04LF4ZU ICD-10-PCS Code: Occlusion of Left Uterine 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 2 MS-DRGs:

• MDC 13 — Other Female Reproductive System O.R. Procedures: DRG 749, DRG 750

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

Related Codes

Same operation — other Approach

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

04LF0ZU — Occlusion of Left Uterine Artery, Open Approach, 04LF3ZU — Occlusion of Left Uterine Artery, Percutaneous Approach

Same operation — other Device

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

04LF4CU — Occlusion of Left Uterine Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 04LF4DU — Occlusion of Left Uterine Artery with Intraluminal Device, Percutaneous Endoscopic Approach

Same operation — other Qualifier

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

04LF4ZW — Occlusion of Left Prostatic Artery, Percutaneous Endoscopic Approach, 04LF4ZZ — Occlusion of Left Internal Iliac 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 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 04LF4ZU 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 04LF4ZU with these 5 related codes in Claim Check

PCS table

• 04L[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
• Occlusion — Operation: Occlusion[Operation]: “Occlusion”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 749 — OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC[MS-DRG]: “OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — Other Female Reproductive System O.R. Procedures (MDC 13)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 750 — OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Female Reproductive System O.R. Procedures (MDC 13)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• CAR010 — Ligation and embolization of vessels[CCSR category]: “Ligation and embolization of vessels — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (647)

• MDC 13 — Diseases and Disorders of the Female Reproductive System[MDC crossing]: “Diseases and Disorders of the Female Reproductive 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
• A18.16 — Tuberculosis of cervix[Same-MDC diagnosis]: “Tuberculosis of cervix — grouped in MDC 13, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A18.17 — Tuberculous female pelvic inflammatory disease[Same-MDC diagnosis]: “Tuberculous female pelvic inflammatory disease — grouped in MDC 13, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A18.18 — Tuberculosis of other female genital organs[Same-MDC diagnosis]: “Tuberculosis of other female genital organs — grouped in MDC 13, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A51.0 — Primary genital syphilis[Same-MDC diagnosis]: “Primary genital syphilis — grouped in MDC 13, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A54.00 — Gonococcal infection of lower genitourinary tract, unspecified[Same-MDC diagnosis]: “Gonococcal infection of lower genitourinary tract, unspecified — grouped in MDC 13, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 642 more

Nearest codes

• 04LF0ZU — Occlusion of Left Uterine Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
• 04LF3ZU — Occlusion of Left Uterine Artery, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
• 04LF4CU — Occlusion of Left Uterine Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04LF4DU — Occlusion of Left Uterine Artery with Intraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04LF4ZW — Occlusion of Left Prostatic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 04LF4ZZ — Occlusion of Left Internal Iliac Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables