03CH4ZZ ICD-10-PCS Code: Extirpation of Matter from Right Common Carotid Artery, Percutaneous Endoscopic Approach
Extirpation of Matter from R Com Carotid, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System3 | Upper Arteries |
| 3 | Root OperationC | Extirpation Taking or cutting out solid matter from a body part |
| 4 | Body PartH | Common Carotid Artery, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 14 MS-DRGs:
- MDC 01 — Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage: DRG 020, DRG 021, DRG 022
- MDC 01 — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis: DRG 023, DRG 024
- MDC 01 — Craniotomy and endovascular intracranial procedures: DRG 025, DRG 026, DRG 027
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
03CC4ZZ — Extirpation of Matter from Left Radial Artery, Percutaneous Endoscopic Approach, 03CD4ZZ — Extirpation of Matter from Right Hand Artery, Percutaneous Endoscopic Approach, 03CF4ZZ — Extirpation of Matter from Left Hand Artery, Percutaneous Endoscopic Approach, 03CG4ZZ — Extirpation of Matter from Intracranial Artery, Percutaneous Endoscopic Approach, 03CJ4ZZ — Extirpation of Matter from Left Common Carotid Artery, Percutaneous Endoscopic Approach, 03CK4ZZ — Extirpation of Matter from Right Internal Carotid Artery, Percutaneous Endoscopic Approach, 03CL4ZZ — Extirpation of Matter from Left Internal Carotid Artery, Percutaneous Endoscopic Approach, 03CM4ZZ — Extirpation of Matter from Right External Carotid Artery, Percutaneous Endoscopic Approach, +21 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
03CH0ZZ — Extirpation of Matter from Right Common Carotid Artery, Open Approach, 03CH3ZZ — Extirpation of Matter from Right Common Carotid Artery, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Carotid endarterectomy and stenting (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
037N3ZZ — Dilation of Left External Carotid Artery, Percutaneous Approach, 037N44Z — Dilation of Left External Carotid Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach, 037N45Z — Dilation of Left External Carotid Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach, 037N46Z — Dilation of Left External Carotid Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach, 037N47Z — Dilation of Left External Carotid Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach, 037N4DZ — Dilation of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach, 037N4EZ — Dilation of Left External Carotid Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach, 037N4FZ — Dilation of Left External Carotid Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach, 037N4GZ — Dilation of Left External Carotid Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach, 037N4ZZ — Dilation of Left External Carotid Artery, Percutaneous Endoscopic Approach, 03QH0ZZ — Repair Right Common Carotid Artery, Open Approach, 03QH3ZZ — Repair Right Common Carotid Artery, Percutaneous Approach, 03QH4ZZ — Repair Right Common Carotid Artery, Percutaneous Endoscopic Approach, 03QJ0ZZ — Repair Left Common Carotid Artery, Open Approach, 03QJ3ZZ — Repair Left Common Carotid Artery, Percutaneous Approach, 03QJ4ZZ — Repair Left Common Carotid Artery, Percutaneous Endoscopic Approach, 03QK0ZZ — Repair Right Internal Carotid Artery, Open Approach, 03QK3ZZ — Repair Right Internal Carotid Artery, Percutaneous Approach, 03QK4ZZ — Repair Right Internal Carotid Artery, Percutaneous Endoscopic Approach, 03QL0ZZ — Repair Left Internal Carotid Artery, Open Approach, +425 more
Contextual Map
Every relationship of 03CH4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 03CH4ZZ with these 5 related codes in Claim Check
PCS table
- 03C[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Upper Arteries — Body System: Upper Arteries[Body System]: “Upper Arteries”— CMS ICD-10-PCS tables
- Extirpation — Operation: Extirpation[Operation]: “Extirpation”— CMS ICD-10-PCS tables
MS-DRG participation (14)
- DRG 020 — INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC[MS-DRG]: “INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 021 — INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC[MS-DRG]: “INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC — Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 022 — INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC[MS-DRG]: “INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 023 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR[MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 024 — CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC[MS-DRG]: “CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 025 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC[MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — Craniotomy and endovascular intracranial procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 026 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC[MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — Craniotomy and endovascular intracranial procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 027 — CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC — Craniotomy and endovascular intracranial procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 6 more
Clinical classification (CCSR)
- CAR006 — Carotid endarterectomy and stenting[CCSR category]: “Carotid endarterectomy and stenting — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (2636)
- MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A02.21 — Salmonella meningitis[Same-MDC diagnosis]: “Salmonella meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A06.6 — Amebic brain abscess[Same-MDC diagnosis]: “Amebic brain abscess — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.0 — Tuberculous meningitis[Same-MDC diagnosis]: “Tuberculous meningitis — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.1 — Meningeal tuberculoma[Same-MDC diagnosis]: “Meningeal tuberculoma — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A17.81 — Tuberculoma of brain and spinal cord[Same-MDC diagnosis]: “Tuberculoma of brain and spinal cord — grouped in MDC 01, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 2631 more
Nearest codes
- 03C04ZZ — Extirpation of Matter from Right Internal Mammary Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C14ZZ — Extirpation of Matter from Left Internal Mammary Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C24ZZ — Extirpation of Matter from Innominate Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C34ZZ — Extirpation of Matter from Right Subclavian Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C44ZZ — Extirpation of Matter from Left Subclavian Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C54ZZ — Extirpation of Matter from Right Axillary Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C64ZZ — Extirpation of Matter from Left Axillary Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03C74ZZ — Extirpation of Matter from Right Brachial Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels