ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04V2 includes procedures performed to restrict blood flow in vessels in the gastric artery. These ICD-10-PCS codes are used for inpatient documentation when a partial closure or narrowing of the gastric artery lumen is performed to reduce or control arterial flow. Accurate coding within the ICD-10-PCS 04V2 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Gastric Artery Restriction Procedure Overview

Procedures in this ICD-10-PCS group involve partially closing the lumen of the gastric artery to restrict blood flow within the lower arteries of the abdomen. These operations target the gastric artery and are coded in the Medical and Surgical section under the Lower Arteries body system. Accurate coding of restriction procedures is important for inpatient reimbursement because it documents the specific vascular intervention performed and supports appropriate case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
V	Operation	Restriction
2	Body Part	Gastric Artery

Explore openpayer tools

View all tools

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

Customize your policy alerts

Sign up for ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Gastric Artery Restriction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
4	Body System	Lower Arteries
V	Operation	Restriction
2	Body Part	Gastric Artery

When to Use

Use a code from this group when a procedure intentionally narrows or partially occludes the gastric artery lumen to control or reduce blood flow. These codes are selected when the operative intent and documentation indicate a restriction rather than complete occlusion, repair, or bypass.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V20CZ	Restriction of Gastric Artery with Extraluminal Device, Open Approach
04V20DZ	Restriction of Gastric Artery with Intraluminal Device, Open Approach
04V20ZZ	Restriction of Gastric Artery, Open Approach
04V23CZ	Restriction of Gastric Artery with Extraluminal Device, Percutaneous Approach
04V23DZ	Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach
04V23ZZ	Restriction of Gastric Artery, Percutaneous Approach
04V24CZ	Restriction of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V24DZ	Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V24ZZ	Restriction of Gastric Artery, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

A middle-aged patient hospitalized with massive upper gastrointestinal bleeding due to a bleeding gastric ulcer that is unresponsive to endoscopic hemostasis; interventional management in the inpatient setting aims to reduce arterial inflow to the stomach by partially occluding the gastric artery to control hemorrhage while preserving some distal perfusion. Typical codes: 04V23DZ, 04V24DZ
An elective admission for a patient with severe refractory gastroparesis and hypertrophic mucosal disease who undergoes a planned laparoscopic vascular-sparing procedure to reduce arterial supply to a portion of the stomach as an adjunct to surgical therapy; the operation deliberately narrows the gastric artery lumen without complete occlusion to decrease blood flow and symptom burden. Typical codes: 04V20DZ, 04V24DZ
A patient returns to the operating room for treatment of a previously placed arterial device that migrated and is causing localized ischemic pain; the surgeon performs a targeted partial restriction procedure on the gastric artery to reposition or exchange the device and re-establish controlled, reduced flow while avoiding full vessel occlusion. Typical codes: 04V20CZ, 04V23CZ

Related Codes

04V0-ABDOMINAL-AORTA-RESTRICTION

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

04V1-CELIAC-ARTERY-RESTRICTION

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

04V3-HEPATIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

04V4-SPLENIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

04V5-SUPERIOR-MESENTERIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

04V6-COLIC-ARTERY-RIGHT-RESTRICTION

ICD-10-PCS Code For Colic Artery Right: Procedure Code Group Overview

04V7-LEFT-COLIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Colic Artery, Left: Procedure Code Group Overview

04V8-COLIC-ARTERY-MIDDLE-RESTRICTION

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

04V9-RENAL-ARTERY-RIGHT-RESTRICTION

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

04VA-LEFT-RENAL-ARTERY-RESTRICTION

ICD-10-PCS Code For Renal Artery, Left: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V20CZ	Restriction of Gastric Artery with Extraluminal Device, Open Approach
04V20DZ	Restriction of Gastric Artery with Intraluminal Device, Open Approach
04V20ZZ	Restriction of Gastric Artery, Open Approach
04V23CZ	Restriction of Gastric Artery with Extraluminal Device, Percutaneous Approach
04V23DZ	Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach
04V23ZZ	Restriction of Gastric Artery, Percutaneous Approach
04V24CZ	Restriction of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V24DZ	Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V24ZZ	Restriction of Gastric Artery, Percutaneous Endoscopic Approach

DRG Codes

15 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

A middle-aged patient hospitalized with massive upper gastrointestinal bleeding due to a bleeding gastric ulcer that is unresponsive to endoscopic hemostasis; interventional management in the inpatient setting aims to reduce arterial inflow to the stomach by partially occluding the gastric artery to control hemorrhage while preserving some distal perfusion. Typical codes: 04V23DZ, 04V24DZ
An elective admission for a patient with severe refractory gastroparesis and hypertrophic mucosal disease who undergoes a planned laparoscopic vascular-sparing procedure to reduce arterial supply to a portion of the stomach as an adjunct to surgical therapy; the operation deliberately narrows the gastric artery lumen without complete occlusion to decrease blood flow and symptom burden. Typical codes: 04V20DZ, 04V24DZ
A patient returns to the operating room for treatment of a previously placed arterial device that migrated and is causing localized ischemic pain; the surgeon performs a targeted partial restriction procedure on the gastric artery to reposition or exchange the device and re-establish controlled, reduced flow while avoiding full vessel occlusion. Typical codes: 04V20CZ, 04V23CZ

Related Codes

04V0-ABDOMINAL-AORTA-RESTRICTION

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

04V1-CELIAC-ARTERY-RESTRICTION

ICD-10-PCS Code For Celiac Artery: Procedure Code Group Overview

04V3-HEPATIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Hepatic Artery: Procedure Code Group Overview

04V4-SPLENIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Splenic Artery: Procedure Code Group Overview

04V5-SUPERIOR-MESENTERIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Superior Mesenteric Artery: Procedure Code Group Overview

04V6-COLIC-ARTERY-RIGHT-RESTRICTION

ICD-10-PCS Code For Colic Artery Right: Procedure Code Group Overview

04V7-LEFT-COLIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Colic Artery, Left: Procedure Code Group Overview

04V8-COLIC-ARTERY-MIDDLE-RESTRICTION

ICD-10-PCS Code For Colic Artery, Middle: Procedure Code Group Overview

04V9-RENAL-ARTERY-RIGHT-RESTRICTION

ICD-10-PCS Code For Renal Artery Right: Procedure Code Group Overview

04VA-LEFT-RENAL-ARTERY-RESTRICTION

ICD-10-PCS Code For Renal Artery, Left: Procedure Code Group Overview

Showing 1–10 of 30

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview policy alerts

Gastric Artery Restriction Procedure Overview

Code Attributes

ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Gastric Artery: Procedure Code Group Overview policy alerts

Gastric Artery Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 04V2 gastric artery restriction group?

What is the primary coding section and body system for these procedures?

How does accurate coding in 04V2 affect inpatient reimbursement?

Which DRGs may be assigned when a 04V2 procedure is coded?

How are approach and device distinctions represented in the specific ICD-10-PCS codes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 04V2 gastric artery restriction group?

What is the primary coding section and body system for these procedures?

How does accurate coding in 04V2 affect inpatient reimbursement?

Which DRGs may be assigned when a 04V2 procedure is coded?

How are approach and device distinctions represented in the specific ICD-10-PCS codes?

References