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ICD-10-PCS 2027 procedure code

03VL4HZRestriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict L Int Carotid w Flow Divert, Perc Endo

Code last changed in FY2020 (effective October 1, 2019). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 03VL4HZ

03VL4HZ is the ICD-10-PCS code for a restriction procedure on the left internal carotid artery using a percutaneous endoscopic approach with intraluminal device, flow diverter. 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 03VG4HZ (intracranial artery), 03VH4HZ (right common carotid artery), 03VJ4HZ (left common carotid artery), 03VK4HZ (right internal carotid artery), 03VM4HZ (right external carotid artery), 03VN4HZ (left external carotid artery) and 2 more.

The same procedure with a different approach is coded 03VL0HZ (open) and 03VL3HZ (percutaneous).

With a different device, use 03VL4BZ (intraluminal device, bioactive), 03VL4CZ (extraluminal device), 03VL4DZ (intraluminal device) and 03VL4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), 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 categories “Extracranial Procedures”, “Other Vascular Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It was added in FY2020, effective October 1, 2019.

What each character means

1. Section
0Medical and Surgical
2. Body System
3Upper Arteries
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
LInternal Carotid Artery, Left

Includes: Caroticotympanic artery; Carotid sinus

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
HIntraluminal Device, Flow Diverter
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
  • FY2020 (effective 10/1/2019): Added
  • No changes since FY2020.

Common questions about 03VL4HZ

Is 03VL4HZ a valid ICD-10-PCS code for 2027?

Yes. 03VL4HZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 03VL4HZ an O.R. procedure?

Yes. 03VL4HZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 03VL4HZ group to?

Depending on the principal diagnosis, 03VL4HZ can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 252, MS-DRG 253 and MS-DRG 254.