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ICD-10-PCS 2027 procedure code

05L64CZOcclusion of Left Subclavian Vein with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion L Subclav Vein w Extralum Dev, Perc Endo

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 05L64CZ

05L64CZ is the ICD-10-PCS code for a occlusion procedure on the left subclavian vein using a percutaneous endoscopic 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 05L04CZ (azygos vein), 05L14CZ (hemiazygos vein), 05L34CZ (right innominate vein), 05L44CZ (left innominate vein), 05L54CZ (right subclavian vein), 05L74CZ (right axillary vein) and 19 more.

The same procedure with a different approach is coded 05L60CZ (open) and 05L63CZ (percutaneous).

With a different device, use 05L64DZ (intraluminal device) and 05L64ZZ (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
6Subclavian Vein, Left
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
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 05L64CZ

Is 05L64CZ a valid ICD-10-PCS code for 2027?

Yes. 05L64CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05L64CZ an O.R. procedure?

Yes. 05L64CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05L64CZ group to?

Depending on the principal diagnosis, 05L64CZ 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 05L64CZ?

The CMS GEMs map 05L64CZ to ICD-9-CM 38.85 (Other surgical occlusion of vessels, thoracic vessels).