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ICD-10-PCS 2027 procedure code

04VF4CZRestriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict L Int Iliac 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 04VF4CZ

04VF4CZ is the ICD-10-PCS code for a restriction procedure on the left internal iliac 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 04V04CZ (abdominal aorta), 04V14CZ (celiac artery), 04V24CZ (gastric artery), 04V34CZ (hepatic artery), 04V44CZ (splenic artery), 04V54CZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04VF0CZ (open) and 04VF3CZ (percutaneous).

With a different device, use 04VF4DZ (intraluminal device) and 04VF4ZZ (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
FInternal Iliac Artery, Left

Includes: Deferential artery; Hypogastric artery; Iliolumbar artery; Inferior gluteal artery; Inferior vesical artery; Internal pudendal artery; Lateral sacral artery; Middle rectal artery; Obturator artery; Prostatic artery; Superior gluteal artery; Superior vesical artery; Umbilical artery; Uterine Artery; Vaginal 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 04VF4CZ

Is 04VF4CZ a valid ICD-10-PCS code for 2027?

Yes. 04VF4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04VF4CZ an O.R. procedure?

Yes. 04VF4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04VF4CZ group to?

Depending on the principal diagnosis, 04VF4CZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 04VF4CZ?

The CMS GEMs map 04VF4CZ to ICD-9-CM 39.51 (Clipping of aneurysm).