03VL4HZRestriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
- Billable / Specific Code
03VL4HZ is a billable ICD-10-PCS procedure code for Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic 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
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 3 | Upper Arteries |
| 3 | Operation | V | Restriction |
| 4 | BodyPart | L | Internal Carotid Artery, Left |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | H | Intraluminal Device, Flow Diverter |
| 7 | Qualifier | Z | No Qualifier |
Code History
- 03VL4DZ — Restrict L Int Carotid w Intralum Dev, Perc Endo
Similar Procedure Codes
Questions About 03VL4HZ
Is 03VL4HZ a billable code?
Yes. 03VL4HZ 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 Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 03VL4HZ mean?
03VL4HZ 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 4 is the Approach (Percutaneous Endoscopic); the 6th character H is the Device (Intraluminal Device, Flow Diverter); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 03VL4HZ group to?
On an inpatient stay, Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic 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.
