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ICD-10-PCS 2027 procedure code

04V50CZRestriction of Superior Mesenteric Artery with Extraluminal Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict of Sup Mesent Art with Extralum Dev, Open 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 04V50CZ

04V50CZ is the ICD-10-PCS code for a restriction procedure on the superior mesenteric artery using an open 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 04V00CZ (abdominal aorta), 04V10CZ (celiac artery), 04V20CZ (gastric artery), 04V30CZ (hepatic artery), 04V40CZ (splenic artery), 04V60CZ (right colic artery) and 24 more.

The same procedure with a different approach is coded 04V53CZ (percutaneous) and 04V54CZ (percutaneous endoscopic).

With a different device, use 04V50DZ (intraluminal device) and 04V50ZZ (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
5Superior Mesenteric Artery

Includes: Ileal artery; Ileocolic artery; Inferior pancreaticoduodenal artery; Jejunal artery

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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 04V50CZ

Is 04V50CZ a valid ICD-10-PCS code for 2027?

Yes. 04V50CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04V50CZ an O.R. procedure?

Yes. 04V50CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04V50CZ group to?

Depending on the principal diagnosis, 04V50CZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 04V50CZ?

The CMS GEMs map 04V50CZ to ICD-9-CM 39.51 (Clipping of aneurysm).