ICD-10-PCS 2027 procedure code
04VD4EZRestriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
Short description: Restrict L Com Iliac Art w Fenestr Dev 1 or 2, Perc Endo
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 04VD4EZ
04VD4EZ is the ICD-10-PCS code for a restriction procedure on the left common iliac artery 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 other endovascular procedures on other vessels, the ICD-9-CM procedure title it maps to (39.79).
For a different body part, codes include 04V04EZ (abdominal aorta) and 04VC4EZ (right common iliac artery).
The same procedure with a different approach is coded 04VD0EZ (open) and 04VD3EZ (percutaneous).
With a different device, use 04VD4CZ (extraluminal device), 04VD4DZ (intraluminal device) and 04VD4ZZ (no 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 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”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
It was added in FY2017, effective October 1, 2016.
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
- DCommon Iliac Artery, Left
- 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
- EIntraluminal Device, Branched or Fenestrated, One or Two Arteries
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
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 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
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
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about 04VD4EZ
Is 04VD4EZ a valid ICD-10-PCS code for 2027?
- Yes. 04VD4EZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04VD4EZ an O.R. procedure?
- Yes. 04VD4EZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04VD4EZ group to?
- Depending on the principal diagnosis, 04VD4EZ 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 04VD4EZ?
- The CMS GEMs map 04VD4EZ to ICD-9-CM 39.79 (Other endovascular procedures on other vessels).