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ICD-10-PCS 2027 procedure code

02VL4CZRestriction of Left Ventricle with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict L Ventricle w Extralum Dev, Perc Endo

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02VL4CZ

02VL4CZ is the ICD-10-PCS code for a restriction procedure on the left ventricle using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

For a different body part, codes include 02VA4CZ (heart), 02VP4CZ (pulmonary trunk), 02VQ4CZ (right pulmonary artery), 02VR4CZ (left pulmonary artery), 02VS4CZ (right pulmonary vein), 02VT4CZ (left pulmonary vein) and 3 more.

The same procedure with a different approach is coded 02VL0CZ (open) and 02VL3CZ (percutaneous).

With a different device, use 02VL4DZ (intraluminal device) and 02VL4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures” and “Other O.R. Procedures for Injuries”.

It was added in FY2022, effective October 1, 2021.

What each character means

1. Section
0Medical and Surgical
2. Body System
2Heart and Great Vessels
3. Operation
VRestriction

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

The orifice can be a natural orifice or an artificially created orifice

Includes: Esophagogastric fundoplication, cervical cerclage

4. Body Part
LVentricle, Left
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2022 (effective 10/1/2021): Added
  • No changes since FY2022.

Common questions about 02VL4CZ

Is 02VL4CZ a valid ICD-10-PCS code for 2027?

Yes. 02VL4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02VL4CZ an O.R. procedure?

Yes. 02VL4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02VL4CZ group to?

Depending on the principal diagnosis, 02VL4CZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.