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ICD-10-PCS 2027 procedure code

05B04ZXExcision of Azygos Vein, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Azygos Vein, Perc Endo Approach, Diagn

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 05B04ZX

05B04ZX is the ICD-10-PCS code for a excision procedure on the azygos vein using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to biopsy of blood vessel, the ICD-9-CM procedure title it maps to (38.21).

For a different body part, codes include 05B14ZX (hemiazygos vein), 05B34ZX (right innominate vein), 05B44ZX (left innominate vein), 05B54ZX (right subclavian vein), 05B64ZX (left subclavian vein), 05B74ZX (right axillary vein) and 19 more.

The same procedure with a different approach is coded 05B00ZX (open) and 05B03ZX (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
5Upper Veins
3. Operation
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

4. Body Part
0Azygos Vein

Includes: Right ascending lumbar vein; Right subcostal vein

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 38.21Biopsy of blood vesselapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 05B04ZX

Is 05B04ZX a valid ICD-10-PCS code for 2027?

Yes. 05B04ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05B04ZX an O.R. procedure?

Yes. 05B04ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 05B04ZX group to?

Depending on the principal diagnosis, 05B04ZX can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 05B04ZX?

The CMS GEMs map 05B04ZX to ICD-9-CM 38.21 (Biopsy of blood vessel).