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ICD-10-PCS 2027 procedure code

04VB4ZZRestriction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Inf Mesent Art, 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 04VB4ZZ

04VB4ZZ is the ICD-10-PCS code for a restriction procedure on the inferior mesenteric 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 04V04ZZ (abdominal aorta), 04V14ZZ (celiac artery), 04V24ZZ (gastric artery), 04V34ZZ (hepatic artery), 04V44ZZ (splenic artery), 04V54ZZ (superior mesenteric artery) and 24 more.

The same procedure with a different approach is coded 04VB0ZZ (open) and 04VB3ZZ (percutaneous).

With a different device, use 04VB4CZ (extraluminal device) and 04VB4DZ (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
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 04VB4ZZ

Is 04VB4ZZ a valid ICD-10-PCS code for 2027?

Yes. 04VB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 04VB4ZZ an O.R. procedure?

Yes. 04VB4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 04VB4ZZ group to?

Depending on the principal diagnosis, 04VB4ZZ 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 04VB4ZZ?

The CMS GEMs map 04VB4ZZ to ICD-9-CM 39.52 (Other repair of aneurysm).