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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04C5 includes procedures performed to remove solid intraluminal matter from arteries in the superior mesenteric artery. These ICD-10-PCS codes are used for inpatient documentation when a patient undergoes surgical or endovascular removal of thrombus, embolus, or other solid material from the superior mesenteric artery to restore mesenteric blood flow. Accurate coding within the ICD-10-PCS 04C5 group is essential for proper inpatient reimbursement, as it captures the specific extirpation procedure performed and supports clinical documentation accuracy.

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Superior Mesenteric Artery Extirpation Procedure Overview

Procedures in this group involve extirpation, which is the taking or cutting out of solid matter from the superior mesenteric artery within the lower arteries body system. These procedures remove intraluminal obstructions such as thrombus or embolus to restore arterial blood flow to the mesenteric circulation. Accurate ICD-10-PCS coding of these extirpation procedures ensures inpatient records reflect the vascular intervention performed and supports appropriate case mix assignment and reimbursement.

Code Attributes

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

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

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Superior Mesenteric 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
5	Body Part	Superior Mesenteric Artery

When to Use

Use a code from this group when a clinician performs removal of solid intraluminal material from the superior mesenteric artery to re-establish mesenteric perfusion. These codes apply regardless of the specific technique used if the primary objective is extirpation of solid matter from that artery.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
04C50ZZ	Extirpation of Matter from Superior Mesenteric Artery, Open Approach
04C53ZZ	Extirpation of Matter from Superior Mesenteric Artery, Percutaneous Approach
04C54ZZ	Extirpation of Matter from Superior Mesenteric 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 older patient with atrial fibrillation suddenly develops severe abdominal pain, nausea, and bloody stools; CT angiography demonstrates an acute occlusive thrombus in the proximal superior mesenteric artery causing mesenteric ischemia, and the patient is taken to the operating room for open embolectomy to quickly restore blood flow. An extirpation procedure from the superior mesenteric artery is performed via an open approach to remove the thrombus and re-establish mesenteric perfusion. Typical codes: 04C50ZZ
A middle-aged patient with known peripheral arterial disease presents electively for endovascular treatment of a chronic mural thrombus within the mid superior mesenteric artery that is causing postprandial abdominal pain and weight loss; after angiographic guidance, a catheter-based aspiration or mechanical thrombectomy is used to remove the organized intraluminal material. Because the intervention is performed through a percutaneous arterial access without open incision, a percutaneous extirpation code is used. Typical codes: 04C53ZZ, 04C54ZZ
A postoperative patient develops acute mesenteric artery embolization after cardiac surgery and is too unstable for laparotomy; an interventional radiology team performs an urgent percutaneous endovascular extraction of embolic material from the superior mesenteric artery to salvage bowel and avoid further surgery. The percutaneous endoscopic approach for extirpation of intraluminal matter is selected due to the minimally invasive route and use of endovascular visualization. Typical codes: 04C54ZZ

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

04C2-GASTRIC-ARTERY-EXTIRPATION

ICD-10-PCS Code For Gastric 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

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
04C50ZZ	Extirpation of Matter from Superior Mesenteric Artery, Open Approach
04C53ZZ	Extirpation of Matter from Superior Mesenteric Artery, Percutaneous Approach
04C54ZZ	Extirpation of Matter from Superior Mesenteric 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 older patient with atrial fibrillation suddenly develops severe abdominal pain, nausea, and bloody stools; CT angiography demonstrates an acute occlusive thrombus in the proximal superior mesenteric artery causing mesenteric ischemia, and the patient is taken to the operating room for open embolectomy to quickly restore blood flow. An extirpation procedure from the superior mesenteric artery is performed via an open approach to remove the thrombus and re-establish mesenteric perfusion. Typical codes: 04C50ZZ
A middle-aged patient with known peripheral arterial disease presents electively for endovascular treatment of a chronic mural thrombus within the mid superior mesenteric artery that is causing postprandial abdominal pain and weight loss; after angiographic guidance, a catheter-based aspiration or mechanical thrombectomy is used to remove the organized intraluminal material. Because the intervention is performed through a percutaneous arterial access without open incision, a percutaneous extirpation code is used. Typical codes: 04C53ZZ, 04C54ZZ
A postoperative patient develops acute mesenteric artery embolization after cardiac surgery and is too unstable for laparotomy; an interventional radiology team performs an urgent percutaneous endovascular extraction of embolic material from the superior mesenteric artery to salvage bowel and avoid further surgery. The percutaneous endoscopic approach for extirpation of intraluminal matter is selected due to the minimally invasive route and use of endovascular visualization. Typical codes: 04C54ZZ

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

04C2-GASTRIC-ARTERY-EXTIRPATION

ICD-10-PCS Code For Gastric 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

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 Superior Mesenteric Artery: Procedure Code Group Overview

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

Superior Mesenteric Artery Extirpation Procedure Overview

Code Attributes

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

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

Superior Mesenteric Artery Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are in the Superior Mesenteric Artery extirpation group?

What clinical purpose do procedures in ICD-10-PCS group 04C5 serve?

Under which ICD-10-PCS section and body system are these procedures classified?

How does accurate coding within the 04C5 group affect inpatient records and reimbursement?

Which DRG categories may be related to procedures coded in the 04C5 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are in the Superior Mesenteric Artery extirpation group?

What clinical purpose do procedures in ICD-10-PCS group 04C5 serve?

Under which ICD-10-PCS section and body system are these procedures classified?

How does accurate coding within the 04C5 group affect inpatient records and reimbursement?

Which DRG categories may be related to procedures coded in the 04C5 group?

References