04VD3DZRestriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach

  • Billable / Specific Code
ICD-10-PCS 04VD3DZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

04VD3DZ is a billable ICD-10-PCS procedure code for Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 10 MS-DRGs. The root operation Restriction involves partially closing an orifice or the lumen of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Aneurysm repair procedures.

Code Identity

ICD-10-PCS Code
04VD3DZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach
Short Description
Restrict of L Com Iliac Art with Intralum Dev, Perc Approach
Parent Code

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
4BodyPartDCommon Iliac Artery, Left
5Approach3Percutaneous
6DeviceDIntraluminal Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Leads to this code's table
Leads to this code's table
Leads to this code's table
Leads to this code's table
Restriction, Artery, Common Iliac, Left
Leads to this code's table

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR011
Aneurysm repair procedures
Clinical domain: Cardiovascular Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

39.79
Other endovascular procedures on other vessels
Approximate match.

Code History

Replaced in the FY 2027 code set by:
  • 04VD3EZ — Restrict L Com Iliac Art w Fenestr Dev 1 or 2, Perc

Similar Procedure Codes

Questions About 04VD3DZ

Is 04VD3DZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 04VD3DZ mean?

The code 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 D is the BodyPart (Common Iliac Artery, Left); the 5th character 3 is the Approach (Percutaneous); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04VD3DZ group to?

On an inpatient stay, Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach maps to MS-DRGs 213, 270, 271, 272, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 04VD3DZ?

Under the General Equivalence Mappings, Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach crosswalks to ICD-9-PCS 39.79 (Other endovascular procedures on other vessels). The mapping is approximate, so confirm it fits the documentation.