2025 ICD-10-CM Procedure Code 03VM0HZ

Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach

ICD-10-PCS Code:: 03VM0HZ
ICD-10-PCS Code for:: Restriction of R Ext Carotid with Flow Divert, Open Approac
Is Billable?: Yes - Valid for Submission
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03VM0HZ is a billable procedure code used to specify the performance of restriction of right external carotid artery with intraluminal device, flow diverter, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves partially closing an orifice or the lumen of a tubular body part. Procedure code explanation: the orifice can be a natural orifice or an artificially created orifice esophagogastric fundoplication, cervical cerclage

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Other Similar Codes

03VM0HZ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the upper arteries body system, classified under restriction operation. The applicable bodypart for this procedure code is external carotid artery, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	3	Upper Arteries
3	Operation	V	Restriction	Involves: Partially closing an orifice or the lumen of a tubular body part Explanation: The orifice can be a natural orifice or an artificially created orifice Includes: Esophagogastric fundoplication, cervical cerclage
4	BodyPart	M	External Carotid Artery, Right	Includes: Ascending pharyngeal artery Internal maxillary artery Lingual artery Maxillary artery Occipital artery Posterior auricular artery Superior thyroid artery
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	H	Intraluminal Device, Flow Diverter
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Replacement Code

03VM0HZ replaces the following previously assigned ICD-10-PCS code(s):

03VM0DZ - Restrict of R Ext Carotid with Intralum Dev, Open Approach
03VM0DZ - Restrict of R Ext Carotid with Intralum Dev, Open Approach
03VM0DZ - Restrict of R Ext Carotid with Intralum Dev, Open Approach
03VM0DZ - Restrict of R Ext Carotid with Intralum Dev, Open Approach
03VM0DZ - Restrict of R Ext Carotid with Intralum Dev, Open Approach
03VM0DZ - Restrict of R Ext Carotid with Intralum Dev, Open Approach

Clinical Classification

Clinical Category is Carotid endarterectomy and stenting
CCSR Category Code: CAR006
Clinical Domain is Cardiovascular Procedures - CAR contains 29 categories that include cardiovascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), and aneurysm repair procedures.

03VM0HZ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 03VM0HZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
037	Extracranial Procedures with MCC	01
038	Extracranial Procedures with CC	01
039	Extracranial Procedures without CC/MCC	01
252	Other Vascular Procedures with MCC	05
253	Other Vascular Procedures with CC	05
254	Other Vascular Procedures without CC/MCC	05
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Other ICD-10-PCS Codes Used for Restriction External Carotid Artery, Right

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.