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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04V3 includes procedures performed to restrict lumens in the hepatic artery. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous partial closure of the hepatic artery is performed to limit blood flow for therapeutic effect. Accurate coding within the ICD-10-PCS 04V3 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Hepatic Artery Restriction Procedure Overview

Procedures in this ICD-10-PCS code group involve percutaneous techniques to partially close or restrict the lumen of the hepatic artery within the lower arterial system. These procedures target the hepatic artery to reduce or limit blood flow for therapeutic reasons, such as controlling hemorrhage or devascularizing tissue. Accurate coding of these procedures is important for inpatient reimbursement because it captures the specific arterial target and the nature of the intervention.

Code Attributes

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

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

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Hepatic 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
3	Body Part	Hepatic Artery

When to Use

Use a code from this group when a percutaneous intervention is performed to partially close or restrict the hepatic artery lumen. These codes apply when the clinical intent is to reduce or limit arterial blood flow in the hepatic artery for therapeutic purposes.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V30CZ	Restriction of Hepatic Artery with Extraluminal Device, Open Approach
04V30DZ	Restriction of Hepatic Artery with Intraluminal Device, Open Approach
04V30ZZ	Restriction of Hepatic Artery, Open Approach
04V33CZ	Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Approach
04V33DZ	Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04V33ZZ	Restriction of Hepatic Artery, Percutaneous Approach
04V34CZ	Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V34DZ	Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V34ZZ	Restriction of Hepatic Artery, Percutaneous Endoscopic Approach

DRG Codes

18 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
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An adult patient with hepatocellular carcinoma is admitted for preoperative regional therapy to devascularize segments of the liver prior to surgical resection; interventional radiology performs a planned percutaneous arterial embolization to reduce tumor blood supply and limit intraoperative bleeding. Typical codes: 04V33DZ, 04V33CZ
An elderly patient presents emergently with a ruptured hepatic artery pseudoaneurysm causing intra-abdominal hemorrhage; after hemodynamic stabilization, a percutaneous endovascular procedure is performed to partially occlude the hepatic artery lumen to control bleeding while preserving some perfusion to noninvolved liver tissue. Typical codes: 04V34DZ, 04V34ZZ
A patient with recurrent gastrointestinal bleeding from a chronic arterioportal malformation undergoes a staged, elective percutaneous procedure to restrict flow through the hepatic artery feeder vessel after prior surgical repair proved incomplete; the intent is partial lumen restriction to reduce rebleeding risk while maintaining hepatic perfusion. Typical codes: 04V33CZ, 04V33ZZ

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

04V2-GASTRIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Gastric 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.

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When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V30CZ	Restriction of Hepatic Artery with Extraluminal Device, Open Approach
04V30DZ	Restriction of Hepatic Artery with Intraluminal Device, Open Approach
04V30ZZ	Restriction of Hepatic Artery, Open Approach
04V33CZ	Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Approach
04V33DZ	Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04V33ZZ	Restriction of Hepatic Artery, Percutaneous Approach
04V34CZ	Restriction of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V34DZ	Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V34ZZ	Restriction of Hepatic Artery, Percutaneous Endoscopic Approach

DRG Codes

18 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
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An adult patient with hepatocellular carcinoma is admitted for preoperative regional therapy to devascularize segments of the liver prior to surgical resection; interventional radiology performs a planned percutaneous arterial embolization to reduce tumor blood supply and limit intraoperative bleeding. Typical codes: 04V33DZ, 04V33CZ
An elderly patient presents emergently with a ruptured hepatic artery pseudoaneurysm causing intra-abdominal hemorrhage; after hemodynamic stabilization, a percutaneous endovascular procedure is performed to partially occlude the hepatic artery lumen to control bleeding while preserving some perfusion to noninvolved liver tissue. Typical codes: 04V34DZ, 04V34ZZ
A patient with recurrent gastrointestinal bleeding from a chronic arterioportal malformation undergoes a staged, elective percutaneous procedure to restrict flow through the hepatic artery feeder vessel after prior surgical repair proved incomplete; the intent is partial lumen restriction to reduce rebleeding risk while maintaining hepatic perfusion. Typical codes: 04V33CZ, 04V33ZZ

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

04V2-GASTRIC-ARTERY-RESTRICTION

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

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

Hepatic Artery Restriction Procedure Overview

Code Attributes

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

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

Hepatic Artery Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system does the 04V3 code group belong to?

What clinical action does ICD-10-PCS group 04V3 represent?

What approach options and device distinctions are captured by the individual codes in 04V3?

Why is accurate coding within ICD-10-PCS 04V3 important for inpatient reimbursement?

Which DRG groups might be assigned when procedures from 04V3 are coded?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system does the 04V3 code group belong to?

What clinical action does ICD-10-PCS group 04V3 represent?

What approach options and device distinctions are captured by the individual codes in 04V3?

Why is accurate coding within ICD-10-PCS 04V3 important for inpatient reimbursement?

Which DRG groups might be assigned when procedures from 04V3 are coded?

References