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ICD-10-PCS 2027 procedure code

05BS4ZZExcision of Left Vertebral Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Excision of Left Vertebral Vein, Perc Endo Approach

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 05BS4ZZ

05BS4ZZ is the ICD-10-PCS code for a excision procedure on the left vertebral vein using a percutaneous endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to resection of vessel with anastomosis, other vessels of head and neck and other excision of vessels, other vessels of head and neck, the ICD-9-CM procedure titles it maps to (38.32 and 38.62).

For a different body part, codes include 05B04ZZ (azygos vein), 05B14ZZ (hemiazygos vein), 05B34ZZ (right innominate vein), 05B44ZZ (left innominate vein), 05B54ZZ (right subclavian vein), 05B64ZZ (left subclavian vein) and 19 more.

The same procedure with a different approach is coded 05BS0ZZ (open) and 05BS3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 037 (Extracranial Procedures with MCC), DRG 038 (Extracranial Procedures with CC), DRG 039 (Extracranial Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Extracranial Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Vascular Procedures” and 2 more.

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
SVertebral Vein, Left

Includes: Deep cervical vein; Suboccipital venous plexus

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
ZNo Qualifier

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 →
  • 38.32Resection of vessel with anastomosis, other vessels of head and neckapproximate
  • 38.62Other excision of vessels, other vessels of head and neckapproximate

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 05BS4ZZ

Is 05BS4ZZ a valid ICD-10-PCS code for 2027?

Yes. 05BS4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05BS4ZZ an O.R. procedure?

Yes. 05BS4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05BS4ZZ group to?

Depending on the principal diagnosis, 05BS4ZZ can group to MS-DRG 037, MS-DRG 038, MS-DRG 039, MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 05BS4ZZ?

The CMS GEMs map 05BS4ZZ to ICD-9-CM 38.32 (Resection of vessel with anastomosis, other vessels of head and neck) and 38.62 (Other excision of vessels, other vessels of head and neck).