04V04EZRestriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach

04V04EZ is the ICD-10-PCS code for a restriction procedure on the abdominal aorta using a percutaneous endoscopic approach with intraluminal device, branched or fenestrated, one or two arteries. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to endovascular implantation of branching or fenestrated graft(s) in aorta, the ICD-9-CM procedure title it maps to (39.78).

For a different body part, codes include 04VC4EZ (right common iliac artery) and 04VD4EZ (left common iliac artery).

The same procedure with a different approach is coded 04V00EZ (open) and 04V03EZ (percutaneous).

With a different device, use 04V04CZ (extraluminal device), 04V04DZ (intraluminal device), 04V04FZ (intraluminal device, branched or fenestrated, three or more arteries) and 04V04ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), DRG 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC), DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “Other Kidney and Urinary Tract Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

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