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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04C2 includes procedures performed to remove solid material from arterial structures in the gastric artery. These ICD-10-PCS codes are used for inpatient documentation when a patient requires removal of thrombus or embolic material from the gastric artery to reestablish blood flow. Accurate coding within the ICD-10-PCS 04C2 group is essential for proper inpatient reimbursement, as it captures the specific extirpation procedure performed and supports clinical documentation accuracy.

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Gastric Artery Extirpation Procedure Overview

Procedures in this group involve the extirpation (taking or cutting out) of solid matter from the gastric artery within the lower arteries body system. These procedures remove obstructing material such as thrombus or embolus from the gastric artery to restore arterial flow. Accurate ICD-10-PCS coding of gastric artery extirpation is important for inpatient reimbursement because it documents the specific arterial target and operation performed, which affects case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
C	Operation	Extirpation
2	Body Part	Gastric Artery

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

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Gastric Artery Extirpation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
C	Operation	Extirpation
2	Body Part	Gastric Artery

When to Use

Use a code from this group when documented treatment involves removal of solid material from the gastric artery during an inpatient encounter. Do not use this group for other arterial locations or for procedures that do not remove solid material.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
04C20ZZ	Extirpation of Matter from Gastric Artery, Open Approach
04C23ZZ	Extirpation of Matter from Gastric Artery, Percutaneous Approach
04C24ZZ	Extirpation of Matter from Gastric Artery, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
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
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An elderly patient with atrial fibrillation presents to the emergency department with sudden onset of severe epigastric pain, hematemesis, and signs of gastric ischemia on CT angiography showing an occlusive thrombus in the left gastric artery. The patient is admitted for urgent revascularization to remove the intraluminal thrombus and restore gastric arterial flow to prevent infarction of the stomach; an open extirpation is performed when endovascular access is not feasible. Typical codes: 04C20ZZ
A middle-aged patient with known atherosclerotic disease undergoes an elective inpatient endovascular procedure for recurrent postprandial abdominal pain and imaging-confirmed focal embolic material in a branch of the gastric artery. Percutaneous access is used to remove the embolus and relieve chronic mesenteric-type ischemic symptoms during a planned admission. Typical codes: 04C23ZZ, 04C24ZZ
A patient develops acute gastric artery occlusion from thromboembolism as a postoperative complication after major cardiac surgery, presenting with worsening abdominal pain and deteriorating gastric perfusion despite anticoagulation; interventional removal of the clot is required during the same hospitalization to salvage perfusion. Typical codes: 04C23ZZ

Related Codes

04C0-ABDOMINAL-AORTA-EXTIRPATION

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

04C1-CELIAC-ARTERY-EXTIRPATION

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

04C3-HEPATIC-ARTERY-EXTIRPATION

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

04C4-SPLENIC-ARTERY-EXTIRPATION

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

04C5-SUPERIOR-MESENTERIC-ARTERY-EXTIRPATION

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

04C6-COLIC-ARTERY-RIGHT-EXTIRPATION

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

04C7-LEFT-COLIC-ARTERY-EXTIRPATION

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

04C8-COLIC-ARTERY-MIDDLE-EXTIRPATION

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

04C9-RENAL-ARTERY-EXTIRPATION

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

04CA-RENAL-ARTERY-LEFT-EXTIRPATION

ICD-10-PCS Code For Renal Artery Left: 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

3 rows

ICD-10-PCS Code	Description
04C20ZZ	Extirpation of Matter from Gastric Artery, Open Approach
04C23ZZ	Extirpation of Matter from Gastric Artery, Percutaneous Approach
04C24ZZ	Extirpation of Matter from Gastric Artery, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
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
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An elderly patient with atrial fibrillation presents to the emergency department with sudden onset of severe epigastric pain, hematemesis, and signs of gastric ischemia on CT angiography showing an occlusive thrombus in the left gastric artery. The patient is admitted for urgent revascularization to remove the intraluminal thrombus and restore gastric arterial flow to prevent infarction of the stomach; an open extirpation is performed when endovascular access is not feasible. Typical codes: 04C20ZZ
A middle-aged patient with known atherosclerotic disease undergoes an elective inpatient endovascular procedure for recurrent postprandial abdominal pain and imaging-confirmed focal embolic material in a branch of the gastric artery. Percutaneous access is used to remove the embolus and relieve chronic mesenteric-type ischemic symptoms during a planned admission. Typical codes: 04C23ZZ, 04C24ZZ
A patient develops acute gastric artery occlusion from thromboembolism as a postoperative complication after major cardiac surgery, presenting with worsening abdominal pain and deteriorating gastric perfusion despite anticoagulation; interventional removal of the clot is required during the same hospitalization to salvage perfusion. Typical codes: 04C23ZZ

Related Codes

04C0-ABDOMINAL-AORTA-EXTIRPATION

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

04C1-CELIAC-ARTERY-EXTIRPATION

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

04C3-HEPATIC-ARTERY-EXTIRPATION

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

04C4-SPLENIC-ARTERY-EXTIRPATION

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

04C5-SUPERIOR-MESENTERIC-ARTERY-EXTIRPATION

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

04C6-COLIC-ARTERY-RIGHT-EXTIRPATION

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

04C7-LEFT-COLIC-ARTERY-EXTIRPATION

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

04C8-COLIC-ARTERY-MIDDLE-EXTIRPATION

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

04C9-RENAL-ARTERY-EXTIRPATION

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

04CA-RENAL-ARTERY-LEFT-EXTIRPATION

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

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

Gastric Artery Extirpation Procedure Overview

Code Attributes

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

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

Gastric Artery Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 04C2 for the gastric artery?

What is the clinical purpose of procedures coded in 04C2?

Which ICD-10-PCS section, body system, and operation apply to these codes?

How do 04C2 codes affect inpatient reimbursement and documentation?

What related DRGs may be assigned when using 04C2 gastric artery extirpation codes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 04C2 for the gastric artery?

What is the clinical purpose of procedures coded in 04C2?

Which ICD-10-PCS section, body system, and operation apply to these codes?

How do 04C2 codes affect inpatient reimbursement and documentation?

What related DRGs may be assigned when using 04C2 gastric artery extirpation codes?

References