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Inpatient Procedure Code

04VY0DZ ICD-10-PCS Code: Restriction of Lower Artery with Intraluminal Device, Open Approach

Restriction of Lower Artery with Intralum Dev, Open 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.

PositionValueMeaning
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 PartY

Lower Artery

5
Approach0

Open

6
DeviceD

Intraluminal 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 9 MS-DRGs:

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.

04VP0DZ — Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach, 04VQ0DZ — Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach, 04VR0DZ — Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach, 04VS0DZ — Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach, 04VT0DZ — Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach, 04VU0DZ — Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach, 04VV0DZ — Restriction of Right Foot Artery with Intraluminal Device, Open Approach, 04VW0DZ — Restriction of Left Foot Artery with Intraluminal Device, Open Approach, +22 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

04VY3DZ — Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach, 04VY4DZ — Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

04VY0CZ — Restriction of Lower Artery with Extraluminal Device, Open Approach, 04VY0ZZ — Restriction of Lower Artery, Open 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 04VY0DZ 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 04VY0DZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (9)

Clinical classification (CCSR)

MDC crossing · diagnoses (16966)

  • 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 16961 more

Nearest codes

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