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ICD-10-PCS 2027 procedure code

02VX4CZRestriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict Thor Aorta Asc w Extralum Dev, Perc Endo

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02VX4CZ

02VX4CZ is the ICD-10-PCS code for a restriction procedure on the thoracic aorta, ascending/arch 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.

In plain terms, this corresponds to Clipping of aneurysm, the ICD-9-CM procedure title it maps to (39.51).

For a different body part, codes include 02VA4CZ (heart), 02VL4CZ (left ventricle), 02VP4CZ (pulmonary trunk), 02VQ4CZ (right pulmonary artery), 02VR4CZ (left pulmonary artery), 02VS4CZ (right pulmonary vein) and 3 more.

The same procedure with a different approach is coded 02VX0CZ (open) and 02VX3CZ (percutaneous).

With a different device, use 02VX4DZ (intraluminal device), 02VX4EZ (intraluminal device, branched or fenestrated, one or two arteries), 02VX4FZ (intraluminal device, branched or fenestrated, three or more arteries) and 02VX4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.

It was added in FY2017, effective October 1, 2016.

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
XThoracic Aorta, Ascending/Arch

Includes: Aortic arch; Aortic isthmus; Aortic root; Ascending aorta; Juxtaductal aorta

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.

ICD-9-CM equivalent

Converter →
  • 39.51Clipping of aneurysmapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 02VX4CZ

Is 02VX4CZ a valid ICD-10-PCS code for 2027?

Yes. 02VX4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02VX4CZ an O.R. procedure?

Yes. 02VX4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02VX4CZ group to?

Depending on the principal diagnosis, 02VX4CZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 02VX4CZ?

The CMS GEMs map 02VX4CZ to ICD-9-CM 39.51 (Clipping of aneurysm).