04HP4DZ ICD-10-PCS Code: Insertion of Intraluminal Device into Right Anterior Tibial Artery, Percutaneous Endoscopic Approach

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 Vascular Procedures: DRG 252, DRG 253, DRG 254
• MDC 17 — Lymphoma and Leukemia with Major O.R. Procedures: DRG 820, DRG 821, DRG 822
• MDC 17 — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures: DRG 826, DRG 827, DRG 828
• 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.

04HK4DZ — Insertion of Intraluminal Device into Right Femoral Artery, Percutaneous Endoscopic Approach, 04HL4DZ — Insertion of Intraluminal Device into Left Femoral Artery, Percutaneous Endoscopic Approach, 04HM4DZ — Insertion of Intraluminal Device into Right Popliteal Artery, Percutaneous Endoscopic Approach, 04HN4DZ — Insertion of Intraluminal Device into Left Popliteal Artery, Percutaneous Endoscopic Approach, 04HQ4DZ — Insertion of Intraluminal Device into Left Anterior Tibial Artery, Percutaneous Endoscopic Approach, 04HR4DZ — Insertion of Intraluminal Device into Right Posterior Tibial Artery, Percutaneous Endoscopic Approach, 04HS4DZ — Insertion of Intraluminal Device into Left Posterior Tibial Artery, Percutaneous Endoscopic Approach, 04HT4DZ — Insertion of Intraluminal Device into Right Peroneal Artery, Percutaneous Endoscopic Approach, +22 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

04HP0DZ — Insertion of Intraluminal Device into Right Anterior Tibial Artery, Open Approach, 04HP3DZ — Insertion of Intraluminal Device into Right Anterior Tibial Artery, Percutaneous Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

04HP43Z — Insertion of Infusion Device into Right Anterior Tibial 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 Cardiovascular device procedures, NEC (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.

03WY4JZ — Revision of Synthetic Substitute in Upper Artery, Percutaneous Endoscopic Approach, 03WY4KZ — Revision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach, 03WY4MZ — Revision of Stimulator Lead in Upper Artery, Percutaneous Endoscopic Approach, 03WY4YZ — Revision of Other Device in Upper Artery, Percutaneous Endoscopic Approach, 03WYX7Z — Revision of Autologous Tissue Substitute in Upper Artery, External Approach, 03WYXCZ — Revision of Extraluminal Device in Upper Artery, External Approach, 03WYXDZ — Revision of Intraluminal Device in Upper Artery, External Approach, 03WYXJZ — Revision of Synthetic Substitute in Upper Artery, External Approach, 03WYXKZ — Revision of Nonautologous Tissue Substitute in Upper Artery, External Approach, 03WYXMZ — Revision of Stimulator Lead in Upper Artery, External Approach, 04PY03Z — Removal of Infusion Device from Lower Artery, Open Approach, 04PY07Z — Removal of Autologous Tissue Substitute from Lower Artery, Open Approach, 04PY0CZ — Removal of Extraluminal Device from Lower Artery, Open Approach, 04PY0DZ — Removal of Intraluminal Device from Lower Artery, Open Approach, 04PY0JZ — Removal of Synthetic Substitute from Lower Artery, Open Approach, 04PY0KZ — Removal of Nonautologous Tissue Substitute from Lower Artery, Open Approach, 04PY0YZ — Removal of Other Device from Lower Artery, Open Approach, 04PY33Z — Removal of Infusion Device from Lower Artery, Percutaneous Approach, 04PY37Z — Removal of Autologous Tissue Substitute from Lower Artery, Percutaneous Approach, 04PY3CZ — Removal of Extraluminal Device from Lower Artery, Percutaneous Approach, +492 more

Contextual Map

Every relationship of 04HP4DZ 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 04HP4DZ with these 5 related codes in Claim Check

PCS table

• 04H[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
• Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables

MS-DRG participation (15)

• 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
• DRG 254 — OTHER VASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER VASCULAR PROCEDURES WITHOUT CC/MCC — Other Vascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 820 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 821 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 822 — LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC — Lymphoma and Leukemia with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 826 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 827 — MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC[MS-DRG]: “MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures (MDC 17)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• and 7 more

Clinical classification (CCSR)

• CAR029 — Cardiovascular device procedures, NEC[CCSR category]: “Cardiovascular device procedures, NEC — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (2509)

• 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 17 — Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms[MDC crossing]: “Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms — 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 2504 more

Nearest codes

• 04H04DZ — Insertion of Intraluminal Device into Abdominal Aorta, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H14DZ — Insertion of Intraluminal Device into Celiac Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H24DZ — Insertion of Intraluminal Device into Gastric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H34DZ — Insertion of Intraluminal Device into Hepatic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H44DZ — Insertion of Intraluminal Device into Splenic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H54DZ — Insertion of Intraluminal Device into Superior Mesenteric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H64DZ — Insertion of Intraluminal Device into Right Colic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04H74DZ — Insertion of Intraluminal Device into Left Colic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables