ICD-10-PCS 2027 procedure code
03VQ4CZRestriction of Left Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
Short description: Restrict L Verteb Art w Extralum Dev, Perc Endo
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 03VQ4CZ
03VQ4CZ is the ICD-10-PCS code for a restriction procedure on the left vertebral artery using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to Clipping of aneurysm, the ICD-9-CM procedure title it maps to (39.51).
For a different body part, codes include 03V04CZ (right internal mammary artery), 03V14CZ (left internal mammary artery), 03V24CZ (innominate artery), 03V34CZ (right subclavian artery), 03V44CZ (left subclavian artery), 03V54CZ (right axillary artery) and 23 more.
The same procedure with a different approach is coded 03VQ0CZ (open) and 03VQ3CZ (percutaneous).
With a different device, use 03VQ4BZ (intraluminal device, bioactive), 03VQ4DZ (intraluminal device), 03VQ4HZ (intraluminal device, flow diverter) and 03VQ4ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.
It has been valid since ICD-10-PCS took effect on October 1, 2015.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 3Upper Arteries
- 3. Operation
- VRestriction
Partially closing an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice
Includes: Esophagogastric fundoplication, cervical cerclage
- 4. Body Part
- QVertebral Artery, Left
Includes: Anterior spinal artery; Posterior spinal artery
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- CExtraluminal Device
Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 03V04CZInternal Mammary Artery, Right
- 03V14CZInternal Mammary Artery, Left
- 03V24CZInnominate Artery
- 03V34CZSubclavian Artery, Right
- 03V44CZSubclavian Artery, Left
- 03V54CZAxillary Artery, Right
- 03V64CZAxillary Artery, Left
- 03V74CZBrachial Artery, Right
- 03V84CZBrachial Artery, Left
- 03V94CZUlnar Artery, Right
- 03VA4CZUlnar Artery, Left
- 03VB4CZRadial Artery, Right
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular Procedures
ICD-9-CM equivalent
Converter →- 39.51Clipping of aneurysmapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 03VQ4CZ
Is 03VQ4CZ a valid ICD-10-PCS code for 2027?
- Yes. 03VQ4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 03VQ4CZ an O.R. procedure?
- Yes. 03VQ4CZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 03VQ4CZ group to?
- Depending on the principal diagnosis, 03VQ4CZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 03VQ4CZ?
- The CMS GEMs map 03VQ4CZ to ICD-9-CM 39.51 (Clipping of aneurysm).