03LM4CZ ICD-10-PCS Code: Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
Occlusion R Ext Carotid w Extralum Dev, Perc Endo
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 PartM | External Carotid Artery, Right |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceC | Extraluminal 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 15 MS-DRGs:
- MDC 01 — Peripheral, Cranial Nerve and Other Nervous System Procedures: DRG 040, DRG 041, DRG 042
- MDC 03 — Major Head and Neck Procedures: DRG 140, DRG 141, DRG 142
- MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- 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.
03LH4CZ — Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LJ4CZ — Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LK4CZ — Occlusion of Right Internal Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LL4CZ — Occlusion of Left Internal Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LN4CZ — Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LP4CZ — Occlusion of Right Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LQ4CZ — Occlusion of Left Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LR4CZ — Occlusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach, +21 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
03LM0CZ — Occlusion of Right External Carotid Artery with Extraluminal Device, Open Approach, 03LM3CZ — Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
03LM4BZ — Occlusion of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach, 03LM4DZ — Occlusion of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach, 03LM4ZZ — Occlusion of Right External Carotid Artery, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Ligation and embolization of vessels (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.
02LV0DZ — Occlusion of Superior Vena Cava with Intraluminal Device, Open Approach, 02LV0ZZ — Occlusion of Superior Vena Cava, Open Approach, 02LV3CZ — Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Approach, 02LV3DZ — Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Approach, 02LV3ZZ — Occlusion of Superior Vena Cava, Percutaneous Approach, 02LV4CZ — Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach, 02LV4DZ — Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach, 02LV4ZZ — Occlusion of Superior Vena Cava, Percutaneous Endoscopic Approach, 02LW0DJ — Occlusion of Thoracic Aorta, Descending with Intraluminal Device, Temporary, Open Approach, 02LW3DJ — Occlusion of Thoracic Aorta, Descending with Intraluminal Device, Temporary, Percutaneous Approach, 04L00CZ — Occlusion of Abdominal Aorta with Extraluminal Device, Open Approach, 04L00DJ — Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach, 04L00DZ — Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach, 04L00ZZ — Occlusion of Abdominal Aorta, Open Approach, 04L03CZ — Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach, 04L03DJ — Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach, 04L03DZ — Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach, 04L03ZZ — Occlusion of Abdominal Aorta, Percutaneous Approach, 04L04CZ — Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach, 04L04DZ — Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach, +833 more
Contextual Map
Every relationship of 03LM4CZ 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 03LM4CZ with these 5 related codes in Claim Check
PCS table
- 03L[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
- Occlusion — Operation: Occlusion[Operation]: “Occlusion”— CMS ICD-10-PCS tables
MS-DRG participation (15)
- DRG 040 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 041 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 042 — PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC[MS-DRG]: “PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC — Peripheral, Cranial Nerve and Other Nervous System Procedures (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 140 — MAJOR HEAD AND NECK PROCEDURES WITH MCC[MS-DRG]: “MAJOR HEAD AND NECK PROCEDURES WITH MCC — Major Head and Neck Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 141 — MAJOR HEAD AND NECK PROCEDURES WITH CC[MS-DRG]: “MAJOR HEAD AND NECK PROCEDURES WITH CC — Major Head and Neck Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 142 — MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC — Major Head and Neck Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 252 — OTHER VASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 253 — OTHER VASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITH CC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 7 more
Clinical classification (CCSR)
- CAR010 — Ligation and embolization of vessels[CCSR category]: “Ligation and embolization of vessels — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (5924)
- 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
- MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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 5919 more
Nearest codes
- 03L04CZ — Occlusion of Right Internal Mammary Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L14CZ — Occlusion of Left Internal Mammary Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L24CZ — Occlusion of Innominate Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L34CZ — Occlusion of Right Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L44CZ — Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L54CZ — Occlusion of Right Axillary Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L64CZ — Occlusion of Left Axillary Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 03L74CZ — Occlusion of Right Brachial Artery with Extraluminal Device, 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