04VD4ZZ ICD-10-PCS Code: Restriction of Left Common Iliac Artery, Percutaneous Endoscopic Approach
Restriction of Left Common Iliac Artery, Perc Endo Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System4 | Lower Arteries |
| 3 | Root OperationV | Restriction Partially closing an orifice or the lumen of a tubular body part |
| 4 | Body PartD | Common Iliac Artery, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:
- MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
04V94ZZ — Restriction of Right Renal Artery, Percutaneous Endoscopic Approach, 04VA4ZZ — Restriction of Left Renal Artery, Percutaneous Endoscopic Approach, 04VB4ZZ — Restriction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach, 04VC4ZZ — Restriction of Right Common Iliac Artery, Percutaneous Endoscopic Approach, 04VE4ZZ — Restriction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach, 04VF4ZZ — Restriction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach, 04VH4ZZ — Restriction of Right External Iliac Artery, Percutaneous Endoscopic Approach, 04VJ4ZZ — Restriction of Left External Iliac Artery, Percutaneous Endoscopic Approach, +22 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
04VD0ZZ — Restriction of Left Common Iliac Artery, Open Approach, 04VD3ZZ — Restriction of Left Common Iliac Artery, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
04VD4CZ — Restriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 04VD4DZ — Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach, 04VD4EZ — Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Aneurysm repair procedures (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
03VV4ZZ — Restriction of Left Thyroid Artery, Percutaneous Endoscopic Approach, 03VY0CZ — Restriction of Upper Artery with Extraluminal Device, Open Approach, 03VY0DZ — Restriction of Upper Artery with Intraluminal Device, Open Approach, 03VY0ZZ — Restriction of Upper Artery, Open Approach, 03VY3CZ — Restriction of Upper Artery with Extraluminal Device, Percutaneous Approach, 03VY3DZ — Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach, 03VY3ZZ — Restriction of Upper Artery, Percutaneous Approach, 03VY4CZ — Restriction of Upper Artery with Extraluminal Device, Percutaneous Endoscopic Approach, 03VY4DZ — Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach, 03VY4ZZ — Restriction of Upper Artery, Percutaneous Endoscopic Approach, 05V00CZ — Restriction of Azygos Vein with Extraluminal Device, Open Approach, 05V00DZ — Restriction of Azygos Vein with Intraluminal Device, Open Approach, 05V00ZZ — Restriction of Azygos Vein, Open Approach, 05V03CZ — Restriction of Azygos Vein with Extraluminal Device, Percutaneous Approach, 05V03DZ — Restriction of Azygos Vein with Intraluminal Device, Percutaneous Approach, 05V03ZZ — Restriction of Azygos Vein, Percutaneous Approach, 05V04CZ — Restriction of Azygos Vein with Extraluminal Device, Percutaneous Endoscopic Approach, 05V04DZ — Restriction of Azygos Vein with Intraluminal Device, Percutaneous Endoscopic Approach, 05V04ZZ — Restriction of Azygos Vein, Percutaneous Endoscopic Approach, 05V10CZ — Restriction of Hemiazygos Vein with Extraluminal Device, Open Approach, +760 more
Contextual Map
Every relationship of 04VD4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 04VD4ZZ with these 5 related codes in Claim Check
PCS table
- 04V[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Lower Arteries — Body System: Lower Arteries[Body System]: “Lower Arteries”— CMS ICD-10-PCS tables
- Restriction — Operation: Restriction[Operation]: “Restriction”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- CAR011 — Aneurysm repair procedures[CCSR category]: “Aneurysm repair procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (8238)
- MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 8233 more
Nearest codes
- 04V04ZZ — Restriction of Abdominal Aorta, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V14ZZ — Restriction of Celiac Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V24ZZ — Restriction of Gastric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V34ZZ — Restriction of Hepatic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V44ZZ — Restriction of Splenic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V54ZZ — Restriction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V64ZZ — Restriction of Right Colic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 04V74ZZ — Restriction of Left Colic Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels