Restriction includes:

  • Esophagogastric fundoplication, cervical cerclage

Hepatic Artery body part includes:

  • Common hepatic artery
  • Gastroduodenal artery
  • Hepatic artery proper

Extraluminal Device device includes:

  • AtriClip LAA Exclusion System
  • LAP-BAND(R) adjustable gastric banding system
  • REALIZE(R) Adjustable Gastric Band
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Vascular Procedures
    • DRG 252 - OTHER VASCULAR PROCEDURES WITH MCC
    • DRG 253 - OTHER VASCULAR PROCEDURES WITH CC
    • DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC

ICD-10-PCS code structure for 04V30CZSee Table View

1: Section 0 Medical and Surgical
2: Body System 4 Lower Arteries
3: Root Operation V Restriction
4: Body Part 3 Hepatic Artery
5: Approach 0 Open
6: Device C Extraluminal Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.