04B74ZZ ICD-10-PCS Code: Excision of Left Colic Artery, Percutaneous Endoscopic Approach
Excision of Left Colic Artery, 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 OperationB | Excision Cutting out or off, without replacement, a portion of a body part |
| 4 | Body Part7 | Colic Artery, Left |
| 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 15 MS-DRGs:
- MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- MDC 11 — Other Kidney and Urinary Tract Procedures: DRG 673, DRG 674, DRG 675
- 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.
04B34ZZ — Excision of Hepatic Artery, Percutaneous Endoscopic Approach, 04B44ZZ — Excision of Splenic Artery, Percutaneous Endoscopic Approach, 04B54ZZ — Excision of Superior Mesenteric Artery, Percutaneous Endoscopic Approach, 04B64ZZ — Excision of Right Colic Artery, Percutaneous Endoscopic Approach, 04B84ZZ — Excision of Middle Colic Artery, Percutaneous Endoscopic Approach, 04B94ZZ — Excision of Right Renal Artery, Percutaneous Endoscopic Approach, 04BA4ZZ — Excision of Left Renal Artery, Percutaneous Endoscopic Approach, 04BB4ZZ — Excision of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04B70ZZ — Excision of Left Colic Artery, Open Approach, 04B73ZZ — Excision of Left Colic Artery, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
04B74ZX — Excision of Left Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
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.
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, 05500ZZ — Destruction of Azygos Vein, Open Approach, 05503ZZ — Destruction of Azygos Vein, Percutaneous Approach, 05504ZZ — Destruction of Azygos Vein, Percutaneous Endoscopic Approach, 05510ZZ — Destruction of Hemiazygos Vein, Open Approach, 05513ZZ — Destruction of Hemiazygos Vein, Percutaneous Approach, 05514ZZ — Destruction of Hemiazygos Vein, Percutaneous Endoscopic Approach, 05530ZZ — Destruction of Right Innominate Vein, Open Approach, 05533ZZ — Destruction of Right Innominate Vein, Percutaneous Approach, 05534ZZ — Destruction of Right Innominate Vein, Percutaneous Endoscopic Approach, 05540ZZ — Destruction of Left Innominate Vein, Open Approach, +652 more
Contextual Map
Every relationship of 04B74ZZ 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 04B74ZZ with these 5 related codes in Claim Check
PCS table
- 04B[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
- Excision — Operation: Excision[Operation]: “Excision”— CMS ICD-10-PCS tables
MS-DRG participation (15)
- DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (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 673 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC[MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — Other Kidney and Urinary Tract Procedures (MDC 11)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 674 — OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC[MS-DRG]: “OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — Other Kidney and Urinary Tract Procedures (MDC 11)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 7 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 (3760)
- 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 3755 more
Nearest codes
- 04B04ZZ — Excision of Abdominal Aorta, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B14ZZ — Excision of Celiac Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B24ZZ — Excision of Gastric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B34ZZ — Excision of Hepatic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B44ZZ — Excision of Splenic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B54ZZ — Excision of Superior Mesenteric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B64ZZ — Excision of Right Colic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04B70ZZ — Excision of Left Colic Artery, Open 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