ICD-10-PCS Tabular Index · Section 0 · FY 2026 04V

04V Restriction - Lower Arteries ICD-10-PCS

The 04V code range contains 295 ICD-10-PCS codes for Restriction procedures on the lower arteries. 294 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026

295

Procedure Codes

294

Billable Codes

04V

Characters 1–3

Parent Body System

Root Operation Definition

Restriction: Partially closing an orifice or the lumen of a tubular body part.

ICD-10-PCS

Codes in the 04V Range 295 codes · 294 billable

295 of 295 shown

04V Lower Arteries, RestrictionNon-billable header
04V00CZ Restriction of Abdominal Aorta with Extraluminal Device, Open Approach
04V00DJ Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach
04V00DZ Restriction of Abdominal Aorta with Intraluminal Device, Open Approach
04V00EZ Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
04V00FZ Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
04V00ZZ Restriction of Abdominal Aorta, Open Approach
04V03CZ Restriction of Abdominal Aorta with Extraluminal Device, Percutaneous Approach
04V03DJ Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach
04V03DZ Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
04V03EZ Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
04V03FZ Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
04V03ZZ Restriction of Abdominal Aorta, Percutaneous Approach
04V04CZ Restriction of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach
04V04DJ Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Endoscopic Approach
04V04DZ Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach
04V04EZ Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
04V04FZ Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach
04V04ZZ Restriction of Abdominal Aorta, Percutaneous Endoscopic Approach
04V10CZ Restriction of Celiac Artery with Extraluminal Device, Open Approach
04V10DZ Restriction of Celiac Artery with Intraluminal Device, Open Approach
04V10ZZ Restriction of Celiac Artery, Open Approach
04V13CZ Restriction of Celiac Artery with Extraluminal Device, Percutaneous Approach
04V13DZ Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach
04V13ZZ Restriction of Celiac Artery, Percutaneous Approach
04V14CZ Restriction of Celiac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V14DZ Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V14ZZ Restriction of Celiac Artery, Percutaneous Endoscopic Approach
04V20CZ Restriction of Gastric Artery with Extraluminal Device, Open Approach
04V20DZ Restriction of Gastric Artery with Intraluminal Device, Open Approach
04V20ZZ Restriction of Gastric Artery, Open Approach
04V23CZ Restriction of Gastric Artery with Extraluminal Device, Percutaneous Approach
04V23DZ Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach
04V23ZZ Restriction of Gastric Artery, Percutaneous Approach
04V24CZ Restriction of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V24DZ Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V24ZZ Restriction of Gastric Artery, Percutaneous Endoscopic Approach
04V30CZ Restriction of Hepatic Artery with Extraluminal Device, Open Approach
04V30DZ Restriction of Hepatic Artery with Intraluminal Device, Open Approach
04V30ZZ Restriction of Hepatic Artery, Open Approach
04V33CZ Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Approach
04V33DZ Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04V33ZZ Restriction of Hepatic Artery, Percutaneous Approach
04V34CZ Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V34DZ Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V34ZZ Restriction of Hepatic Artery, Percutaneous Endoscopic Approach
04V40CZ Restriction of Splenic Artery with Extraluminal Device, Open Approach
04V40DZ Restriction of Splenic Artery with Intraluminal Device, Open Approach
04V40ZZ Restriction of Splenic Artery, Open Approach
04V43CZ Restriction of Splenic Artery with Extraluminal Device, Percutaneous Approach
04V43DZ Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach
04V43ZZ Restriction of Splenic Artery, Percutaneous Approach
04V44CZ Restriction of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V44DZ Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V44ZZ Restriction of Splenic Artery, Percutaneous Endoscopic Approach
04V50CZ Restriction of Superior Mesenteric Artery with Extraluminal Device, Open Approach
04V50DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach
04V50ZZ Restriction of Superior Mesenteric Artery, Open Approach
04V53CZ Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04V53DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04V53ZZ Restriction of Superior Mesenteric Artery, Percutaneous Approach
04V54CZ Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V54DZ Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V54ZZ Restriction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach
04V60CZ Restriction of Right Colic Artery with Extraluminal Device, Open Approach
04V60DZ Restriction of Right Colic Artery with Intraluminal Device, Open Approach
04V60ZZ Restriction of Right Colic Artery, Open Approach
04V63CZ Restriction of Right Colic Artery with Extraluminal Device, Percutaneous Approach
04V63DZ Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach
04V63ZZ Restriction of Right Colic Artery, Percutaneous Approach
04V64CZ Restriction of Right Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V64DZ Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V64ZZ Restriction of Right Colic Artery, Percutaneous Endoscopic Approach
04V70CZ Restriction of Left Colic Artery with Extraluminal Device, Open Approach
04V70DZ Restriction of Left Colic Artery with Intraluminal Device, Open Approach
04V70ZZ Restriction of Left Colic Artery, Open Approach
04V73CZ Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Approach
04V73DZ Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04V73ZZ Restriction of Left Colic Artery, Percutaneous Approach
04V74CZ Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V74DZ Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V74ZZ Restriction of Left Colic Artery, Percutaneous Endoscopic Approach
04V80CZ Restriction of Middle Colic Artery with Extraluminal Device, Open Approach
04V80DZ Restriction of Middle Colic Artery with Intraluminal Device, Open Approach
04V80ZZ Restriction of Middle Colic Artery, Open Approach
04V83CZ Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Approach
04V83DZ Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04V83ZZ Restriction of Middle Colic Artery, Percutaneous Approach
04V84CZ Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V84DZ Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V84ZZ Restriction of Middle Colic Artery, Percutaneous Endoscopic Approach
04V90CZ Restriction of Right Renal Artery with Extraluminal Device, Open Approach
04V90DZ Restriction of Right Renal Artery with Intraluminal Device, Open Approach
04V90ZZ Restriction of Right Renal Artery, Open Approach
04V93CZ Restriction of Right Renal Artery with Extraluminal Device, Percutaneous Approach
04V93DZ Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach
04V93ZZ Restriction of Right Renal Artery, Percutaneous Approach
04V94CZ Restriction of Right Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V94DZ Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V94ZZ Restriction of Right Renal Artery, Percutaneous Endoscopic Approach
04VA0CZ Restriction of Left Renal Artery with Extraluminal Device, Open Approach
04VA0DZ Restriction of Left Renal Artery with Intraluminal Device, Open Approach
04VA0ZZ Restriction of Left Renal Artery, Open Approach
04VA3CZ Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Approach
04VA3DZ Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach
04VA3ZZ Restriction of Left Renal Artery, Percutaneous Approach
04VA4CZ Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VA4DZ Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VA4ZZ Restriction of Left Renal Artery, Percutaneous Endoscopic Approach
04VB0CZ Restriction of Inferior Mesenteric Artery with Extraluminal Device, Open Approach
04VB0DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach
04VB0ZZ Restriction of Inferior Mesenteric Artery, Open Approach
04VB3CZ Restriction of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04VB3DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04VB3ZZ Restriction of Inferior Mesenteric Artery, Percutaneous Approach
04VB4CZ Restriction of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VB4DZ Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VB4ZZ Restriction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach
04VC0CZ Restriction of Right Common Iliac Artery with Extraluminal Device, Open Approach
04VC0DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach
04VC0EZ Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
04VC0ZZ Restriction of Right Common Iliac Artery, Open Approach
04VC3CZ Restriction of Right Common Iliac Artery with Extraluminal Device, Percutaneous Approach
04VC3DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach
04VC3EZ Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
04VC3ZZ Restriction of Right Common Iliac Artery, Percutaneous Approach
04VC4CZ Restriction of Right Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VC4DZ Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VC4EZ Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
04VC4ZZ Restriction of Right Common Iliac Artery, Percutaneous Endoscopic Approach
04VD0CZ Restriction of Left Common Iliac Artery with Extraluminal Device, Open Approach
04VD0DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach
04VD0EZ Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
04VD0ZZ Restriction of Left Common Iliac Artery, Open Approach
04VD3CZ Restriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Approach
04VD3DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach
04VD3EZ Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
04VD3ZZ Restriction of Left Common Iliac Artery, Percutaneous Approach
04VD4CZ Restriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VD4DZ Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VD4EZ Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
04VD4ZZ Restriction of Left Common Iliac Artery, Percutaneous Endoscopic Approach
04VE0CZ Restriction of Right Internal Iliac Artery with Extraluminal Device, Open Approach
04VE0DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach
04VE0ZZ Restriction of Right Internal Iliac Artery, Open Approach
04VE3CZ Restriction of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Approach
04VE3DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach
04VE3ZZ Restriction of Right Internal Iliac Artery, Percutaneous Approach
04VE4CZ Restriction of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VE4DZ Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VE4ZZ Restriction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach
04VF0CZ Restriction of Left Internal Iliac Artery with Extraluminal Device, Open Approach
04VF0DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach
04VF0ZZ Restriction of Left Internal Iliac Artery, Open Approach
04VF3CZ Restriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Approach
04VF3DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach
04VF3ZZ Restriction of Left Internal Iliac Artery, Percutaneous Approach
04VF4CZ Restriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VF4DZ Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VF4ZZ Restriction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach
04VH0CZ Restriction of Right External Iliac Artery with Extraluminal Device, Open Approach
04VH0DZ Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach
04VH0ZZ Restriction of Right External Iliac Artery, Open Approach
04VH3CZ Restriction of Right External Iliac Artery with Extraluminal Device, Percutaneous Approach
04VH3DZ Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach
04VH3ZZ Restriction of Right External Iliac Artery, Percutaneous Approach
04VH4CZ Restriction of Right External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VH4DZ Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VH4ZZ Restriction of Right External Iliac Artery, Percutaneous Endoscopic Approach
04VJ0CZ Restriction of Left External Iliac Artery with Extraluminal Device, Open Approach
04VJ0DZ Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach
04VJ0ZZ Restriction of Left External Iliac Artery, Open Approach
04VJ3CZ Restriction of Left External Iliac Artery with Extraluminal Device, Percutaneous Approach
04VJ3DZ Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach
04VJ3ZZ Restriction of Left External Iliac Artery, Percutaneous Approach
04VJ4CZ Restriction of Left External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VJ4DZ Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VJ4ZZ Restriction of Left External Iliac Artery, Percutaneous Endoscopic Approach
04VK0CZ Restriction of Right Femoral Artery with Extraluminal Device, Open Approach
04VK0DZ Restriction of Right Femoral Artery with Intraluminal Device, Open Approach
04VK0ZZ Restriction of Right Femoral Artery, Open Approach
04VK3CZ Restriction of Right Femoral Artery with Extraluminal Device, Percutaneous Approach
04VK3DZ Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach
04VK3ZZ Restriction of Right Femoral Artery, Percutaneous Approach
04VK4CZ Restriction of Right Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VK4DZ Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VK4ZZ Restriction of Right Femoral Artery, Percutaneous Endoscopic Approach
04VL0CZ Restriction of Left Femoral Artery with Extraluminal Device, Open Approach
04VL0DZ Restriction of Left Femoral Artery with Intraluminal Device, Open Approach
04VL0ZZ Restriction of Left Femoral Artery, Open Approach
04VL3CZ Restriction of Left Femoral Artery with Extraluminal Device, Percutaneous Approach
04VL3DZ Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach
04VL3ZZ Restriction of Left Femoral Artery, Percutaneous Approach
04VL4CZ Restriction of Left Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VL4DZ Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VL4ZZ Restriction of Left Femoral Artery, Percutaneous Endoscopic Approach
04VM0CZ Restriction of Right Popliteal Artery with Extraluminal Device, Open Approach
04VM0DZ Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach
04VM0ZZ Restriction of Right Popliteal Artery, Open Approach
04VM3CZ Restriction of Right Popliteal Artery with Extraluminal Device, Percutaneous Approach
04VM3DZ Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach
04VM3ZZ Restriction of Right Popliteal Artery, Percutaneous Approach
04VM4CZ Restriction of Right Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VM4DZ Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VM4ZZ Restriction of Right Popliteal Artery, Percutaneous Endoscopic Approach
04VN0CZ Restriction of Left Popliteal Artery with Extraluminal Device, Open Approach
04VN0DZ Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach
04VN0ZZ Restriction of Left Popliteal Artery, Open Approach
04VN3CZ Restriction of Left Popliteal Artery with Extraluminal Device, Percutaneous Approach
04VN3DZ Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach
04VN3ZZ Restriction of Left Popliteal Artery, Percutaneous Approach
04VN4CZ Restriction of Left Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VN4DZ Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VN4ZZ Restriction of Left Popliteal Artery, Percutaneous Endoscopic Approach
04VP0CZ Restriction of Right Anterior Tibial Artery with Extraluminal Device, Open Approach
04VP0DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach
04VP0ZZ Restriction of Right Anterior Tibial Artery, Open Approach
04VP3CZ Restriction of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VP3DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VP3ZZ Restriction of Right Anterior Tibial Artery, Percutaneous Approach
04VP4CZ Restriction of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VP4DZ Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VP4ZZ Restriction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach
04VQ0CZ Restriction of Left Anterior Tibial Artery with Extraluminal Device, Open Approach
04VQ0DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach
04VQ0ZZ Restriction of Left Anterior Tibial Artery, Open Approach
04VQ3CZ Restriction of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VQ3DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VQ3ZZ Restriction of Left Anterior Tibial Artery, Percutaneous Approach
04VQ4CZ Restriction of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VQ4DZ Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VQ4ZZ Restriction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach
04VR0CZ Restriction of Right Posterior Tibial Artery with Extraluminal Device, Open Approach
04VR0DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach
04VR0ZZ Restriction of Right Posterior Tibial Artery, Open Approach
04VR3CZ Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VR3DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VR3ZZ Restriction of Right Posterior Tibial Artery, Percutaneous Approach
04VR4CZ Restriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VR4DZ Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VR4ZZ Restriction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
04VS0CZ Restriction of Left Posterior Tibial Artery with Extraluminal Device, Open Approach
04VS0DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach
04VS0ZZ Restriction of Left Posterior Tibial Artery, Open Approach
04VS3CZ Restriction of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VS3DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VS3ZZ Restriction of Left Posterior Tibial Artery, Percutaneous Approach
04VS4CZ Restriction of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VS4DZ Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VS4ZZ Restriction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach
04VT0CZ Restriction of Right Peroneal Artery with Extraluminal Device, Open Approach
04VT0DZ Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach
04VT0ZZ Restriction of Right Peroneal Artery, Open Approach
04VT3CZ Restriction of Right Peroneal Artery with Extraluminal Device, Percutaneous Approach
04VT3DZ Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach
04VT3ZZ Restriction of Right Peroneal Artery, Percutaneous Approach
04VT4CZ Restriction of Right Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VT4DZ Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VT4ZZ Restriction of Right Peroneal Artery, Percutaneous Endoscopic Approach
04VU0CZ Restriction of Left Peroneal Artery with Extraluminal Device, Open Approach
04VU0DZ Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach
04VU0ZZ Restriction of Left Peroneal Artery, Open Approach
04VU3CZ Restriction of Left Peroneal Artery with Extraluminal Device, Percutaneous Approach
04VU3DZ Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach
04VU3ZZ Restriction of Left Peroneal Artery, Percutaneous Approach
04VU4CZ Restriction of Left Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VU4DZ Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VU4ZZ Restriction of Left Peroneal Artery, Percutaneous Endoscopic Approach
04VV0CZ Restriction of Right Foot Artery with Extraluminal Device, Open Approach
04VV0DZ Restriction of Right Foot Artery with Intraluminal Device, Open Approach
04VV0ZZ Restriction of Right Foot Artery, Open Approach
04VV3CZ Restriction of Right Foot Artery with Extraluminal Device, Percutaneous Approach
04VV3DZ Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach
04VV3ZZ Restriction of Right Foot Artery, Percutaneous Approach
04VV4CZ Restriction of Right Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VV4DZ Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VV4ZZ Restriction of Right Foot Artery, Percutaneous Endoscopic Approach
04VW0CZ Restriction of Left Foot Artery with Extraluminal Device, Open Approach
04VW0DZ Restriction of Left Foot Artery with Intraluminal Device, Open Approach
04VW0ZZ Restriction of Left Foot Artery, Open Approach
04VW3CZ Restriction of Left Foot Artery with Extraluminal Device, Percutaneous Approach
04VW3DZ Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach
04VW3ZZ Restriction of Left Foot Artery, Percutaneous Approach
04VW4CZ Restriction of Left Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VW4DZ Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VW4ZZ Restriction of Left Foot Artery, Percutaneous Endoscopic Approach
04VY0CZ Restriction of Lower Artery with Extraluminal Device, Open Approach
04VY0DZ Restriction of Lower Artery with Intraluminal Device, Open Approach
04VY0ZZ Restriction of Lower Artery, Open Approach
04VY3CZ Restriction of Lower Artery with Extraluminal Device, Percutaneous Approach
04VY3DZ Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach
04VY3ZZ Restriction of Lower Artery, Percutaneous Approach
04VY4CZ Restriction of Lower Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VY4DZ Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VY4ZZ Restriction of Lower Artery, Percutaneous Endoscopic Approach

About the 04V Code Range

The ICD-10-PCS root operation Restriction (code 04V) in the Medical and Surgical section involves decreasing the size of an orifice or lumen of the Lower Arteries. This procedure aims to limit blood flow through the targeted artery.

Restriction is commonly performed using devices that can be placed either around the artery (Extraluminal Device) or inside the artery (Intraluminal Device), and it can be done through various approaches such as Open, Percutaneous, and Percutaneous Endoscopic methods. For example, code 04V00CZ describes the restriction of the Abdominal Aorta via an extraluminal device using an open approach, while 04V03DZ reflects intraluminal device placement through a percutaneous approach. Similar codes represent restriction of other arteries such as the Celiac Artery (04V10ZZ), Hepatic Artery (04V30ZZ), and Left Femoral Artery (04VL0ZZ), among others. These specific artery restriction codes enable precise documentation of the procedure and approach used to control arterial blood flow.

Questions About This Page

How many billable codes are in the 04V range?

Of the 295 codes in this range, 294 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.

What does the 04V range classify?

The range classifies Restriction procedures, partially closing an orifice or the lumen of a tubular body part, performed on the lower arteries. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.

Related References

All ICD-10-PCS Sections All of Medical and Surgical (0)All of Body System 04 ICD-10-PCS Code Lookup ICD-10-CM Codes List MS-DRG Reference Medicare Code Edits

Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.