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ICD 10 Code 04WY03Z

Revision of Infusion Device in Lower Artery, Open Approach

04WY03Z is a valid billable ICD-10 procedure code for Revision of Infusion Device in Lower Artery, Open 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.

Revision involves:
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device. Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Open approach involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Revision includes:

  • Adjustment of position of pacemaker lead, recementing of hip prosthesis

Lower Artery body part includes:

  • Umbilical artery

Infusion Device device includes:

  • Ascenda Intrathecal Catheter
  • InDura, intrathecal catheter (1P) (spinal)
  • Non-tunneled central venous catheter
  • Peripherally inserted central catheter (PICC)
  • Tunneled spinal (intrathecal) catheter
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Vascular Procedures
    • DRG 252 - OTHER VASCULAR PROCEDURES WITH MCC
    • DRG 253 - OTHER VASCULAR PROCEDURES WITH CC
    • DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
  • MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders
    Other Endocrine, Nutritional and Metabolic Procedures
    • DRG 628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
    • DRG 629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
    • DRG 630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Lymphoma and Leukemia with Major Procedure
    • DRG 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
    Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure
    • DRG 826 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MCC
    • DRG 827 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH CC
    • DRG 828 - MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 04WY03Z — See Table View

1: Section 0 Medical and Surgical
2: Body System 4 Lower Arteries
3: Root Operation W Revision
4: Body Part Y Lower Artery
5: Approach 0 Open
6: Device 3 Infusion Device
7: Qualifier Z No Qualifier

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.