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ICD 10 Code 04LF3CU

Occlusion of Left Uterine Artery with Extraluminal Device, Percutaneous Approach
“Occlusion of L Uter A with Extralum Dev, Perc Approach” for short

04LF3CU is a valid billable ICD-10 procedure code for Occlusion of Left Uterine Artery with Extraluminal Device, Percutaneous Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

When using code 04LF3CU in processing claims, check the following: — See additional coding rules

  • Procedure for females only - The procedure code can only apply to a female patient.

Occlusion involves:
Completely closing an orifice or the lumen of a tubular body part. The orifice can be a natural orifice or an artificially created orifice

Percutaneous approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

Occlusion includes:

  • Fallopian tube ligation, ligation of inferior vena cava

Internal Iliac Artery, Left body part includes:

  • Deferential artery
  • Hypogastric artery
  • Iliolumbar artery
  • Inferior gluteal artery
  • Inferior vesical artery
  • Internal pudendal artery
  • Lateral sacral artery
  • Middle rectal artery
  • Obturator artery
  • Prostatic artery
  • Superior gluteal artery
  • Superior vesical artery
  • Umbilical artery
  • Uterine Artery
  • Vaginal artery

Extraluminal Device device includes:

  • AtriClip LAA Exclusion System
  • LAP-BAND(R) adjustable gastric banding system
  • REALIZE(R) Adjustable Gastric Band
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 13 Diseases & Disorders of the Female Reproductive System
    Other Female Reproductive System Procedures
    • DRG 749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
    • DRG 750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

ICD-10-PCS code structure for 04LF3CU — See Table View

1: Section 0 Medical and Surgical
2: Body System 4 Lower Arteries
3: Root Operation L Occlusion
4: Body Part F Internal Iliac Artery, Left
5: Approach 3 Percutaneous
6: Device C Extraluminal Device
7: Qualifier U Uterine Artery, Left

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.