04L40DZ ICD-10-PCS Code: Occlusion of Splenic Artery with Intraluminal Device, Open Approach
Occlusion of Splenic Artery with Intralum Dev, Open 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 OperationL | Occlusion Completely closing an orifice or the lumen of a tubular body part |
| 4 | Body Part4 | Splenic Artery |
| 5 | Approach0 | Open |
| 6 | DeviceD | Intraluminal 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 16 — Splenic Procedures: DRG 799, DRG 800, DRG 801
- 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.
04L00DZ — Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach, 04L10DZ — Occlusion of Celiac Artery with Intraluminal Device, Open Approach, 04L20DZ — Occlusion of Gastric Artery with Intraluminal Device, Open Approach, 04L30DZ — Occlusion of Hepatic Artery with Intraluminal Device, Open Approach, 04L50DZ — Occlusion of Superior Mesenteric Artery with Intraluminal Device, Open Approach, 04L60DZ — Occlusion of Right Colic Artery with Intraluminal Device, Open Approach, 04L70DZ — Occlusion of Left Colic Artery with Intraluminal Device, Open Approach, 04L80DZ — Occlusion of Middle Colic Artery with Intraluminal Device, Open Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04L43DZ — Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Approach, 04L44DZ — Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
04L40CZ — Occlusion of Splenic Artery with Extraluminal Device, Open Approach, 04L40ZZ — Occlusion of Splenic Artery, Open 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.
03LV4ZZ — Occlusion of Left Thyroid Artery, Percutaneous Endoscopic Approach, 03LY0CZ — Occlusion of Upper Artery with Extraluminal Device, Open Approach, 03LY0DZ — Occlusion of Upper Artery with Intraluminal Device, Open Approach, 03LY0ZZ — Occlusion of Upper Artery, Open Approach, 03LY3CZ — Occlusion of Upper Artery with Extraluminal Device, Percutaneous Approach, 03LY3DZ — Occlusion of Upper Artery with Intraluminal Device, Percutaneous Approach, 03LY3ZZ — Occlusion of Upper Artery, Percutaneous Approach, 03LY4CZ — Occlusion of Upper Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03LY4DZ — Occlusion of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach, 03LY4ZZ — Occlusion of Upper Artery, Percutaneous Endoscopic Approach, 05L00CZ — Occlusion of Azygos Vein with Extraluminal Device, Open Approach, 05L00DZ — Occlusion of Azygos Vein with Intraluminal Device, Open Approach, 05L00ZZ — Occlusion of Azygos Vein, Open Approach, 05L03CZ — Occlusion of Azygos Vein with Extraluminal Device, Percutaneous Approach, 05L03DZ — Occlusion of Azygos Vein with Intraluminal Device, Percutaneous Approach, 05L03ZZ — Occlusion of Azygos Vein, Percutaneous Approach, 05L04CZ — Occlusion of Azygos Vein with Extraluminal Device, Percutaneous Endoscopic Approach, 05L04DZ — Occlusion of Azygos Vein with Intraluminal Device, Percutaneous Endoscopic Approach, 05L04ZZ — Occlusion of Azygos Vein, Percutaneous Endoscopic Approach, 05L10CZ — Occlusion of Hemiazygos Vein with Extraluminal Device, Open Approach, +813 more
Contextual Map
Every relationship of 04L40DZ 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
- 04L[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Lower Arteries — Body System: Lower Arteries[Body System]: “Lower Arteries”
- Occlusion — Operation: Occlusion[Operation]: “Occlusion”
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)”
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”
- 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)”
- 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)”
- 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)”
- DRG 799 — SPLENIC PROCEDURES WITH MCC[MS-DRG]: “SPLENIC PROCEDURES WITH MCC — Splenic Procedures (MDC 16)”
- DRG 800 — SPLENIC PROCEDURES WITH CC[MS-DRG]: “SPLENIC PROCEDURES WITH CC — Splenic Procedures (MDC 16)”
- and 7 more
Clinical classification (CCSR)
- CAR010 — Ligation and embolization of vessels[CCSR category]: “Ligation and embolization of vessels — Cardiovascular Procedures”
MDC crossing · diagnoses (3412)
- 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.”
- 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.”
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 04L40DZ + A36.81 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 04L40DZ + A39.50 together
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 04L40DZ + A39.51 together
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 04L40DZ + A39.52 together
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 04L40DZ + A39.53 together
- and 3407 more
Nearest codes
- 04L00DZ — Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach[One axis away]
- 04L10DZ — Occlusion of Celiac Artery with Intraluminal Device, Open Approach[One axis away]
- 04L20DZ — Occlusion of Gastric Artery with Intraluminal Device, Open Approach[One axis away]
- 04L30DZ — Occlusion of Hepatic Artery with Intraluminal Device, Open Approach[One axis away]
- 04L40CZ — Occlusion of Splenic Artery with Extraluminal Device, Open Approach[One axis away]
- 04L40ZZ — Occlusion of Splenic Artery, Open Approach[One axis away]
- 04L43DZ — Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Approach[One axis away]
- 04L44DZ — Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach[One axis away]
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.