065Y4ZC ICD-10-PCS Code: Destruction of Hemorrhoidal Plexus, Percutaneous Endoscopic Approach
Destruction of Hemorrhoidal Plexus, 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 System6 | Lower Veins |
| 3 | Root Operation5 | Destruction Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| 4 | Body PartY | Lower Vein |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierC | Hemorrhoidal Plexus |
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 3 MS-DRGs:
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.
065Y0ZC — Destruction of Hemorrhoidal Plexus, Open Approach, 065Y3ZC — Destruction of Hemorrhoidal Plexus, Percutaneous Approach
Same operation — other Qualifier
Same table and root operation, differing only in the qualifier character.
065Y4ZZ — Destruction of Lower Vein, 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 Saphenous vein harvest and other therapeutic vessel removal (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.
05DD0ZZ — Extraction of Right Cephalic Vein, Open Approach, 05DD3ZZ — Extraction of Right Cephalic Vein, Percutaneous Approach, 05DF0ZZ — Extraction of Left Cephalic Vein, Open Approach, 05DF3ZZ — Extraction of Left Cephalic Vein, Percutaneous Approach, 05DG0ZZ — Extraction of Right Hand Vein, Open Approach, 05DG3ZZ — Extraction of Right Hand Vein, Percutaneous Approach, 05DH0ZZ — Extraction of Left Hand Vein, Open Approach, 05DH3ZZ — Extraction of Left Hand Vein, Percutaneous Approach, 05DY0ZZ — Extraction of Upper Vein, Open Approach, 05DY3ZZ — Extraction of Upper Vein, Percutaneous Approach, 06B00ZZ — Excision of Inferior Vena Cava, Open Approach, 06B03ZZ — Excision of Inferior Vena Cava, Percutaneous Approach, 06B04ZZ — Excision of Inferior Vena Cava, Percutaneous Endoscopic Approach, 06B10ZZ — Excision of Splenic Vein, Open Approach, 06B13ZZ — Excision of Splenic Vein, Percutaneous Approach, 06B14ZZ — Excision of Splenic Vein, Percutaneous Endoscopic Approach, 06B20ZZ — Excision of Gastric Vein, Open Approach, 06B23ZZ — Excision of Gastric Vein, Percutaneous Approach, 06B24ZZ — Excision of Gastric Vein, Percutaneous Endoscopic Approach, 06B30ZZ — Excision of Esophageal Vein, Open Approach, +670 more
Contextual Map
Every relationship of 065Y4ZC 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 065Y4ZC with these 5 related codes in Claim Check
PCS table
- 065[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Veins — Body System: Lower Veins[Body System]: “Lower Veins”— CMS ICD-10-PCS tables
- Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 347 — ANAL AND STOMAL PROCEDURES WITH MCC[MS-DRG]: “ANAL AND STOMAL PROCEDURES WITH MCC — Anal and Stomal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 348 — ANAL AND STOMAL PROCEDURES WITH CC[MS-DRG]: “ANAL AND STOMAL PROCEDURES WITH CC — Anal and Stomal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 349 — ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC[MS-DRG]: “ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC — Anal and Stomal Procedures (MDC 06)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- CAR020 — Saphenous vein harvest and other therapeutic vessel removal[CCSR category]: “Saphenous vein harvest and other therapeutic vessel removal — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (1195)
- 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.”— CMS MS-DRG Definitions Manual · FY2026
- A00.0 — Cholera due to Vibrio cholerae 01, biovar cholerae[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar cholerae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A00.1 — Cholera due to Vibrio cholerae 01, biovar eltor[Same-MDC diagnosis]: “Cholera due to Vibrio cholerae 01, biovar eltor — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A00.9 — Cholera, unspecified[Same-MDC diagnosis]: “Cholera, unspecified — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A02.0 — Salmonella enteritis[Same-MDC diagnosis]: “Salmonella enteritis — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A03.0 — Shigellosis due to Shigella dysenteriae[Same-MDC diagnosis]: “Shigellosis due to Shigella dysenteriae — grouped in MDC 06, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 1190 more
Nearest codes
- 065Y0ZC — Destruction of Hemorrhoidal Plexus, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 065Y3ZC — Destruction of Hemorrhoidal Plexus, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 065Y4ZZ — Destruction of Lower Vein, 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