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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04V4 includes procedures performed to restrict arterial flow in the splenic artery in the lower arteries. These ICD-10-PCS codes are used for inpatient documentation when percutaneous endoscopic techniques are used to partially close the lumen of the splenic artery to reduce blood flow. Accurate coding within the ICD-10-PCS 04V4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Splenic Artery Restriction Procedure Overview

Procedures in this group involve percutaneous endoscopic techniques to partially close or restrict the lumen of the splenic artery within the lower arterial system. They target the lower arteries specifically and are performed to reduce or limit blood flow through the splenic artery for therapeutic reasons. Accurate ICD-10-PCS coding of these restriction procedures is important for inpatient reimbursement because it documents the exact operation and anatomical site, supporting 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
4	Body Part	Splenic Artery

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

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Splenic 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
4	Body Part	Splenic Artery

When to Use

Use a code from this group when a percutaneous endoscopic restriction of the splenic artery is performed to reduce arterial flow. Assign these codes for inpatient records to reflect the partial closure of the splenic artery lumen performed during the hospital encounter.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V40CZ	Restriction of Splenic Artery with Extraluminal Device, Open Approach
04V40DZ	Restriction of Splenic Artery with Intraluminal Device, Open Approach
04V40ZZ	Restriction of Splenic Artery, Open Approach
04V43CZ	Restriction of Splenic Artery with Extraluminal Device, Percutaneous Approach
04V43DZ	Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach
04V43ZZ	Restriction of Splenic Artery, Percutaneous Approach
04V44CZ	Restriction of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V44DZ	Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V44ZZ	Restriction of Splenic 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 58-year-old woman with cirrhosis and recurrent, large-volume splenic artery aneurysm growth presents with worsening left upper quadrant pain and imaging showing aneurysmal dilation risking rupture. Interventional team performs a planned percutaneous endoscopic restriction of the splenic artery lumen using an intraluminal occlusive device to reduce flow into the aneurysm and prevent rupture during the same inpatient admission. Typical codes: 04V44DZ
A 42-year-old man arrives to the emergency department after blunt abdominal trauma with active contrast extravasation from the splenic artery on CT and hemodynamic instability responsive to resuscitation. To control hemorrhage while preserving splenic tissue, the vascular team performs an urgent percutaneous endoscopic restriction of the splenic artery using an intraluminal device to substantially reduce arterial flow. Typical codes: 04V44DZ
A 67-year-old patient who previously underwent a percutaneous endoscopic coil embolization of the splenic artery for hypersplenism returns with persistent high-volume portal hypertension symptoms and imaging shows collateral flow around the prior intraluminal device. During the inpatient admission a secondary percutaneous endoscopic procedure is performed placing an extraluminal compression device to achieve additional luminal restriction. Typical codes: 04V44CZ

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

04V3-HEPATIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Hepatic 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
04V40CZ	Restriction of Splenic Artery with Extraluminal Device, Open Approach
04V40DZ	Restriction of Splenic Artery with Intraluminal Device, Open Approach
04V40ZZ	Restriction of Splenic Artery, Open Approach
04V43CZ	Restriction of Splenic Artery with Extraluminal Device, Percutaneous Approach
04V43DZ	Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach
04V43ZZ	Restriction of Splenic Artery, Percutaneous Approach
04V44CZ	Restriction of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V44DZ	Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V44ZZ	Restriction of Splenic 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 58-year-old woman with cirrhosis and recurrent, large-volume splenic artery aneurysm growth presents with worsening left upper quadrant pain and imaging showing aneurysmal dilation risking rupture. Interventional team performs a planned percutaneous endoscopic restriction of the splenic artery lumen using an intraluminal occlusive device to reduce flow into the aneurysm and prevent rupture during the same inpatient admission. Typical codes: 04V44DZ
A 42-year-old man arrives to the emergency department after blunt abdominal trauma with active contrast extravasation from the splenic artery on CT and hemodynamic instability responsive to resuscitation. To control hemorrhage while preserving splenic tissue, the vascular team performs an urgent percutaneous endoscopic restriction of the splenic artery using an intraluminal device to substantially reduce arterial flow. Typical codes: 04V44DZ
A 67-year-old patient who previously underwent a percutaneous endoscopic coil embolization of the splenic artery for hypersplenism returns with persistent high-volume portal hypertension symptoms and imaging shows collateral flow around the prior intraluminal device. During the inpatient admission a secondary percutaneous endoscopic procedure is performed placing an extraluminal compression device to achieve additional luminal restriction. Typical codes: 04V44CZ

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

04V3-HEPATIC-ARTERY-RESTRICTION

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

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

Splenic Artery Restriction Procedure Overview

Code Attributes

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

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

Splenic 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 operation describe splenic artery restriction procedures in this group?

What approaches and device types are represented among the codes in the 04V4 group?

When should the percutaneous endoscopic codes in this group be used for inpatient documentation?

Can you list the individual ICD-10-PCS codes included in the 04V4 group?

Which DRG categories are related to procedures coded in ICD-10-PCS group 04V4?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation describe splenic artery restriction procedures in this group?

What approaches and device types are represented among the codes in the 04V4 group?

When should the percutaneous endoscopic codes in this group be used for inpatient documentation?

Can you list the individual ICD-10-PCS codes included in the 04V4 group?

Which DRG categories are related to procedures coded in ICD-10-PCS group 04V4?

References