04504ZZ ICD-10-PCS Code: Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach
Destruction of Abdominal Aorta, 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 System4 | Lower Arteries |
| 3 | Root Operation5 | Destruction Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| 4 | Body Part0 | Abdominal Aorta |
| 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 11 MS-DRGs:
- MDC 05 — Aortic and Heart Assist Procedures Except Pulsation Balloon: DRG 268, DRG 269
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- 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.
04514ZZ — Destruction of Celiac Artery, Percutaneous Endoscopic Approach, 04524ZZ — Destruction of Gastric Artery, Percutaneous Endoscopic Approach, 04534ZZ — Destruction of Hepatic Artery, Percutaneous Endoscopic Approach, 04544ZZ — Destruction of Splenic Artery, Percutaneous Endoscopic Approach, 04554ZZ — Destruction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach, 04564ZZ — Destruction of Right Colic Artery, Percutaneous Endoscopic Approach, 04574ZZ — Destruction of Left Colic Artery, Percutaneous Endoscopic Approach, 04584ZZ — Destruction of Middle Colic Artery, Percutaneous Endoscopic Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04500ZZ — Destruction of Abdominal Aorta, Open Approach, 04503ZZ — Destruction of Abdominal Aorta, Percutaneous Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Saphenous vein harvest and other therapeutic vessel removal (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.
03BT4ZZ — Excision of Left Temporal Artery, Percutaneous Endoscopic Approach, 03BU0ZZ — Excision of Right Thyroid Artery, Open Approach, 03BU3ZZ — Excision of Right Thyroid Artery, Percutaneous Approach, 03BU4ZZ — Excision of Right Thyroid Artery, Percutaneous Endoscopic Approach, 03BV0ZZ — Excision of Left Thyroid Artery, Open Approach, 03BV3ZZ — Excision of Left Thyroid Artery, Percutaneous Approach, 03BV4ZZ — Excision of Left Thyroid Artery, Percutaneous Endoscopic Approach, 03BY0ZZ — Excision of Upper Artery, Open Approach, 03BY3ZZ — Excision of Upper Artery, Percutaneous Approach, 03BY4ZZ — Excision of Upper Artery, Percutaneous Endoscopic Approach, 04B00ZZ — Excision of Abdominal Aorta, Open Approach, 04B03ZZ — Excision of Abdominal Aorta, Percutaneous Approach, 04B04ZZ — Excision of Abdominal Aorta, Percutaneous Endoscopic Approach, 04B10ZZ — Excision of Celiac Artery, Open Approach, 04B13ZZ — Excision of Celiac Artery, Percutaneous Approach, 04B14ZZ — Excision of Celiac Artery, Percutaneous Endoscopic Approach, 04B20ZZ — Excision of Gastric Artery, Open Approach, 04B23ZZ — Excision of Gastric Artery, Percutaneous Approach, 04B24ZZ — Excision of Gastric Artery, Percutaneous Endoscopic Approach, 04B30ZZ — Excision of Hepatic Artery, Open Approach, +652 more
Contextual Map
Every relationship of 04504ZZ 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 04504ZZ with these 5 related codes in Claim Check
PCS table
- 045[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Arteries — Body System: Lower Arteries[Body System]: “Lower Arteries”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation (11)
- DRG 268 — AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC[MS-DRG]: “AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC — Aortic and Heart Assist Procedures Except Pulsation Balloon (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 269 — AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC[MS-DRG]: “AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC — Aortic and Heart Assist Procedures Except Pulsation Balloon (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 3 more
Clinical classification (CCSR)
- CAR020 — Saphenous vein harvest and other therapeutic vessel removal[CCSR category]: “Saphenous vein harvest and other therapeutic vessel removal — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (9433)
- 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.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive 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
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 9428 more
Nearest codes
- 04500ZZ — Destruction of Abdominal Aorta, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04503ZZ — Destruction of Abdominal Aorta, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 04514ZZ — Destruction of Celiac Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04524ZZ — Destruction of Gastric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04534ZZ — Destruction of Hepatic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04544ZZ — Destruction of Splenic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04554ZZ — Destruction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04564ZZ — Destruction of Right Colic 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