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ICD-10-PCS 2027 procedure code

05L40CZOcclusion of Left Innominate Vein with Extraluminal Device, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of L Innom Vein with Extralum Dev, Open 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 05L40CZ

05L40CZ is the ICD-10-PCS code for a occlusion procedure on the left innominate vein using an open approach with extraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other surgical occlusion of vessels, thoracic vessels, the ICD-9-CM procedure title it maps to (38.85).

For a different body part, codes include 05L00CZ (azygos vein), 05L10CZ (hemiazygos vein), 05L30CZ (right innominate vein), 05L50CZ (right subclavian vein), 05L60CZ (left subclavian vein), 05L70CZ (right axillary vein) and 19 more.

The same procedure with a different approach is coded 05L43CZ (percutaneous) and 05L44CZ (percutaneous endoscopic).

With a different device, use 05L40DZ (intraluminal device) and 05L40ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical categories “Major Chest Procedures”, “Other Major Cardiovascular Procedures”, “Stomach, Esophageal and Duodenal Procedures” and 1 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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
4Innominate Vein, Left

Includes: Brachiocephalic vein; Inferior thyroid vein

5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 38.85Other surgical occlusion of vessels, thoracic vesselsapproximate

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 05L40CZ

Is 05L40CZ a valid ICD-10-PCS code for 2027?

Yes. 05L40CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05L40CZ an O.R. procedure?

Yes. 05L40CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05L40CZ group to?

Depending on the principal diagnosis, 05L40CZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 05L40CZ?

The CMS GEMs map 05L40CZ to ICD-9-CM 38.85 (Other surgical occlusion of vessels, thoracic vessels).