04VP4DZRestriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 04VP4DZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04VP4DZ is a billable ICD-10-PCS procedure code for Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic 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
04VP4DZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
Parent Code
Short Description
Restrict R Ant Tib Art w Intralum Dev, Perc Endo

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
4BodyPartPAnterior Tibial Artery, Right
5Approach4Percutaneous Endoscopic
6DeviceDIntraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04VP4DZ under the General Equivalence Mappings.

39.79
Approximate match.

Similar Procedure Codes

Questions About 04VP4DZ

Is 04VP4DZ a billable code?

Yes. 04VP4DZ is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04VP4DZ mean?

04VP4DZ 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 P is the BodyPart (Anterior Tibial Artery, Right); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04VP4DZ group to?

On an inpatient stay, Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic 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 04VP4DZ?

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