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 04H4 includes procedures performed to insert nonbiological appliances in the splenic artery. These ICD-10-PCS codes are used for inpatient documentation when a device is placed percutaneously and endoscopically to monitor, assist, perform, or prevent a physiological function in the splenic artery. Accurate coding within the ICD-10-PCS 04H4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Splenic Artery Insertion Procedure Overview

Procedures in this group involve percutaneous endoscopic insertion of nonbiological appliances into the splenic artery to monitor, assist, perform, or prevent a physiological function. These procedures target the lower arteries body system and specifically the splenic artery. Accurate coding of the insertion operation supports correct inpatient reimbursement by reflecting the procedure performed and ensuring alignment with clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
H	Operation	Insertion
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 Insertion Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a nonbiological appliance is placed into the splenic artery via percutaneous endoscopic technique. Select these codes when the procedure is documented as an insertion into the splenic artery to monitor, assist, perform, or prevent a physiological function.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
04H403Z	Insertion of Infusion Device into Splenic Artery, Open Approach
04H40DZ	Insertion of Intraluminal Device into Splenic Artery, Open Approach
04H433Z	Insertion of Infusion Device into Splenic Artery, Percutaneous Approach
04H43DZ	Insertion of Intraluminal Device into Splenic Artery, Percutaneous Approach
04H443Z	Insertion of Infusion Device into Splenic Artery, Percutaneous Endoscopic Approach
04H44DZ	Insertion of Intraluminal Device into Splenic Artery, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. 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 portal hypertension and massive splenic artery aneurysm presenting with acute left upper quadrant pain and hemodynamic instability is taken to the operating room for urgent percutaneous endoscopic placement of a nonbiological device to occlude or monitor flow in the splenic artery to control hemorrhage. The procedure is performed percutaneously and endoscopically to rapidly address the vascular emergency without open laparotomy. Typical codes: 04H443Z, 04H44DZ
A middle-aged patient with chronic pancreatitis and recurrent splenic artery pseudoaneurysm is admitted electively for image-guided percutaneous endoscopic insertion of an intraluminal device to exclude the pseudoaneurysm and preserve distal splenic perfusion; the planned endovascular approach is chosen to minimize surgical morbidity. This is a scheduled inpatient therapeutic vascular intervention to prevent rupture and recurrent bleeding. Typical codes: 04H44DZ, 04H443Z
A postoperative patient who previously underwent splenic artery stent placement develops in-stent thrombosis and requires inpatient percutaneous endoscopic revision to insert an infusion device for local thrombolytic administration or to place a new intraluminal device to restore arterial patency. The case represents a complication requiring endovascular intervention via a percutaneous endoscopic route to treat the failing appliance. Typical codes: 04H443Z, 04H44DZ

Related Codes

04H0-ABDOMINAL-AORTA-INSERTION

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

04H1-CELIAC-ARTERY-INSERTION

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

04H2-GASTRIC-ARTERY-INSERTION

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

04H3-HEPATIC-ARTERY-INSERTION

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

04H5-SUPERIOR-MESENTERIC-ARTERY-INSERTION

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

04H6-COLIC-ARTERY-RIGHT-INSERTION

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

04H7-LEFT-COLIC-ARTERY-INSERTION

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

04H8-COLIC-ARTERY-MIDDLE-INSERTION

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

04H9-RENAL-ARTERY-RIGHT-INSERTION

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

04HA-LEFT-RENAL-ARTERY-INSERTION

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
04H403Z	Insertion of Infusion Device into Splenic Artery, Open Approach
04H40DZ	Insertion of Intraluminal Device into Splenic Artery, Open Approach
04H433Z	Insertion of Infusion Device into Splenic Artery, Percutaneous Approach
04H43DZ	Insertion of Intraluminal Device into Splenic Artery, Percutaneous Approach
04H443Z	Insertion of Infusion Device into Splenic Artery, Percutaneous Endoscopic Approach
04H44DZ	Insertion of Intraluminal Device into Splenic Artery, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. 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 portal hypertension and massive splenic artery aneurysm presenting with acute left upper quadrant pain and hemodynamic instability is taken to the operating room for urgent percutaneous endoscopic placement of a nonbiological device to occlude or monitor flow in the splenic artery to control hemorrhage. The procedure is performed percutaneously and endoscopically to rapidly address the vascular emergency without open laparotomy. Typical codes: 04H443Z, 04H44DZ
A middle-aged patient with chronic pancreatitis and recurrent splenic artery pseudoaneurysm is admitted electively for image-guided percutaneous endoscopic insertion of an intraluminal device to exclude the pseudoaneurysm and preserve distal splenic perfusion; the planned endovascular approach is chosen to minimize surgical morbidity. This is a scheduled inpatient therapeutic vascular intervention to prevent rupture and recurrent bleeding. Typical codes: 04H44DZ, 04H443Z
A postoperative patient who previously underwent splenic artery stent placement develops in-stent thrombosis and requires inpatient percutaneous endoscopic revision to insert an infusion device for local thrombolytic administration or to place a new intraluminal device to restore arterial patency. The case represents a complication requiring endovascular intervention via a percutaneous endoscopic route to treat the failing appliance. Typical codes: 04H443Z, 04H44DZ

Related Codes

04H0-ABDOMINAL-AORTA-INSERTION

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

04H1-CELIAC-ARTERY-INSERTION

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

04H2-GASTRIC-ARTERY-INSERTION

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

04H3-HEPATIC-ARTERY-INSERTION

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

04H5-SUPERIOR-MESENTERIC-ARTERY-INSERTION

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

04H6-COLIC-ARTERY-RIGHT-INSERTION

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

04H7-LEFT-COLIC-ARTERY-INSERTION

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

04H8-COLIC-ARTERY-MIDDLE-INSERTION

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

04H9-RENAL-ARTERY-RIGHT-INSERTION

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

04HA-LEFT-RENAL-ARTERY-INSERTION

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 Insertion 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 Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 04H4 represent?

What types of devices are captured in the 04H4 procedure group?

Which specific ICD-10-PCS codes in this group indicate a percutaneous endoscopic approach?

How does accurate coding within the 04H4 group affect inpatient reimbursement?

Which DRG families may be related when using codes from the 04H4 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 04H4 represent?

What types of devices are captured in the 04H4 procedure group?

Which specific ICD-10-PCS codes in this group indicate a percutaneous endoscopic approach?

How does accurate coding within the 04H4 group affect inpatient reimbursement?

Which DRG families may be related when using codes from the 04H4 group?

References