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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04V7 includes procedures performed to restrict arterial lumen or blood flow in the left colic artery. These ICD-10-PCS codes are used for inpatient documentation when a clinician partially occludes or narrows the left colic artery to control bleeding or reduce perfusion to a segment of colon. Accurate coding within the ICD-10-PCS 04V7 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Colic Artery, Left Restriction Procedure Overview

Procedures in this ICD-10-PCS group involve partially closing or restricting the lumen of the left colic artery, a component of the lower arterial system supplying the colon. These operations target the lower arteries to reduce or limit blood flow for therapeutic or hemostatic purposes. Accurate coding of these restriction procedures ensures inpatient records reflect the exact arterial intervention and supports correct reimbursement and case mix assignment.

Code Attributes

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

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

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Colic Artery, Left 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
7	Body Part	Colic Artery, Left

When to Use

Use a code from this group when an inpatient procedure involves partial closure or intentional narrowing of the left colic artery to control hemorrhage or alter perfusion. These codes apply when the operation performed is a restriction on the left colic artery rather than complete occlusion, bypass, or repair.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V70CZ	Restriction of Left Colic Artery with Extraluminal Device, Open Approach
04V70DZ	Restriction of Left Colic Artery with Intraluminal Device, Open Approach
04V70ZZ	Restriction of Left Colic Artery, Open Approach
04V73CZ	Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Approach
04V73DZ	Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04V73ZZ	Restriction of Left Colic Artery, Percutaneous Approach
04V74CZ	Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V74DZ	Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V74ZZ	Restriction of Left Colic 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 elderly patient presents to the emergency department with sudden, significant lower gastrointestinal bleeding from a diverticular source in the sigmoid colon refractory to endoscopic control. Interventional management in the inpatient setting includes percutaneous catheter-based narrowing of the left colic artery supplying the bleeding segment to reduce perfusion and achieve hemostasis without complete occlusion. This targeted restriction is chosen to control hemorrhage while preserving distal perfusion. Typical codes: 04V73DZ, 04V73ZZ
A middle-aged patient scheduled for elective resection of a segmental colon tumor is found preoperatively to have a prominent collateral from the left colic artery contributing to tumor perfusion. During the planned open abdominal procedure, the surgeon partially restricts the left colic artery with an external vascular clip to reduce intraoperative blood loss to the bowel segment being resected. The procedure is performed deliberately as part of the operative plan to control regional blood flow. Typical codes: 04V70CZ, 04V70ZZ
A patient who previously underwent percutaneous embolization for colonic bleeding returns with recurrent hemorrhage due to collateral recanalization. In the inpatient setting, a minimally invasive percutaneous endoscopic approach is used to place an intraluminal device that partially restricts the left colic artery lumen to reduce recurrent bleeding while avoiding complete vessel occlusion. This revision procedure targets the same arterial territory to control ongoing hemorrhage. Typical codes: 04V74DZ, 04V74ZZ

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

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

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
04V70CZ	Restriction of Left Colic Artery with Extraluminal Device, Open Approach
04V70DZ	Restriction of Left Colic Artery with Intraluminal Device, Open Approach
04V70ZZ	Restriction of Left Colic Artery, Open Approach
04V73CZ	Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Approach
04V73DZ	Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04V73ZZ	Restriction of Left Colic Artery, Percutaneous Approach
04V74CZ	Restriction of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V74DZ	Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V74ZZ	Restriction of Left Colic 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 elderly patient presents to the emergency department with sudden, significant lower gastrointestinal bleeding from a diverticular source in the sigmoid colon refractory to endoscopic control. Interventional management in the inpatient setting includes percutaneous catheter-based narrowing of the left colic artery supplying the bleeding segment to reduce perfusion and achieve hemostasis without complete occlusion. This targeted restriction is chosen to control hemorrhage while preserving distal perfusion. Typical codes: 04V73DZ, 04V73ZZ
A middle-aged patient scheduled for elective resection of a segmental colon tumor is found preoperatively to have a prominent collateral from the left colic artery contributing to tumor perfusion. During the planned open abdominal procedure, the surgeon partially restricts the left colic artery with an external vascular clip to reduce intraoperative blood loss to the bowel segment being resected. The procedure is performed deliberately as part of the operative plan to control regional blood flow. Typical codes: 04V70CZ, 04V70ZZ
A patient who previously underwent percutaneous embolization for colonic bleeding returns with recurrent hemorrhage due to collateral recanalization. In the inpatient setting, a minimally invasive percutaneous endoscopic approach is used to place an intraluminal device that partially restricts the left colic artery lumen to reduce recurrent bleeding while avoiding complete vessel occlusion. This revision procedure targets the same arterial territory to control ongoing hemorrhage. Typical codes: 04V74DZ, 04V74ZZ

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

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

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 Colic Artery, Left: Procedure Code Group Overview

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

Colic Artery, Left Restriction Procedure Overview

Code Attributes

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

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

Colic Artery, Left Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Colic Artery, Left restriction group?

What is the general clinical intent of procedures coded to 04V7?

What code attributes define the 04V7 group for coding and documentation?

How do approach and device distinctions appear within the 04V7 codes?

Which DRG groups may be related when a 04V7 procedure is performed?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Colic Artery, Left restriction group?

What is the general clinical intent of procedures coded to 04V7?

What code attributes define the 04V7 group for coding and documentation?

How do approach and device distinctions appear within the 04V7 codes?

Which DRG groups may be related when a 04V7 procedure is performed?

References