04FD3Z0

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 5 MS-DRGs:

• MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
• MDC 05 — Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures: DRG 278, DRG 279

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 04FD3Z0 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

• 04F[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

• DRG 252 — OTHER VASCULAR PROCEDURES WITH MCC [MS-DRG]: “OTHER VASCULAR PROCEDURES WITH MCC — Other Vascular Procedures (MDC 05)”
• DRG 253 — OTHER VASCULAR PROCEDURES WITH CC [MS-DRG]: “OTHER VASCULAR PROCEDURES WITH CC — Other Vascular Procedures (MDC 05)”
• DRG 254 — OTHER VASCULAR PROCEDURES WITHOUT CC/MCC [MS-DRG]: “OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — Other Vascular Procedures (MDC 05)”
• DRG 278 — ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC [MS-DRG]: “ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures (MDC 05)”
• DRG 279 — ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC [MS-DRG]: “ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC — Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures (MDC 05)”

MDC crossing · diagnoses (1844)

• 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.”
• A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
• and 1839 more

Nearest codes

• 04FC3Z0 — Fragmentation of Right Common Iliac Artery, Percutaneous Approach, Ultrasonic [One axis away]
• 04FD3ZZ — Fragmentation of Left Common Iliac Artery, Percutaneous Approach [One axis away]
• 04FE3Z0 — Fragmentation of Right Internal Iliac Artery, Percutaneous Approach, Ultrasonic [One axis away]
• 04FF3Z0 — Fragmentation of Left Internal Iliac Artery, Percutaneous Approach, Ultrasonic [One axis away]
• 04FH3Z0 — Fragmentation of Right External Iliac Artery, Percutaneous Approach, Ultrasonic [One axis away]
• 04FJ3Z0 — Fragmentation of Left External Iliac Artery, Percutaneous Approach, Ultrasonic [One axis away]
• 04FK3Z0 — Fragmentation of Right Femoral Artery, Percutaneous Approach, Ultrasonic [One axis away]
• 04FL3Z0 — Fragmentation of Left Femoral Artery, Percutaneous Approach, Ultrasonic [One axis away]