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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04JY includes procedures performed to inspect vascular structures in the lower arteries. These ICD-10-PCS codes are used for inpatient documentation when visual or manual examination of lower arterial vessels is performed to evaluate patency, detect lesions, or guide further treatment. Accurate coding within the ICD-10-PCS 04JY group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Lower Artery Inspection Procedure Overview

Procedures in this ICD-10-PCS group involve visually and/or manually inspecting the lower arteries to evaluate vessel patency, identify lesions, or assess perfusion. These procedures target the lower arteries within the vascular system and are classified under the Medical and Surgical section. Accurate coding of inspection procedures ensures the inpatient record reflects the diagnostic or procedural evaluation performed and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
J	Operation	Inspection
Y	Body Part	Lower Artery

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

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Lower Artery Inspection Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
J	Operation	Inspection
Y	Body Part	Lower Artery

When to Use

Use a code from this group when a clinician performs a visual or manual inspection of lower arterial vessels as part of diagnosis or intraoperative assessment. Codes apply when the inspection itself is a distinct procedure documented in the inpatient record and affects clinical or billing documentation.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
04JY0ZZ	Inspection of Lower Artery, Open Approach
04JY3ZZ	Inspection of Lower Artery, Percutaneous Approach
04JY4ZZ	Inspection of Lower Artery, Percutaneous Endoscopic Approach
04JYXZZ	Inspection of Lower Artery, External Approach

DRG Codes

3 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient with critical limb ischemia is admitted urgently for worsening rest pain and a nonhealing foot ulcer; during an open vascular exploration in the operating room the surgeon visually inspects the femoral and popliteal arteries to assess the extent of atherosclerotic occlusion and determine whether bypass or endarterectomy is required. Typical codes: 04JY0ZZ
A middle-aged patient scheduled for elective endovascular evaluation of intermittent claudication undergoes a percutaneous endovascular procedure where the interventionalist performs endoscopic visualization of the lower arterial lumen to evaluate stenosis severity and inform planning for angioplasty or stenting. Typical codes: 04JY4ZZ, 04JY3ZZ
A hospitalized patient with postoperative concern for compromised distal perfusion after prior lower extremity arterial surgery undergoes an external bedside inspection and manual assessment of the exposed arterial segment to evaluate for thrombosis or technical failure before returning to the OR for revision. Typical codes: 04JYXZZ, 04JY0ZZ

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

4 rows

ICD-10-PCS Code	Description
04JY0ZZ	Inspection of Lower Artery, Open Approach
04JY3ZZ	Inspection of Lower Artery, Percutaneous Approach
04JY4ZZ	Inspection of Lower Artery, Percutaneous Endoscopic Approach
04JYXZZ	Inspection of Lower Artery, External Approach

DRG Codes

3 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient with critical limb ischemia is admitted urgently for worsening rest pain and a nonhealing foot ulcer; during an open vascular exploration in the operating room the surgeon visually inspects the femoral and popliteal arteries to assess the extent of atherosclerotic occlusion and determine whether bypass or endarterectomy is required. Typical codes: 04JY0ZZ
A middle-aged patient scheduled for elective endovascular evaluation of intermittent claudication undergoes a percutaneous endovascular procedure where the interventionalist performs endoscopic visualization of the lower arterial lumen to evaluate stenosis severity and inform planning for angioplasty or stenting. Typical codes: 04JY4ZZ, 04JY3ZZ
A hospitalized patient with postoperative concern for compromised distal perfusion after prior lower extremity arterial surgery undergoes an external bedside inspection and manual assessment of the exposed arterial segment to evaluate for thrombosis or technical failure before returning to the OR for revision. Typical codes: 04JYXZZ, 04JY0ZZ

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 Lower Artery: Procedure Code Group Overview

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

Lower Artery Inspection Procedure Overview

Code Attributes

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

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

Lower Artery Inspection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which procedures are included in ICD-10-PCS code group 04JY?

What is the primary purpose of inspection procedures in this group?

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

How do these codes affect inpatient reimbursement or DRG assignment?

What approaches to lower artery inspection are represented and how are they denoted?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which procedures are included in ICD-10-PCS code group 04JY?

What is the primary purpose of inspection procedures in this group?

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

How do these codes affect inpatient reimbursement or DRG assignment?

What approaches to lower artery inspection are represented and how are they denoted?

References