04LF4ZW ICD-10-PCS Code: Occlusion of Left Prostatic Artery, Percutaneous Endoscopic Approach
Occlusion of Left Prostatic 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 OperationL | Occlusion Completely closing an orifice or the lumen of a tubular body part |
| 4 | Body PartF | Internal Iliac Artery, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierW | Prostatic Artery, Left |
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 13 MS-DRGs:
- MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- MDC 12 — Other Male Reproductive System O.R. Procedures: DRG 715, DRG 716, DRG 717, DRG 718
- 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 Approach
Same table and root operation, differing only in the approach character.
04LF0ZW — Occlusion of Left Prostatic Artery, Open Approach, 04LF3ZW — Occlusion of Left Prostatic Artery, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
04LF4CW — Occlusion of Left Prostatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 04LF4DW — Occlusion of Left Prostatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
04LF4ZU — Occlusion of Left Uterine 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 04LF4ZW 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 04LF4ZW 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 (13)
- 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 715 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC[MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 716 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC[MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 717 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC[MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 718 — OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC[MS-DRG]: “OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC — Other Male Reproductive System O.R. Procedures (MDC 12)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- and 5 more
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 (8598)
- 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 12 — Diseases and Disorders of the Male Reproductive System[MDC crossing]: “Diseases and Disorders of the Male 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
- 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 8593 more
Nearest codes
- 04LF0ZW — Occlusion of Left Prostatic Artery, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 04LF3ZW — Occlusion of Left Prostatic Artery, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 04LF4CW — Occlusion of Left Prostatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04LF4DW — Occlusion of Left Prostatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04LF4ZU — Occlusion of Left Uterine 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
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