04VR3CZRestriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach

  • Billable / Specific Code
ICD-10-PCS 04VR3CZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

04VR3CZ is a billable ICD-10-PCS procedure code for Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRGs 252, 253, 254. The root operation Restriction involves partially closing an orifice or the lumen of a tubular body part.

Code Identity

ICD-10-PCS Code
04VR3CZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach
Parent Code
Short Description
Restrict of R Post Tib Art with Extralum Dev, Perc Approach

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
4BodyPartRPosterior Tibial Artery, Right
5Approach3Percutaneous
6DeviceCExtraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 04VR3CZ under the General Equivalence Mappings.

39.51
Approximate match.

Similar Procedure Codes

Questions About 04VR3CZ

Is 04VR3CZ a billable code?

Yes. 04VR3CZ is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 04VR3CZ mean?

04VR3CZ 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 R is the BodyPart (Posterior Tibial Artery, Right); the 5th character 3 is the Approach (Percutaneous); the 6th character C is the Device (Extraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 04VR3CZ group to?

On an inpatient stay, Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach maps to MS-DRGs 252, 253, 254, with relative weights from 1.7817 to 3.4883. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 04VR3CZ?

Under the General Equivalence Mappings, Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach crosswalks to ICD-9-PCS 39.51. The mapping is approximate, so confirm it fits the documentation.