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ICD-10-PCS 2027 procedure code

03VP4ZZRestriction of Right Vertebral Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Right Vertebral Artery, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 03VP4ZZ

03VP4ZZ is the ICD-10-PCS code for a restriction procedure on the right vertebral artery using a percutaneous endoscopic approach. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other repair of aneurysm, the ICD-9-CM procedure title it maps to (39.52).

For a different body part, codes include 03V04ZZ (right internal mammary artery), 03V14ZZ (left internal mammary artery), 03V24ZZ (innominate artery), 03V34ZZ (right subclavian artery), 03V44ZZ (left subclavian artery), 03V54ZZ (right axillary artery) and 23 more.

The same procedure with a different approach is coded 03VP0ZZ (open) and 03VP3ZZ (percutaneous).

With a different device, use 03VP4BZ (intraluminal device, bioactive), 03VP4CZ (extraluminal device), 03VP4DZ (intraluminal device) and 03VP4HZ (intraluminal device, flow diverter).

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

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
PVertebral Artery, Right
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
ZNo Device
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 →
  • 39.52Other repair 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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 03VP4ZZ

Is 03VP4ZZ a valid ICD-10-PCS code for 2027?

Yes. 03VP4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 03VP4ZZ an O.R. procedure?

Yes. 03VP4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 03VP4ZZ group to?

Depending on the principal diagnosis, 03VP4ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 03VP4ZZ?

The CMS GEMs map 03VP4ZZ to ICD-9-CM 39.52 (Other repair of aneurysm).