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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04V5 includes procedures performed to restrict blood flow in arteries of the superior mesenteric artery. These ICD-10-PCS codes are used for inpatient documentation when a partial closure or narrowing of the superior mesenteric artery lumen is performed to manage blood flow. Accurate coding within the ICD-10-PCS 04V5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Superior Mesenteric 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.

Superior Mesenteric Artery Restriction Procedure Overview

Procedures in this group involve partially closing or narrowing the lumen of the superior mesenteric artery to restrict blood flow. These interventions target the lower arteries of the abdominal vasculature and are coded in the Medical and Surgical section. Accurate coding is important for inpatient reimbursement because it documents the specific arterial operation performed and supports correct case mix classification.

Code Attributes

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

Explore openpayer tools

View all tools

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

Customize your policy alerts

Sign up for ICD-10-PCS Code For Superior Mesenteric 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.

Superior Mesenteric 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
5	Body Part	Superior Mesenteric Artery

When to Use

Use a code from this group when a procedure intentionally reduces the lumen size of the superior mesenteric artery to restrict blood flow. Typical clinical circumstances include interventions to control mesenteric hemorrhage or to reduce perfusion to target areas as part of vascular management.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V50CZ	Restriction of Superior Mesenteric Artery with Extraluminal Device, Open Approach
04V50DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach
04V50ZZ	Restriction of Superior Mesenteric Artery, Open Approach
04V53CZ	Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04V53DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04V53ZZ	Restriction of Superior Mesenteric Artery, Percutaneous Approach
04V54CZ	Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V54DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V54ZZ	Restriction of Superior Mesenteric 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

An unstable patient presents to the emergency department with brisk lower abdominal gastrointestinal bleeding and imaging shows active hemorrhage from a branch of the superior mesenteric artery supplying a focal mesenteric injury. Because rapid control of arterial inflow is needed to stop ongoing hemorrhage and stabilize the patient for possible subsequent abdominal surgery, an urgent percutaneous endovascular restriction (partial occlusion) of the superior mesenteric artery is performed to reduce flow to the bleeding segment. Typical codes: 04V53DZ, 04V53ZZ
An adult with chronic mesenteric ischemia undergoes a planned, elective procedure to deliberately reduce perfusion to a hypervascular mesenteric mass adjacent to the superior mesenteric artery before resection, using an extraluminal device placed via open abdominal exposure to partially restrict the artery and decrease intraoperative bleeding risk. The patient is admitted electively for the combined vascular control and tumor resection strategy, with the restriction performed during the open operative session. Typical codes: 04V50CZ, 04V50ZZ
A patient develops a recurrent arteriovenous malformation fed by branches of the superior mesenteric artery after prior endovascular therapy; during an inpatient admission for persistent high-output mesenteric bleeding and failure of prior intraluminal devices, a percutaneous endoscopic approach is used to place an extraluminal or intraluminal restriction to diminish arterial inflow as part of salvage management. Typical codes: 04V54CZ, 04V54DZ

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

04V4-SPLENIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Splenic 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
04V50CZ	Restriction of Superior Mesenteric Artery with Extraluminal Device, Open Approach
04V50DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach
04V50ZZ	Restriction of Superior Mesenteric Artery, Open Approach
04V53CZ	Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04V53DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04V53ZZ	Restriction of Superior Mesenteric Artery, Percutaneous Approach
04V54CZ	Restriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V54DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V54ZZ	Restriction of Superior Mesenteric 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

An unstable patient presents to the emergency department with brisk lower abdominal gastrointestinal bleeding and imaging shows active hemorrhage from a branch of the superior mesenteric artery supplying a focal mesenteric injury. Because rapid control of arterial inflow is needed to stop ongoing hemorrhage and stabilize the patient for possible subsequent abdominal surgery, an urgent percutaneous endovascular restriction (partial occlusion) of the superior mesenteric artery is performed to reduce flow to the bleeding segment. Typical codes: 04V53DZ, 04V53ZZ
An adult with chronic mesenteric ischemia undergoes a planned, elective procedure to deliberately reduce perfusion to a hypervascular mesenteric mass adjacent to the superior mesenteric artery before resection, using an extraluminal device placed via open abdominal exposure to partially restrict the artery and decrease intraoperative bleeding risk. The patient is admitted electively for the combined vascular control and tumor resection strategy, with the restriction performed during the open operative session. Typical codes: 04V50CZ, 04V50ZZ
A patient develops a recurrent arteriovenous malformation fed by branches of the superior mesenteric artery after prior endovascular therapy; during an inpatient admission for persistent high-output mesenteric bleeding and failure of prior intraluminal devices, a percutaneous endoscopic approach is used to place an extraluminal or intraluminal restriction to diminish arterial inflow as part of salvage management. Typical codes: 04V54CZ, 04V54DZ

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

04V4-SPLENIC-ARTERY-RESTRICTION

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

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

Superior Mesenteric Artery Restriction Procedure Overview

Code Attributes

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

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

Superior Mesenteric 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 04V5 code group?

What is the clinical intent described for procedures in 04V5?

How should coders select the correct code within 04V5?

What code attributes define this procedure group in ICD-10-PCS?

Which DRG families are related to procedures coded in 04V5?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 04V5 code group?

What is the clinical intent described for procedures in 04V5?

How should coders select the correct code within 04V5?

What code attributes define this procedure group in ICD-10-PCS?

Which DRG families are related to procedures coded in 04V5?

References