Inpatient Procedure Code
03L40DZ
Occlusion of Left Subclavian Artery with Intraluminal Device, Open Approach
Occlusion of L Subclav Art with Intralum Dev, Open 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 OperationL | Occlusion Completely closing an orifice or the lumen of a tubular body part |
| 4 | Body Part4 | Subclavian Artery, Left |
| 5 | Approach0 | Open |
| 6 | DeviceD | Intraluminal Device |
| 7 | QualifierZ | No Qualifier |
Potential MS-DRG Relationships (FY2026)
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 13 MS-DRGs:
- MDC 04 — Major Chest Procedures: DRG 163, DRG 164, DRG 165
- MDC 05 — Complex Aortic Arch Procedures: DRG 209
- MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
- MDC 06 — Stomach, Esophageal and Duodenal Procedures: DRG 326, DRG 327, DRG 328
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Contextual Map
Every relationship of 03L40DZ 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.
PCS table
- 03L[PCS table]
- [object Object] — Section: [object Object] [Section]: “[object Object]”
- [object Object] — Body System: [object Object] [Body System]: “[object Object]”
- [object Object] — Operation: [object Object] [Operation]: “[object Object]”
MS-DRG participation (13)
- DRG 163 — MAJOR CHEST PROCEDURES WITH MCC [MS-DRG]: “MAJOR CHEST PROCEDURES WITH MCC — Major Chest Procedures (MDC 04)”
- DRG 164 — MAJOR CHEST PROCEDURES WITH CC [MS-DRG]: “MAJOR CHEST PROCEDURES WITH CC — Major Chest Procedures (MDC 04)”
- DRG 165 — MAJOR CHEST PROCEDURES WITHOUT CC/MCC [MS-DRG]: “MAJOR CHEST PROCEDURES WITHOUT CC/MCC — Major Chest Procedures (MDC 04)”
- DRG 209 — COMPLEX AORTIC ARCH PROCEDURES [MS-DRG]: “COMPLEX AORTIC ARCH PROCEDURES — Complex Aortic Arch Procedures (MDC 05)”
- DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 326 — STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC [MS-DRG]: “STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — Stomach, Esophageal and Duodenal Procedures (MDC 06)”
- and 5 more
MDC crossing · diagnoses (3720)
- MDC 04 — Diseases and Disorders of the Respiratory System [MDC crossing]: “Diseases and Disorders of the Respiratory 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.”
- MDC 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory 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.”
- A02.22 — Salmonella pneumonia [Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
- A06.5 — Amebic lung abscess [Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
- A15.0 — Tuberculosis of lung [Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
- A15.4 — Tuberculosis of intrathoracic lymph nodes [Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
- A15.5 — Tuberculosis of larynx, trachea and bronchus [Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.” · check together
- and 3715 more
Nearest codes
- 03L00DZ — Occlusion of Right Internal Mammary Artery with Intraluminal Device, Open Approach [One axis away]
- 03L10DZ — Occlusion of Left Internal Mammary Artery with Intraluminal Device, Open Approach [One axis away]
- 03L20DZ — Occlusion of Innominate Artery with Intraluminal Device, Open Approach [One axis away]
- 03L30DZ — Occlusion of Right Subclavian Artery with Intraluminal Device, Open Approach [One axis away]
- 03L40CZ — Occlusion of Left Subclavian Artery with Extraluminal Device, Open Approach [One axis away]
- 03L40ZZ — Occlusion of Left Subclavian Artery, Open Approach [One axis away]
- 03L43DZ — Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach [One axis away]
- 03L44DZ — Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.