04LY0ZZ ICD-10-PCS Code: Occlusion of Lower Artery, 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 PartY | Lower Artery |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No 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 9 MS-DRGs:
- MDC 05 — Other Vascular Procedures: DRG 252, DRG 253, DRG 254
- 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.
04LP0ZZ — Occlusion of Right Anterior Tibial Artery, Open Approach, 04LQ0ZZ — Occlusion of Left Anterior Tibial Artery, Open Approach, 04LR0ZZ — Occlusion of Right Posterior Tibial Artery, Open Approach, 04LS0ZZ — Occlusion of Left Posterior Tibial Artery, Open Approach, 04LT0ZZ — Occlusion of Right Peroneal Artery, Open Approach, 04LU0ZZ — Occlusion of Left Peroneal Artery, Open Approach, 04LV0ZZ — Occlusion of Right Foot Artery, Open Approach, 04LW0ZZ — Occlusion of Left Foot Artery, Open Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04LY3ZZ — Occlusion of Lower Artery, Percutaneous Approach, 04LY4ZZ — Occlusion of Lower Artery, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
04LY0CZ — Occlusion of Lower Artery with Extraluminal Device, Open Approach, 04LY0DZ — Occlusion of Lower Artery with Intraluminal Device, 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 04LY0ZZ 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 (9)
- 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 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)”
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
- and 1 more
Clinical classification (CCSR)
- CAR010 — Ligation and embolization of vessels[CCSR category]: “Ligation and embolization of vessels — Cardiovascular Procedures”
MDC crossing · diagnoses (16966)
- 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 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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 04LY0ZZ + 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 04LY0ZZ + 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 04LY0ZZ + 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 04LY0ZZ + 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 04LY0ZZ + A39.53 together
- and 16961 more
Nearest codes
- 04L00ZZ — Occlusion of Abdominal Aorta, Open Approach[One axis away]
- 04L10ZZ — Occlusion of Celiac Artery, Open Approach[One axis away]
- 04L20ZZ — Occlusion of Gastric Artery, Open Approach[One axis away]
- 04L30ZZ — Occlusion of Hepatic Artery, Open Approach[One axis away]
- 04L40ZZ — Occlusion of Splenic Artery, Open Approach[One axis away]
- 04L50ZZ — Occlusion of Superior Mesenteric Artery, Open Approach[One axis away]
- 04L60ZZ — Occlusion of Right Colic Artery, Open Approach[One axis away]
- 04L70ZZ — Occlusion of Left Colic Artery, Open 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.