03VL3HZRestriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach

  • Billable / Specific Code
ICD-10-PCS 03VL3HZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

03VL3HZ is a billable ICD-10-PCS procedure code for Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Restriction involves partially closing an orifice or the lumen of a tubular body part.

Code Identity

ICD-10-PCS Code
03VL3HZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
Parent Code
Short Description
Restriction of L Int Carotid with Flow Divert, Perc Approac

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System3Upper Arteries
3OperationVRestriction
4BodyPartLInternal Carotid Artery, Left
5Approach3Percutaneous
6DeviceHIntraluminal Device, Flow Diverter
7QualifierZNo Qualifier

Code History

Replaces previously assigned code(s):
  • 03VL3DZ — Restrict of L Int Carotid with Intralum Dev, Perc Approach

Similar Procedure Codes

Questions About 03VL3HZ

Is 03VL3HZ a billable code?

Yes. 03VL3HZ is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 03VL3HZ mean?

03VL3HZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 3 is the Body System (Upper Arteries); the 3rd character V is the Operation (Restriction); the 4th character L is the BodyPart (Internal Carotid Artery, Left); the 5th character 3 is the Approach (Percutaneous); the 6th character H is the Device (Intraluminal Device, Flow Diverter); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 03VL3HZ group to?

On an inpatient stay, Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach maps to MS-DRGs 037, 038, 039, 252, 253, 254, 907, 908, 909, 957, 958, 959, with relative weights from 1.1755 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.