ICD-10-PCS 2027 procedure code
04VB3ZZRestriction of Inferior Mesenteric Artery, Percutaneous Approach
Short description: Restriction of Inferior Mesenteric Artery, Perc 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 04VB3ZZ
04VB3ZZ is the ICD-10-PCS code for a restriction procedure on the inferior mesenteric artery using a percutaneous 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 endovascular procedures on other vessels, the ICD-9-CM procedure title it maps to (39.79).
For a different body part, codes include 04V03ZZ (abdominal aorta), 04V13ZZ (celiac artery), 04V23ZZ (gastric artery), 04V33ZZ (hepatic artery), 04V43ZZ (splenic artery), 04V53ZZ (superior mesenteric artery) and 24 more.
The same procedure with a different approach is coded 04VB0ZZ (open) and 04VB4ZZ (percutaneous endoscopic).
With a different device, use 04VB3CZ (extraluminal device) and 04VB3DZ (intraluminal device).
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 673 (Other Kidney and Urinary Tract Procedures with MCC), DRG 674 (Other Kidney and Urinary Tract Procedures with CC) and DRG 675 (Other Kidney and Urinary Tract Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Kidney and Urinary Tract 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
- 4Lower 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
- BInferior Mesenteric Artery
Includes: Sigmoid artery; Superior rectal artery
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 04V03ZZAbdominal Aorta
- 04V13ZZCeliac Artery
- 04V23ZZGastric Artery
- 04V33ZZHepatic Artery
- 04V43ZZSplenic Artery
- 04V53ZZSuperior Mesenteric Artery
- 04V63ZZColic Artery, Right
- 04V73ZZColic Artery, Left
- 04V83ZZColic Artery, Middle
- 04V93ZZRenal Artery, Right
- 04VA3ZZRenal Artery, Left
- 04VC3ZZCommon Iliac Artery, Right
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 39.79Other endovascular procedures on other vesselsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 04VB3ZZ
Is 04VB3ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04VB3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04VB3ZZ an O.R. procedure?
- Yes. 04VB3ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04VB3ZZ group to?
- Depending on the principal diagnosis, 04VB3ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 673, MS-DRG 674 and MS-DRG 675.
What is the ICD-9 procedure code for 04VB3ZZ?
- The CMS GEMs map 04VB3ZZ to ICD-9-CM 39.79 (Other endovascular procedures on other vessels).