0VLG4DZOcclusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach

Medical and Surgical›Male Reproductive System›Occlusion

Billable / Specific Code
Medicare Coverage Alert

ICD-10-PCS 0VLG4DZ

CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.

0VLG4DZ is a billable ICD-10-PCS procedure code for Occlusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The root operation Occlusion involves completely closing an orifice or the lumen of a tubular body part. Medicare may not cover this procedure when diagnosis Z30.2 is on the claim.

Code Identity

ICD-10-PCS Code

0VLG4DZ

Billable Status

Yes — Valid for Submission

Code Describes

Occlusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach

Parent Code

0VL

Short Description

Occlusion L Sperm Cord w Intralum Dev, Perc Endo

Medicare Coverage

Coverage alert — see Code Edits

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.

Position	Designation	Value	Meaning
1	Section	0	Medical and Surgical
2	Body System	V	Male Reproductive System
3	Operation	L	Occlusion
4	BodyPart	G	Spermatic Cord, Left
5	Approach	4	Percutaneous Endoscopic
6	Device	D	Intraluminal Device
7	Qualifier	Z	No Qualifier

Medicare Code Edits

Medicare Code Editor checks that affect claim validity for 0VLG4DZ.

Non-covered Procedure Codes Sterilization

The procedure codes shown below are identified as non-covered procedures only when ICD-10-CM diagnosis code Z30.2 (Encounter for sterilization) is listed as the principal diagnosis or secondary diagnosis.

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 0VLG4DZ under the General Equivalence Mappings.

63.72

Approximate match.

Code History

Replaced in the FY 2026 code set by:

0VLG8DZ — Occlusion of Left Spermatic Cord with Intralum Dev, Endo

Similar Procedure Codes

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Questions About 0VLG4DZ

Is 0VLG4DZ a billable code?

Yes. 0VLG4DZ is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 0VLG4DZ mean?

0VLG4DZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character V is the Body System (Male Reproductive System); the 3rd character L is the Operation (Occlusion); the 4th character G is the BodyPart (Spermatic Cord, Left); 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).

Is 0VLG4DZ covered by Medicare?

Not always. The Medicare Code Editor flags 0VLG4DZ as non-covered when diagnosis Z30.2 is reported as the principal or secondary diagnosis, since the procedure is then considered elective. Coverage otherwise follows standard rules.

What is the ICD-9-PCS equivalent of 0VLG4DZ?

Under the General Equivalence Mappings, Occlusion of Left Spermatic Cord with Intraluminal Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 63.72. The mapping is approximate, so confirm it fits the documentation.