03VG4CZRestriction of Intracranial Artery with Extraluminal Device, Percutaneous Endoscopic Approach

03VG4CZ is the ICD-10-PCS code for a restriction procedure on the intracranial artery 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 03V04CZ (right internal mammary artery), 03V14CZ (left internal mammary artery), 03V24CZ (innominate artery), 03V34CZ (right subclavian artery), 03V44CZ (left subclavian artery), 03V54CZ (right axillary artery) and 23 more.

The same procedure with a different approach is coded 03VG0CZ (open) and 03VG3CZ (percutaneous).

With a different device, use 03VG4BZ (intraluminal device, bioactive), 03VG4DZ (intraluminal device), 03VG4HZ (intraluminal device, flow diverter) and 03VG4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 020 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC), DRG 021 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC), DRG 022 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC), DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC) and DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), under the surgical categories “Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage”, “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.