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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04V8 includes procedures performed to restrict blood flow in the middle colic artery. These ICD-10-PCS codes are used for inpatient documentation when a partial occlusion or narrowing of the middle colic artery lumen is intentionally created to manage bleeding or alter perfusion. Accurate coding within the ICD-10-PCS 04V8 group is essential for proper inpatient reimbursement, as it captures the procedure performed and ensures clinical documentation accuracy.

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Colic Artery, Middle Restriction Procedure Overview

This group includes procedures that partially close the lumen of the middle colic artery within the lower arterial system. These procedures involve intentional restriction of blood flow through the middle colic artery to treat hemorrhage, aneurysm, or to control perfusion during surgery. Accurate ICD-10-PCS coding identifies the specific arterial site and operation performed, which affects inpatient reimbursement and clinical data integrity. Precise documentation 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
8	Body Part	Colic Artery, Middle

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

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Colic Artery, Middle 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
8	Body Part	Colic Artery, Middle

When to Use

Use a code from this group when the operative intent is to partially occlude or narrow the middle colic artery to control hemorrhage or modulate regional blood flow. Do not use this group for complete ligation, bypass, or procedures on other arterial branches.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04V80CZ	Restriction of Middle Colic Artery with Extraluminal Device, Open Approach
04V80DZ	Restriction of Middle Colic Artery with Intraluminal Device, Open Approach
04V80ZZ	Restriction of Middle Colic Artery, Open Approach
04V83CZ	Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Approach
04V83DZ	Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04V83ZZ	Restriction of Middle Colic Artery, Percutaneous Approach
04V84CZ	Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V84DZ	Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V84ZZ	Restriction of Middle 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

A 67-year-old patient on anticoagulation presents to the emergency department with acute lower gastrointestinal bleeding and hemodynamic instability. Angiography localizes brisk hemorrhage to a branch of the middle colic artery, and an interventional radiologist performs a percutaneous transcatheter partial occlusion using an intraluminal embolic device to reduce blood flow and achieve hemostasis while preserving downstream perfusion. The procedure is performed in the inpatient setting due to the need for ongoing monitoring and reversal of anticoagulation. Typical codes: 04V83DZ
A 54-year-old patient with a large mesenteric aneurysm involving the middle colic artery is scheduled for an elective endovascular procedure to reduce aneurysm inflow and lower rupture risk. Through a percutaneous endoscopic approach, the vascular surgeon places an extraluminal constrictive device around the artery to intentionally narrow the lumen and modulate flow into the aneurysmal segment. The patient is admitted for the planned inpatient procedure and postoperative observation. Typical codes: 04V84CZ
A 72-year-old patient previously treated with open surgical partial ligation of the middle colic artery returns with recurrent focal bleeding and symptomatic ischemia from excessive flow diversion. In the operating room the surgeon performs an open approach revision to adjust the degree of lumen restriction without complete occlusion, using direct surgical technique to refine the constriction. The patient requires inpatient care for postoperative monitoring and management of comorbidities. Typical codes: 04V80ZZ

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

04V7-LEFT-COLIC-ARTERY-RESTRICTION

ICD-10-PCS Code For Colic Artery, Left: 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
04V80CZ	Restriction of Middle Colic Artery with Extraluminal Device, Open Approach
04V80DZ	Restriction of Middle Colic Artery with Intraluminal Device, Open Approach
04V80ZZ	Restriction of Middle Colic Artery, Open Approach
04V83CZ	Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Approach
04V83DZ	Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04V83ZZ	Restriction of Middle Colic Artery, Percutaneous Approach
04V84CZ	Restriction of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V84DZ	Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V84ZZ	Restriction of Middle 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

A 67-year-old patient on anticoagulation presents to the emergency department with acute lower gastrointestinal bleeding and hemodynamic instability. Angiography localizes brisk hemorrhage to a branch of the middle colic artery, and an interventional radiologist performs a percutaneous transcatheter partial occlusion using an intraluminal embolic device to reduce blood flow and achieve hemostasis while preserving downstream perfusion. The procedure is performed in the inpatient setting due to the need for ongoing monitoring and reversal of anticoagulation. Typical codes: 04V83DZ
A 54-year-old patient with a large mesenteric aneurysm involving the middle colic artery is scheduled for an elective endovascular procedure to reduce aneurysm inflow and lower rupture risk. Through a percutaneous endoscopic approach, the vascular surgeon places an extraluminal constrictive device around the artery to intentionally narrow the lumen and modulate flow into the aneurysmal segment. The patient is admitted for the planned inpatient procedure and postoperative observation. Typical codes: 04V84CZ
A 72-year-old patient previously treated with open surgical partial ligation of the middle colic artery returns with recurrent focal bleeding and symptomatic ischemia from excessive flow diversion. In the operating room the surgeon performs an open approach revision to adjust the degree of lumen restriction without complete occlusion, using direct surgical technique to refine the constriction. The patient requires inpatient care for postoperative monitoring and management of comorbidities. Typical codes: 04V80ZZ

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

04V7-LEFT-COLIC-ARTERY-RESTRICTION

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

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

Colic Artery, Middle Restriction Procedure Overview

Code Attributes

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

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

Colic Artery, Middle Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers procedures to restrict the middle colic artery?

What are the operation and body system attributes for this code group?

What specific procedure codes are included in the 04V8 group?

How does accurate coding within 04V8 affect inpatient reimbursement?

Which DRGs may relate to procedures in the 04V8 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers procedures to restrict the middle colic artery?

What are the operation and body system attributes for this code group?

What specific procedure codes are included in the 04V8 group?

How does accurate coding within 04V8 affect inpatient reimbursement?

Which DRGs may relate to procedures in the 04V8 code group?

References