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ICD 10 Code 03VG4HZ

Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
“Restrict Intracran Art w Flow Divert, Perc Endo” for short

03VG4HZ is a valid billable ICD-10 procedure code for Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Restriction involves:
Partially closing an orifice or the lumen of a tubular body part. The orifice can be a natural orifice or an artificially created orifice

Percutaneous Endoscopic approach involves:
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

Restriction includes:

  • Esophagogastric fundoplication, cervical cerclage

Intracranial Artery body part includes:

  • Anterior cerebral artery
  • Anterior choroidal artery
  • Anterior communicating artery
  • Basilar artery
  • Circle of Willis
  • Internal carotid artery, intracranial portion
  • Middle cerebral artery
  • Middle meningeal artery, intracranial portion
  • Ophthalmic artery
  • Posterior cerebral artery
  • Posterior communicating artery
  • Posterior inferior cerebellar artery (PICA)
  • Vertebral artery, intracranial portion
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Intracranial Vascular Procedures with PDX Hemorrhage
    • DRG 020 - INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH MCC
    • DRG 021 - INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH CC
    • DRG 022 - INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT CC/MCC
  • MDC 01 Diseases & Disorders of the Nervous System
    Craniotomy with Major Device Implant or Acute Complex CNS PDX
    • DRG 023 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
    • DRG 024 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MCC
  • MDC 01 Diseases & Disorders of the Nervous System
    Craniotomy and Endovascular Intracranial Procedures
    • DRG 025 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
    • DRG 026 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
    • DRG 027 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Major Cardiovascular Procedures
    • 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
  • MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
    Other Kidney and Urinary Tract Procedures
    • DRG 673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
    • DRG 674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
    • DRG 675 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 03VG4HZ — See Table View

1: Section 0 Medical and Surgical
2: Body System 3 Upper Arteries
3: Root Operation V Restriction
4: Body Part G Intracranial Artery
5: Approach 4 Percutaneous Endoscopic
6: Device H Intraluminal Device, Flow Diverter
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.