ICD-10-PCS Book 2025 Edition

Sections / 0 Medical and Surgical / 04 Lower Arteries / 04W Revision
PCS Table 04W
Section0Medical and Surgical
Body System4Lower Arteries
OperationWRevision
Body PartApproachDeviceQualifier
YLower Artery
0Open
3Percutaneous
4Percutaneous Endoscopic
0Drainage Device
2Monitoring Device
3Infusion Device
7Autologous Tissue Substitute
CExtraluminal Device
DIntraluminal Device
JSynthetic Substitute
KNonautologous Tissue Substitute
YOther Device
ZNo Qualifier
YLower Artery
XExternal
0Drainage Device
2Monitoring Device
3Infusion Device
7Autologous Tissue Substitute
CExtraluminal Device
DIntraluminal Device
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Qualifier

04W prefixed ICD-10-PCS codes
04WY00Z Revision of Drainage Device in Lower Artery, Open Approach
04WY02Z Revision of Monitoring Device in Lower Artery, Open Approach
04WY03Z Revision of Infusion Device in Lower Artery, Open Approach
04WY07Z Revision of Autologous Tissue Substitute in Lower Artery, Open Approach
04WY0CZ Revision of Extraluminal Device in Lower Artery, Open Approach
04WY0DZ Revision of Intraluminal Device in Lower Artery, Open Approach
04WY0JZ Revision of Synthetic Substitute in Lower Artery, Open Approach
04WY0KZ Revision of Nonautologous Tissue Substitute in Lower Artery, Open Approach
04WY0YZ Revision of Other Device in Lower Artery, Open Approach
04WY30Z Revision of Drainage Device in Lower Artery, Percutaneous Approach
04WY32Z Revision of Monitoring Device in Lower Artery, Percutaneous Approach
04WY33Z Revision of Infusion Device in Lower Artery, Percutaneous Approach
04WY37Z Revision of Autologous Tissue Substitute in Lower Artery, Percutaneous Approach
04WY3CZ Revision of Extraluminal Device in Lower Artery, Percutaneous Approach
04WY3DZ Revision of Intraluminal Device in Lower Artery, Percutaneous Approach
04WY3JZ Revision of Synthetic Substitute in Lower Artery, Percutaneous Approach
04WY3KZ Revision of Nonautologous Tissue Substitute in Lower Artery, Percutaneous Approach
04WY3YZ Revision of Other Device in Lower Artery, Percutaneous Approach
04WY40Z Revision of Drainage Device in Lower Artery, Percutaneous Endoscopic Approach
04WY42Z Revision of Monitoring Device in Lower Artery, Percutaneous Endoscopic Approach
04WY43Z Revision of Infusion Device in Lower Artery, Percutaneous Endoscopic Approach
04WY47Z Revision of Autologous Tissue Substitute in Lower Artery, Percutaneous Endoscopic Approach
04WY4CZ Revision of Extraluminal Device in Lower Artery, Percutaneous Endoscopic Approach
04WY4DZ Revision of Intraluminal Device in Lower Artery, Percutaneous Endoscopic Approach
04WY4JZ Revision of Synthetic Substitute in Lower Artery, Percutaneous Endoscopic Approach
04WY4KZ Revision of Nonautologous Tissue Substitute in Lower Artery, Percutaneous Endoscopic Approach
04WY4YZ Revision of Other Device in Lower Artery, Percutaneous Endoscopic Approach
04WYX0Z Revision of Drainage Device in Lower Artery, External Approach
04WYX2Z Revision of Monitoring Device in Lower Artery, External Approach
04WYX3Z Revision of Infusion Device in Lower Artery, External Approach
04WYX7Z Revision of Autologous Tissue Substitute in Lower Artery, External Approach
04WYXCZ Revision of Extraluminal Device in Lower Artery, External Approach
04WYXDZ Revision of Intraluminal Device in Lower Artery, External Approach
04WYXJZ Revision of Synthetic Substitute in Lower Artery, External Approach
04WYXKZ Revision of Nonautologous Tissue Substitute in Lower Artery, External Approach