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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 04VA includes procedures performed to restrict blood flow in the left renal artery. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a partial closure or narrowing of the left renal artery lumen to reduce perfusion. Accurate coding within the ICD-10-PCS 04VA group is essential for proper inpatient reimbursement, as it captures the specific restriction procedure performed and determines appropriate case mix and payment.

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Renal Artery, Left Restriction Procedure Overview

Procedures in this group involve partially closing the lumen of the left renal artery to reduce or limit blood flow. These interventions target the lower arteries of the renal circulation and are coded in the Medical and Surgical section of the International Classification of Diseases, 10th Revision, Procedure Coding System. Accurate coding ensures inpatient records reflect the specific restriction procedure performed on the left renal artery and supports appropriate case mix assignment and reimbursement.

Code Attributes

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

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

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Renal 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
A	Body Part	Renal Artery, Left

When to Use

Use a code from this group when the clinical procedure intentionally restricts the lumen of the left renal artery without complete occlusion. These codes apply when the procedure is performed inpatient to reduce renal artery blood flow for therapeutic or hemodynamic reasons.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
04VA0CZ	Restriction of Left Renal Artery with Extraluminal Device, Open Approach
04VA0DZ	Restriction of Left Renal Artery with Intraluminal Device, Open Approach
04VA0ZZ	Restriction of Left Renal Artery, Open Approach
04VA3CZ	Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Approach
04VA3DZ	Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach
04VA3ZZ	Restriction of Left Renal Artery, Percutaneous Approach
04VA4CZ	Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VA4DZ	Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VA4ZZ	Restriction of Left Renal 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 adult patient with refractory hypertension and unilateral left renal artery stenosis confirmed on angiography is admitted electively for a planned endovascular procedure to reduce renal perfusion as part of a renovascular hypertension treatment strategy; the procedure targets the left renal artery lumen to partially restrict blood flow using an intraluminal device delivered via a percutaneous approach. Typical codes: 04VA3DZ, 04VA4DZ
An elderly patient with a left renal artery aneurysm and pulsatile hematuria presents urgently for operative management; the surgical team places an extraluminal banding device during an open approach to partially narrow the left renal artery and control hemorrhage while preserving renal function. Typical codes: 04VA0CZ
A patient with prior percutaneous renal artery intervention develops recurrent symptoms and requires a repeat, minimally invasive transluminal restriction to reduce flow; during a percutaneous endoscopic reintervention the operator performs lumen restriction without implanting a named device. Typical codes: 04VA4ZZ, 04VA3ZZ

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

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

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
04VA0CZ	Restriction of Left Renal Artery with Extraluminal Device, Open Approach
04VA0DZ	Restriction of Left Renal Artery with Intraluminal Device, Open Approach
04VA0ZZ	Restriction of Left Renal Artery, Open Approach
04VA3CZ	Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Approach
04VA3DZ	Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach
04VA3ZZ	Restriction of Left Renal Artery, Percutaneous Approach
04VA4CZ	Restriction of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VA4DZ	Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VA4ZZ	Restriction of Left Renal 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 adult patient with refractory hypertension and unilateral left renal artery stenosis confirmed on angiography is admitted electively for a planned endovascular procedure to reduce renal perfusion as part of a renovascular hypertension treatment strategy; the procedure targets the left renal artery lumen to partially restrict blood flow using an intraluminal device delivered via a percutaneous approach. Typical codes: 04VA3DZ, 04VA4DZ
An elderly patient with a left renal artery aneurysm and pulsatile hematuria presents urgently for operative management; the surgical team places an extraluminal banding device during an open approach to partially narrow the left renal artery and control hemorrhage while preserving renal function. Typical codes: 04VA0CZ
A patient with prior percutaneous renal artery intervention develops recurrent symptoms and requires a repeat, minimally invasive transluminal restriction to reduce flow; during a percutaneous endoscopic reintervention the operator performs lumen restriction without implanting a named device. Typical codes: 04VA4ZZ, 04VA3ZZ

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

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

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 Renal Artery, Left: Procedure Code Group Overview

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

Renal Artery, Left Restriction Procedure Overview

Code Attributes

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

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

Renal Artery, Left Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation does ICD-10-PCS code group 04VA represent?

What approaches and device types are captured in the 04VA codes?

How should individual procedures from this group be documented in inpatient records?

Which specific ICD-10-PCS codes are included in the 04VA group?

What DRG families may be associated with procedures coded from 04VA?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation does ICD-10-PCS code group 04VA represent?

What approaches and device types are captured in the 04VA codes?

How should individual procedures from this group be documented in inpatient records?

Which specific ICD-10-PCS codes are included in the 04VA group?

What DRG families may be associated with procedures coded from 04VA?

References