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 04PY includes procedures performed to remove devices or other objects in lower arteries. These ICD-10-PCS codes are used for inpatient documentation when a device, implant, or foreign body is extracted from arterial structures of the lower extremity. Accurate coding within the ICD-10-PCS 04PY group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Lower Artery Removal Procedure Overview

This procedure group covers removal procedures performed on the lower arteries, involving extraction of devices, implants, or other objects from arterial structures in the lower extremities. These operations target the lower arterial system and typically require endovascular or open surgical techniques to access and remove the item. Accurate ICD-10-PCS coding for these removal procedures ensures inpatient records reflect the specific operation performed and supports correct reimbursement and case mix assignment.

Code Attributes

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

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Lower Artery Removal Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a clinician performs a procedural removal from a lower artery, whether by endovascular or open technique. Select the code that matches the specific lower artery site and method of removal documented in the operative record.

ICD-10-PCS Codes

32 rows

ICD-10-PCS Code	Description
04PY00Z	Removal of Drainage Device from Lower Artery, Open Approach
04PY02Z	Removal of Monitoring Device from Lower Artery, Open Approach
04PY03Z	Removal of Infusion Device from Lower Artery, Open Approach
04PY07Z	Removal of Autologous Tissue Substitute from Lower Artery, Open Approach
04PY0CZ	Removal of Extraluminal Device from Lower Artery, Open Approach
04PY0DZ	Removal of Intraluminal Device from Lower Artery, Open Approach
04PY0JZ	Removal of Synthetic Substitute from Lower Artery, Open Approach
04PY0KZ	Removal of Nonautologous Tissue Substitute from Lower Artery, Open Approach
04PY0YZ	Removal of Other Device from Lower Artery, Open Approach
04PY30Z	Removal of Drainage Device from Lower Artery, Percutaneous Approach

Showing 1–10 of 32

DRG Codes

21 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. 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

Showing 1–10 of 21

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the hospital with acute limb ischemia after a failed peripheral arterial stent placement; imaging shows stent thrombosis and persistent occlusion. The vascular surgery team performs an open removal of the intraluminal stent material from a lower extremity artery to restore flow and allow definitive revascularization. This is an urgent inpatient operative removal of an intraluminal device from a lower artery. Typical codes: 04PY0DZ
A middle-aged patient with peripheral artery disease is scheduled for elective removal of a previously placed infusion catheter in the femoral artery that is no longer needed for targeted medication delivery. The procedure is performed percutaneously in the inpatient setting due to comorbidities requiring monitored recovery. The operation specifically extracts the infusion device from the lower arterial system via a percutaneous approach. Typical codes: 04PY33Z
A patient with a history of endovascular repair returns with evidence of infection and persistent drainage at the groin; examination and duplex suggest involvement of an extraluminal prosthetic patch adjacent to the lower artery. The surgeon performs an open removal of the extraluminal device/material to control infection and prevent further arterial compromise. This is a revision/complication procedure targeting removal of extraluminal material from a lower artery. Typical codes: 04PY0CZ

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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

32 rows

ICD-10-PCS Code	Description
04PY00Z	Removal of Drainage Device from Lower Artery, Open Approach
04PY02Z	Removal of Monitoring Device from Lower Artery, Open Approach
04PY03Z	Removal of Infusion Device from Lower Artery, Open Approach
04PY07Z	Removal of Autologous Tissue Substitute from Lower Artery, Open Approach
04PY0CZ	Removal of Extraluminal Device from Lower Artery, Open Approach
04PY0DZ	Removal of Intraluminal Device from Lower Artery, Open Approach
04PY0JZ	Removal of Synthetic Substitute from Lower Artery, Open Approach
04PY0KZ	Removal of Nonautologous Tissue Substitute from Lower Artery, Open Approach
04PY0YZ	Removal of Other Device from Lower Artery, Open Approach
04PY30Z	Removal of Drainage Device from Lower Artery, Percutaneous Approach

Showing 1–10 of 32

DRG Codes

21 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. 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

Showing 1–10 of 21

Typical Clinical Scenarios

An elderly patient on anticoagulation presents to the hospital with acute limb ischemia after a failed peripheral arterial stent placement; imaging shows stent thrombosis and persistent occlusion. The vascular surgery team performs an open removal of the intraluminal stent material from a lower extremity artery to restore flow and allow definitive revascularization. This is an urgent inpatient operative removal of an intraluminal device from a lower artery. Typical codes: 04PY0DZ
A middle-aged patient with peripheral artery disease is scheduled for elective removal of a previously placed infusion catheter in the femoral artery that is no longer needed for targeted medication delivery. The procedure is performed percutaneously in the inpatient setting due to comorbidities requiring monitored recovery. The operation specifically extracts the infusion device from the lower arterial system via a percutaneous approach. Typical codes: 04PY33Z
A patient with a history of endovascular repair returns with evidence of infection and persistent drainage at the groin; examination and duplex suggest involvement of an extraluminal prosthetic patch adjacent to the lower artery. The surgeon performs an open removal of the extraluminal device/material to control infection and prevent further arterial compromise. This is a revision/complication procedure targeting removal of extraluminal material from a lower artery. Typical codes: 04PY0CZ

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 Removal 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 Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which ICD-10-PCS code group covers removal procedures in lower arteries?

What body system and operation do codes in the 04PY group represent?

How are approach types represented within the 04PY code listings?

What kinds of devices or materials are specified in the 04PY code set?

Which DRGs may relate to procedures coded from the 04PY group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which ICD-10-PCS code group covers removal procedures in lower arteries?

What body system and operation do codes in the 04PY group represent?

How are approach types represented within the 04PY code listings?

What kinds of devices or materials are specified in the 04PY code set?

Which DRGs may relate to procedures coded from the 04PY group?

References