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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04B4 includes procedures performed to excise portions of arterial structures in the splenic artery. These ICD-10-PCS codes are used for inpatient documentation when a portion of the splenic artery is surgically removed for treatment of disease, injury, or complication. Accurate coding within the ICD-10-PCS 04B4 group is essential for proper inpatient reimbursement, as it captures the specific excision performed and supports clinical documentation accuracy.

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Splenic Artery Excision Procedure Overview

This group includes procedures that involve excision of a portion of the splenic artery within the lower arterial system. These procedures remove diseased or damaged arterial tissue from the splenic artery and target the lower arteries body system. Accurate coding matters because these inpatient excision procedures affect case mix and payment and must reflect the exact operation and anatomical site.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
B	Operation	Excision
4	Body Part	Splenic Artery

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

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Splenic Artery Excision Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
B	Operation	Excision
4	Body Part	Splenic Artery

When to Use

Use a code from this group when a portion of the splenic artery is surgically removed without replacement during an inpatient admission. These codes apply when the excision is the primary operative action on the splenic artery rather than repair or bypass.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
04B40ZX	Excision of Splenic Artery, Open Approach, Diagnostic
04B40ZZ	Excision of Splenic Artery, Open Approach
04B43ZX	Excision of Splenic Artery, Percutaneous Approach, Diagnostic
04B43ZZ	Excision of Splenic Artery, Percutaneous Approach
04B44ZX	Excision of Splenic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B44ZZ	Excision of Splenic Artery, Percutaneous Endoscopic Approach

DRG Codes

21 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC

Showing 1–10 of 21

Typical Clinical Scenarios

A middle-aged patient presents acutely to the hospital with sudden left upper quadrant abdominal pain and hemodynamic instability after blunt abdominal trauma; imaging reveals active extravasation from the splenic artery requiring urgent operative control and removal of the damaged arterial segment to control hemorrhage. An open surgical excision of the damaged portion of the splenic artery is performed during the emergent laparotomy. Typical codes: 04B40ZZ.
An elderly patient with chronic splenic artery aneurysm identified on surveillance imaging is admitted electively for planned removal of the aneurysmal section to prevent rupture. Because the lesion is approachable percutaneously via radiologic access and the intent is excision of the diseased arterial segment without graft replacement, a percutaneous excision is performed. Typical codes: 04B43ZZ, 04B43ZX.
A patient develops an infected or thrombosed segment of the splenic artery after prior endovascular intervention, presenting with persistent sepsis and failure of conservative management; surgical removal of the necrotic arterial portion is necessary during an inpatient admission to control the source. When the excision is done using minimally invasive endoscopic-assisted techniques, a percutaneous endoscopic excision code is used. Typical codes: 04B44ZZ, 04B44ZX.

Related Codes

04B0-ABDOMINAL-AORTA-EXCISION

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

04B1-CELIAC-ARTERY-EXCISION

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

04B2-GASTRIC-ARTERY-EXCISION

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

04B3-HEPATIC-ARTERY-EXCISION

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

04B5-SUPERIOR-MESENTERIC-ARTERY-EXCISION

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

04B6-COLIC-ARTERY-RIGHT-EXCISION

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

04B7-LEFT-COLIC-ARTERY-EXCISION

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

04B8-COLIC-ARTERY-MIDDLE-EXCISION

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

04B9-RENAL-ARTERY-RIGHT-EXCISION

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

04BA-LEFT-RENAL-ARTERY-EXCISION

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

6 rows

ICD-10-PCS Code	Description
04B40ZX	Excision of Splenic Artery, Open Approach, Diagnostic
04B40ZZ	Excision of Splenic Artery, Open Approach
04B43ZX	Excision of Splenic Artery, Percutaneous Approach, Diagnostic
04B43ZZ	Excision of Splenic Artery, Percutaneous Approach
04B44ZX	Excision of Splenic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B44ZZ	Excision of Splenic Artery, Percutaneous Endoscopic Approach

DRG Codes

21 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC

Showing 1–10 of 21

Typical Clinical Scenarios

A middle-aged patient presents acutely to the hospital with sudden left upper quadrant abdominal pain and hemodynamic instability after blunt abdominal trauma; imaging reveals active extravasation from the splenic artery requiring urgent operative control and removal of the damaged arterial segment to control hemorrhage. An open surgical excision of the damaged portion of the splenic artery is performed during the emergent laparotomy. Typical codes: 04B40ZZ.
An elderly patient with chronic splenic artery aneurysm identified on surveillance imaging is admitted electively for planned removal of the aneurysmal section to prevent rupture. Because the lesion is approachable percutaneously via radiologic access and the intent is excision of the diseased arterial segment without graft replacement, a percutaneous excision is performed. Typical codes: 04B43ZZ, 04B43ZX.
A patient develops an infected or thrombosed segment of the splenic artery after prior endovascular intervention, presenting with persistent sepsis and failure of conservative management; surgical removal of the necrotic arterial portion is necessary during an inpatient admission to control the source. When the excision is done using minimally invasive endoscopic-assisted techniques, a percutaneous endoscopic excision code is used. Typical codes: 04B44ZZ, 04B44ZX.

Related Codes

04B0-ABDOMINAL-AORTA-EXCISION

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

04B1-CELIAC-ARTERY-EXCISION

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

04B2-GASTRIC-ARTERY-EXCISION

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

04B3-HEPATIC-ARTERY-EXCISION

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

04B5-SUPERIOR-MESENTERIC-ARTERY-EXCISION

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

04B6-COLIC-ARTERY-RIGHT-EXCISION

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

04B7-LEFT-COLIC-ARTERY-EXCISION

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

04B8-COLIC-ARTERY-MIDDLE-EXCISION

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

04B9-RENAL-ARTERY-RIGHT-EXCISION

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

04BA-LEFT-RENAL-ARTERY-EXCISION

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 Splenic Artery: Procedure Code Group Overview

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

Splenic Artery Excision Procedure Overview

Code Attributes

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

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

Splenic Artery Excision Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Splenic Artery excision group?

What is the general purpose of procedures in ICD-10-PCS group 04B4?

Which ICD-10-PCS section, body system, and operation describe the Splenic Artery excision group?

How does accurate coding of 04B4 procedures affect inpatient care and reimbursement?

Which DRG categories are related to procedures in the Splenic Artery excision group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Splenic Artery excision group?

What is the general purpose of procedures in ICD-10-PCS group 04B4?

Which ICD-10-PCS section, body system, and operation describe the Splenic Artery excision group?

How does accurate coding of 04B4 procedures affect inpatient care and reimbursement?

Which DRG categories are related to procedures in the Splenic Artery excision group?

References