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ICD-10-PCS 2027 procedure code

04V04FZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict Abd Aorta w Fenestr Dev 3+, Perc Endo

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 04V04FZ

04V04FZ is the ICD-10-PCS code for a restriction procedure on the abdominal aorta using a percutaneous endoscopic approach with intraluminal device, branched or fenestrated, three or more arteries. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to endovascular implantation of branching or fenestrated graft(s) in aorta, the ICD-9-CM procedure title it maps to (39.78).

The same procedure with a different approach is coded 04V00FZ (open) and 04V03FZ (percutaneous).

With a different device, use 04V04CZ (extraluminal device), 04V04DZ (intraluminal device), 04V04EZ (intraluminal device, branched or fenestrated, one or two arteries) and 04V04ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), DRG 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC), DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “Other Kidney and Urinary Tract Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2017, effective October 1, 2016.

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
FIntraluminal Device, Branched or Fenestrated, Three or More Arteries
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.

MDC 05 · Diseases and Disorders of the Circulatory System · Aortic and Heart Assist Procedures Except Pulsation Balloon

ICD-9-CM equivalent

Converter →
  • 39.78Endovascular implantation of branching or fenestrated graft(s) in aortaapproximate

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 04V04FZ

Is 04V04FZ a valid ICD-10-PCS code for 2027?

Yes. 04V04FZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04V04FZ an O.R. procedure?

Yes. 04V04FZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04V04FZ group to?

Depending on the principal diagnosis, 04V04FZ can group to MS-DRG 268, MS-DRG 269, MS-DRG 673, MS-DRG 674, MS-DRG 675 and MS-DRG 907.

What is the ICD-9 procedure code for 04V04FZ?

The CMS GEMs map 04V04FZ to ICD-9-CM 39.78 (Endovascular implantation of branching or fenestrated graft(s) in aorta).