04VC0DZRestriction of Right Common Iliac Artery with Intraluminal Device, Open Approach

  • Billable / Specific Code
ICD-10-PCS 04VC0DZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04VC0DZ is a billable ICD-10-PCS procedure code for Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 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
04VC0DZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach
Parent Code
Short Description
Restrict of R Com Iliac Art with Intralum Dev, Open 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 System4Lower Arteries
3OperationVRestriction
4BodyPartCCommon Iliac Artery, Right
5Approach0Open
6DeviceDIntraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04VC0DZ under the General Equivalence Mappings.

39.79
Approximate match.

Code History

Replaced in the FY 2026 code set by:
  • 04VC0EZ — Restrict R Com Iliac Art w Fenestr Dev 1 or 2, Open

Similar Procedure Codes

Questions About 04VC0DZ

Is 04VC0DZ a billable code?

Yes. 04VC0DZ is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04VC0DZ mean?

04VC0DZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 4 is the Body System (Lower Arteries); the 3rd character V is the Operation (Restriction); the 4th character C is the BodyPart (Common Iliac Artery, Right); the 5th character 0 is the Approach (Open); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04VC0DZ group to?

On an inpatient stay, Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach maps to MS-DRGs 270, 271, 272, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 04VC0DZ?

Under the General Equivalence Mappings, Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach crosswalks to ICD-9-PCS 39.79. The mapping is approximate, so confirm it fits the documentation.