ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0491 includes procedures performed to drain fluids and/or gases from the celiac artery in the lower arteries. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs drainage of the celiac artery to relieve vascular compromise, evacuate hematoma, or manage arterial bleeding or collections. Accurate coding within the ICD-10-PCS 0491 group is essential for proper inpatient reimbursement, as it captures the specific drainage procedure performed and determines appropriate case mix and payment.

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Celiac Artery Drainage Procedure Overview

This group includes procedures that involve draining blood or other fluids from the celiac artery, a vessel in the lower arterial system. These procedures target the lower arteries and involve controlled removal of fluid or blood to relieve pressure, treat hematoma, or manage vascular complications. Accurate ICD-10-PCS coding ensures the inpatient record reflects the specific drainage procedure performed and supports correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
9	Operation	Drainage
1	Body Part	Celiac Artery

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ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

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Celiac Artery Drainage Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
9	Operation	Drainage
1	Body Part	Celiac Artery

When to Use

Use a code from this group when drainage of the celiac artery is performed during an inpatient encounter. Typical clinical circumstances include evacuation of arterial hematoma, control of arterial bleeding, or decompression of a fluid collection within the celiac artery.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
049100Z	Drainage of Celiac Artery with Drainage Device, Open Approach
04910ZX	Drainage of Celiac Artery, Open Approach, Diagnostic
04910ZZ	Drainage of Celiac Artery, Open Approach
049130Z	Drainage of Celiac Artery with Drainage Device, Percutaneous Approach
04913ZX	Drainage of Celiac Artery, Percutaneous Approach, Diagnostic
04913ZZ	Drainage of Celiac Artery, Percutaneous Approach
049140Z	Drainage of Celiac Artery with Drainage Device, Percutaneous Endoscopic Approach
04914ZX	Drainage of Celiac Artery, Percutaneous Endoscopic Approach, Diagnostic
04914ZZ	Drainage of Celiac Artery, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An adult patient presents to the emergency department after blunt abdominal trauma with hypotension and imaging showing active extravasation from the celiac artery and a rapidly expanding periarterial hematoma; the patient is taken to the operating room for urgent open exploration to evacuate the hematoma and control bleeding, requiring placement of an open drainage device to divert blood and prevent reaccumulation. Typical codes: 049100Z, 04910ZZ
An older patient with chronic pancreatitis develops a contained pseudoaneurysm of the celiac artery with localized fluid collection causing pain and infection risk; during a planned inpatient interventional procedure the vascular team performs percutaneous aspiration and places a percutaneous drainage catheter to decompress the collection and reduce infection risk. Typical codes: 049130Z, 04913ZZ
A hospitalized postoperative patient with coagulopathy develops delayed arterial bleeding from the celiac artery territory with persistent small-volume extravasation noted on angiography; a diagnostic percutaneous endovascular access is used to aspirate and evaluate the collection before definitive management, with no permanent drain left in place. Typical codes: 04914ZX

Related Codes

0490-ABDOMINAL-AORTA-DRAINAGE

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0492-GASTRIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

0493-HEPATIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

0494-SPLENIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

0495-SUPERIOR-MESENTERIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

0496-COLIC-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Colic Artery Right: Procedure Code Group Overview

0497-LEFT-COLIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Colic Artery, Left: Procedure Code Group Overview

0498-COLIC-ARTERY-MIDDLE-DRAINAGE

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

0499-RENAL-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

049A-LEFT-RENAL-ARTERY-DRAINAGE

ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
049100Z	Drainage of Celiac Artery with Drainage Device, Open Approach
04910ZX	Drainage of Celiac Artery, Open Approach, Diagnostic
04910ZZ	Drainage of Celiac Artery, Open Approach
049130Z	Drainage of Celiac Artery with Drainage Device, Percutaneous Approach
04913ZX	Drainage of Celiac Artery, Percutaneous Approach, Diagnostic
04913ZZ	Drainage of Celiac Artery, Percutaneous Approach
049140Z	Drainage of Celiac Artery with Drainage Device, Percutaneous Endoscopic Approach
04914ZX	Drainage of Celiac Artery, Percutaneous Endoscopic Approach, Diagnostic
04914ZZ	Drainage of Celiac Artery, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An adult patient presents to the emergency department after blunt abdominal trauma with hypotension and imaging showing active extravasation from the celiac artery and a rapidly expanding periarterial hematoma; the patient is taken to the operating room for urgent open exploration to evacuate the hematoma and control bleeding, requiring placement of an open drainage device to divert blood and prevent reaccumulation. Typical codes: 049100Z, 04910ZZ
An older patient with chronic pancreatitis develops a contained pseudoaneurysm of the celiac artery with localized fluid collection causing pain and infection risk; during a planned inpatient interventional procedure the vascular team performs percutaneous aspiration and places a percutaneous drainage catheter to decompress the collection and reduce infection risk. Typical codes: 049130Z, 04913ZZ
A hospitalized postoperative patient with coagulopathy develops delayed arterial bleeding from the celiac artery territory with persistent small-volume extravasation noted on angiography; a diagnostic percutaneous endovascular access is used to aspirate and evaluate the collection before definitive management, with no permanent drain left in place. Typical codes: 04914ZX

Related Codes

0490-ABDOMINAL-AORTA-DRAINAGE

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

0492-GASTRIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

0493-HEPATIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

0494-SPLENIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

0495-SUPERIOR-MESENTERIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

0496-COLIC-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Colic Artery Right: Procedure Code Group Overview

0497-LEFT-COLIC-ARTERY-DRAINAGE

ICD-10-PCS Code For Colic Artery, Left: Procedure Code Group Overview

0498-COLIC-ARTERY-MIDDLE-DRAINAGE

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

0499-RENAL-ARTERY-RIGHT-DRAINAGE

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

049A-LEFT-RENAL-ARTERY-DRAINAGE

ICD-10-PCS Code For Left Renal Artery: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview policy alerts

Celiac Artery Drainage Procedure Overview

Code Attributes

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview policy alerts

Celiac Artery Drainage Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures of the celiac artery?

What are the code options for open approach drainage of the celiac artery?

Which codes describe percutaneous and percutaneous endoscopic approaches?

How does accurate coding of ICD-10-PCS 0491 affect hospital reimbursement?

Which DRGs may be assigned when a 0491 series procedure is performed?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures of the celiac artery?

What are the code options for open approach drainage of the celiac artery?

Which codes describe percutaneous and percutaneous endoscopic approaches?

How does accurate coding of ICD-10-PCS 0491 affect hospital reimbursement?

Which DRGs may be assigned when a 0491 series procedure is performed?

References