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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04FE includes procedures performed to fragment solid material in the internal iliac artery, right, within the lower arteries. These ICD-10-PCS codes are used for inpatient documentation when fragmentation of intraluminal material is performed to restore or improve arterial blood flow in the right internal iliac artery. Accurate coding within the ICD-10-PCS 04FE group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Internal Iliac Artery, Right Fragmentation Procedure Overview

Procedures in this group involve fragmentation of solid material within the right internal iliac artery, a branch of the lower pelvic arterial system. These fragmentation procedures target the lower arteries to break up occlusive or embolic material so blood flow may be restored or accessed endovascularly. Accurate coding of these operations supports proper inpatient reimbursement by capturing the specific root operation, body part, and clinical complexity of the procedure.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
F	Operation	Fragmentation
E	Body Part	Internal Iliac Artery, Right

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

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Internal Iliac Artery, Right Fragmentation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
F	Operation	Fragmentation
E	Body Part	Internal Iliac Artery, Right

When to Use

Use a code from this group when a clinician performs fragmentation of intraluminal solid material in the right internal iliac artery during an inpatient encounter. These codes apply when the primary objective of the procedure is to break up occlusive or embolic material rather than remove or bypass the artery.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
04FE3Z0	Fragmentation of Right Internal Iliac Artery, Percutaneous Approach, Ultrasonic
04FE3ZZ	Fragmentation of Right Internal Iliac Artery, Percutaneous Approach

DRG Codes

8 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
278	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC
279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without 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 elderly patient with known peripheral arterial disease is admitted for acute worsening of unilateral pelvic claudication and imaging shows an eccentric thrombotic occlusion of the right internal iliac artery limiting distal perfusion; because the primary objective is to break up the intraluminal solid material to restore blood flow, an endovascular fragmentation is performed percutaneously to fragment the thrombus and re-establish perfusion. Typical codes: 04FE3ZZ, 04FE3Z0
A middle-aged woman undergoes a planned inpatient endovascular intervention for chronic right internal iliac artery atheromatous plaque causing progressive pelvic ischemic pain unresponsive to medical therapy; during the elective percutaneous procedure the operator uses ultrasonic fragmentation to disrupt the calcified and fibrotic intraluminal material prior to adjunctive angioplasty. Typical codes: 04FE3Z0
A patient presents emergently after an embolic event from a proximal source causing acute right internal iliac artery occlusion and worsening ischemic pelvic symptoms despite systemic anticoagulation; during the urgent percutaneous procedure the intraluminal embolus is fragmented to rapidly reduce obstruction and facilitate distal reperfusion. Typical codes: 04FE3ZZ

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

04FD-COMMON-ILIAC-ARTERY-LEFT-FRAGMENTATION

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

04FF-LEFT-INTERNAL-ILIAC-FRAGMENTATION

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

04FH-EXTERNAL-ILIAC-ARTERY-FRAGMENTATION

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

04FJ-LEFT-EXTERNAL-ILIAC-FRAGMENTATION

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

04FK-FEMORAL-ARTERY-FRAGMENTATION

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

04FL-LEFT-FEMORAL-ARTERY-FRAGMENTATION

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

04FM-POPLITEAL-ARTERY-FRAGMENTATION

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

04FN-LEFT-POPLITEAL-ARTERY-FRAGMENTATION

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

04FP-ANTERIOR-TIBIAL-ARTERY-RIGHT-FRAGMENTATION

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

Showing 1–10 of 16

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

2 rows

ICD-10-PCS Code	Description
04FE3Z0	Fragmentation of Right Internal Iliac Artery, Percutaneous Approach, Ultrasonic
04FE3ZZ	Fragmentation of Right Internal Iliac Artery, Percutaneous Approach

DRG Codes

8 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
278	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC
279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without 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 elderly patient with known peripheral arterial disease is admitted for acute worsening of unilateral pelvic claudication and imaging shows an eccentric thrombotic occlusion of the right internal iliac artery limiting distal perfusion; because the primary objective is to break up the intraluminal solid material to restore blood flow, an endovascular fragmentation is performed percutaneously to fragment the thrombus and re-establish perfusion. Typical codes: 04FE3ZZ, 04FE3Z0
A middle-aged woman undergoes a planned inpatient endovascular intervention for chronic right internal iliac artery atheromatous plaque causing progressive pelvic ischemic pain unresponsive to medical therapy; during the elective percutaneous procedure the operator uses ultrasonic fragmentation to disrupt the calcified and fibrotic intraluminal material prior to adjunctive angioplasty. Typical codes: 04FE3Z0
A patient presents emergently after an embolic event from a proximal source causing acute right internal iliac artery occlusion and worsening ischemic pelvic symptoms despite systemic anticoagulation; during the urgent percutaneous procedure the intraluminal embolus is fragmented to rapidly reduce obstruction and facilitate distal reperfusion. Typical codes: 04FE3ZZ

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

04FD-COMMON-ILIAC-ARTERY-LEFT-FRAGMENTATION

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

04FF-LEFT-INTERNAL-ILIAC-FRAGMENTATION

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

04FH-EXTERNAL-ILIAC-ARTERY-FRAGMENTATION

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

04FJ-LEFT-EXTERNAL-ILIAC-FRAGMENTATION

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

04FK-FEMORAL-ARTERY-FRAGMENTATION

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

04FL-LEFT-FEMORAL-ARTERY-FRAGMENTATION

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

04FM-POPLITEAL-ARTERY-FRAGMENTATION

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

04FN-LEFT-POPLITEAL-ARTERY-FRAGMENTATION

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

04FP-ANTERIOR-TIBIAL-ARTERY-RIGHT-FRAGMENTATION

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

Showing 1–10 of 16

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.

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

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Internal Iliac Artery, Right Fragmentation Procedure Overview

Code Attributes

OpenPayer

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

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Internal Iliac Artery, Right Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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

Sign up for ICD-10-PCS Code For Internal Iliac Artery, Right: Procedure Code Group Overview policy alerts

Internal Iliac Artery, Right Fragmentation Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Internal Iliac Artery, Right: Procedure Code Group Overview policy alerts

Internal Iliac Artery, Right Fragmentation 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 Internal Iliac Artery, Right fragmentation group?

What is the clinical intent of procedures captured by ICD-10-PCS group 04FE?

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

How does accurate coding within 04FE affect inpatient reimbursement?

Which DRG groups are related to procedures in this fragmentation code 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 Internal Iliac Artery, Right fragmentation group?

What is the clinical intent of procedures captured by ICD-10-PCS group 04FE?

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

How does accurate coding within 04FE affect inpatient reimbursement?

Which DRG groups are related to procedures in this fragmentation code group?

References