ Destruction of Left Foot Artery, Percutaneous Endoscopic Approach
- 045Y0ZZ Destruction of Lower Artery, Open Approach
- 045Y3ZZ Destruction of Lower Artery, Percutaneous Approach
- 045Y4ZZ Destruction of Lower Artery, Percutaneous Endoscopic Approach
About the 045 Code Range
The ICD-10-PCS root operation Destruction (Code range starting with 045) refers to the intentional elimination of all or part of a body part through methods such as laser, electric current, or other energy sources. This operation is classified under the Medical and Surgical section and targets arteries in the lower body.
This operation is used to treat conditions by destroying tissue without removing it. The example codes cover a wide range of lower arteries including the abdominal aorta (04500ZZ, open approach), celiac artery (04510ZZ), hepatic artery (04530ZZ), and multiple iliac and femoral arteries, among others. Each code specifies the approach used—such as open, percutaneous, or percutaneous endoscopic approaches—which helps document the precise method employed for arterial destruction. Accurate assignment of these codes is essential for detailed procedural reporting and facilitates proper clinical and billing documentation of vascular destruction procedures in lower arteries.
Questions About This Page
How many billable codes are in the 045 range?
Of the 94 codes in this range, 93 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.
What does the 045 range classify?
The range classifies Destruction procedures, physical eradication of all or a portion of a body part by the direct use of energy, force or a destructive agent, performed on the lower arteries. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.
Related References
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
