ICD-10-PCS 2027 procedure code
04VR4ZZRestriction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
Short description: Restriction of R Post Tib 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 04VR4ZZ
04VR4ZZ is the ICD-10-PCS code for a restriction procedure on the right posterior tibial 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 04VR0ZZ (open) and 04VR3ZZ (percutaneous).
With a different device, use 04VR4CZ (extraluminal device) and 04VR4DZ (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 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
- 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
- RPosterior Tibial 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
Different body part
- 04V04ZZAbdominal Aorta
- 04V14ZZCeliac Artery
- 04V24ZZGastric Artery
- 04V34ZZHepatic Artery
- 04V44ZZSplenic Artery
- 04V54ZZSuperior Mesenteric Artery
- 04V64ZZColic Artery, Right
- 04V74ZZColic Artery, Left
- 04V84ZZColic Artery, Middle
- 04V94ZZRenal Artery, Right
- 04VA4ZZRenal Artery, Left
- 04VB4ZZInferior Mesenteric Artery
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 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
ICD-9-CM equivalent
Converter →- 39.52Other repair of aneurysmapproximate
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 04VR4ZZ
Is 04VR4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 04VR4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 04VR4ZZ an O.R. procedure?
- Yes. 04VR4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 04VR4ZZ group to?
- Depending on the principal diagnosis, 04VR4ZZ 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 04VR4ZZ?
- The CMS GEMs map 04VR4ZZ to ICD-9-CM 39.52 (Other repair of aneurysm).