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ICD-10-PCS 2027 procedure code

04V04CZRestriction of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict of Abd Aorta with Extralum Dev, Perc Endo Approach

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 04V04CZ

04V04CZ is the ICD-10-PCS code for a restriction procedure on the abdominal aorta 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 04V14CZ (celiac artery), 04V24CZ (gastric artery), 04V34CZ (hepatic artery), 04V44CZ (splenic artery), 04V54CZ (superior mesenteric artery), 04V64CZ (right colic artery) and 24 more.

The same procedure with a different approach is coded 04V00CZ (open) and 04V03CZ (percutaneous).

With a different device, use 04V04DZ (intraluminal device), 04V04EZ (intraluminal device, branched or fenestrated, one or two arteries), 04V04FZ (intraluminal device, branched or fenestrated, three or more arteries) and 04V04ZZ (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
4Lower 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
0Abdominal Aorta

Includes: Inferior phrenic artery; Lumbar artery; Median sacral artery; Middle suprarenal artery; Ovarian artery; Testicular 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

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 39.51Clipping of aneurysmapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 04V04CZ

Is 04V04CZ a valid ICD-10-PCS code for 2027?

Yes. 04V04CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04V04CZ an O.R. procedure?

Yes. 04V04CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04V04CZ group to?

Depending on the principal diagnosis, 04V04CZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 04V04CZ?

The CMS GEMs map 04V04CZ to ICD-9-CM 39.51 (Clipping of aneurysm).