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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04B8 includes procedures performed to excise arterial tissue in the middle colic artery within the lower arteries. These ICD-10-PCS codes are used for inpatient documentation when a portion of the middle colic artery is surgically removed without replacement to treat disease or injury. Accurate coding within the ICD-10-PCS 04B8 group is essential for proper inpatient reimbursement, as it captures the specific excision procedure performed and supports clinical documentation accuracy.

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Colic Artery, Middle Excision Procedure Overview

This procedure group includes excision procedures targeting the middle colic artery within the lower arteries body system. These procedures involve cutting out a portion of the middle colic artery without replacement to remove diseased or damaged arterial tissue. Accurate ICD-10-PCS coding of these excisions supports correct inpatient reimbursement by capturing the specific vascular procedure performed and ensuring clinical documentation aligns with billing.

Code Attributes

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

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

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Colic Artery, Middle 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
8	Body Part	Colic Artery, Middle

When to Use

Use a code from this group when a surgeon removes part of the middle colic artery as the operative action. These codes apply to inpatient encounters where excision is performed to treat disease, hemorrhage, or traumatic arterial injury.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
04B80ZX	Excision of Middle Colic Artery, Open Approach, Diagnostic
04B80ZZ	Excision of Middle Colic Artery, Open Approach
04B83ZX	Excision of Middle Colic Artery, Percutaneous Approach, Diagnostic
04B83ZZ	Excision of Middle Colic Artery, Percutaneous Approach
04B84ZX	Excision of Middle Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B84ZZ	Excision of Middle Colic 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

An adult patient presents emergently with massive lower gastrointestinal bleeding secondary to a ruptured aneurysm or laceration of the middle colic artery identified on CT angiography; the unstable hemodynamics and ongoing hemorrhage prompt an urgent open abdominal exploration and surgical excision of the damaged segment of the middle colic artery to control bleeding and prevent ongoing blood loss. Typical codes: 04B80ZX, 04B80ZZ
An elective inpatient admission for a patient with a localized arteriopathy or focal tumor involving the middle colic artery discovered during staging for colon malignancy; after multidisciplinary review, a planned percutaneous endovascular attempt is unsuccessful or not feasible, and the patient undergoes a minimally invasive percutaneous endoscopic excision of the diseased arterial segment to remove pathologic tissue while preserving surrounding bowel vascularity. Typical codes: 04B84ZX, 04B84ZZ
A hospitalized trauma patient with mesenteric vascular injury from blunt abdominal trauma develops a pseudoaneurysm of the middle colic artery noted on angiography during their stay; because endovascular repair is contraindicated or has failed, a targeted percutaneous excision of the injured arterial segment is performed to remove the compromised tissue and prevent rebleeding or infection. Typical codes: 04B83ZX, 04B83ZZ

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

04B4-SPLENIC-ARTERY-EXCISION

ICD-10-PCS Code For Splenic 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

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
04B80ZX	Excision of Middle Colic Artery, Open Approach, Diagnostic
04B80ZZ	Excision of Middle Colic Artery, Open Approach
04B83ZX	Excision of Middle Colic Artery, Percutaneous Approach, Diagnostic
04B83ZZ	Excision of Middle Colic Artery, Percutaneous Approach
04B84ZX	Excision of Middle Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B84ZZ	Excision of Middle Colic 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

An adult patient presents emergently with massive lower gastrointestinal bleeding secondary to a ruptured aneurysm or laceration of the middle colic artery identified on CT angiography; the unstable hemodynamics and ongoing hemorrhage prompt an urgent open abdominal exploration and surgical excision of the damaged segment of the middle colic artery to control bleeding and prevent ongoing blood loss. Typical codes: 04B80ZX, 04B80ZZ
An elective inpatient admission for a patient with a localized arteriopathy or focal tumor involving the middle colic artery discovered during staging for colon malignancy; after multidisciplinary review, a planned percutaneous endovascular attempt is unsuccessful or not feasible, and the patient undergoes a minimally invasive percutaneous endoscopic excision of the diseased arterial segment to remove pathologic tissue while preserving surrounding bowel vascularity. Typical codes: 04B84ZX, 04B84ZZ
A hospitalized trauma patient with mesenteric vascular injury from blunt abdominal trauma develops a pseudoaneurysm of the middle colic artery noted on angiography during their stay; because endovascular repair is contraindicated or has failed, a targeted percutaneous excision of the injured arterial segment is performed to remove the compromised tissue and prevent rebleeding or infection. Typical codes: 04B83ZX, 04B83ZZ

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

04B4-SPLENIC-ARTERY-EXCISION

ICD-10-PCS Code For Splenic 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

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 Colic Artery, Middle: Procedure Code Group Overview

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

Colic Artery, Middle Excision Procedure Overview

Code Attributes

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

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

Colic Artery, Middle 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 Colic Artery, Middle excision group?

What is the primary operation represented by ICD-10-PCS group 04B8?

In what section and body system is the 04B8 procedure group classified?

How does accurate coding of 04B8 procedures affect inpatient reimbursement?

Which DRG categories may be related to procedures in the 04B8 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 Colic Artery, Middle excision group?

What is the primary operation represented by ICD-10-PCS group 04B8?

In what section and body system is the 04B8 procedure group classified?

How does accurate coding of 04B8 procedures affect inpatient reimbursement?

Which DRG categories may be related to procedures in the 04B8 group?

References