ICD-10-PCS 2027 procedure code
05LL4ZZOcclusion of Intracranial Vein, Percutaneous Endoscopic Approach
Short description: Occlusion of Intracranial 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 05LL4ZZ
05LL4ZZ is the ICD-10-PCS code for a occlusion procedure on the intracranial vein using a percutaneous endoscopic approach. 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, intracranial vessels, the ICD-9-CM procedure title it maps to (38.81).
For a different body part, codes include 05L04ZZ (azygos vein), 05L14ZZ (hemiazygos vein), 05L34ZZ (right innominate vein), 05L44ZZ (left innominate vein), 05L54ZZ (right subclavian vein), 05L64ZZ (left subclavian vein) and 19 more.
The same procedure with a different approach is coded 05LL0ZZ (open) and 05LL3ZZ (percutaneous).
With a different device, use 05LL4CZ (extraluminal device) and 05LL4DZ (intraluminal device).
It is an operating-room procedure in the MS-DRG logic for DRG 020 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC), DRG 021 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC), DRG 022 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC), DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC) and DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), under the surgical categories “Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage”, “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial 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
- 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
- LIntracranial Vein
Includes: Anterior cerebral vein; Basal (internal) cerebral vein; Dural venous sinus; Great cerebral vein; Inferior cerebellar vein; Inferior cerebral vein; Internal (basal) cerebral vein; Middle cerebral vein; Ophthalmic vein; Superior cerebellar vein; Superior cerebral 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
- ZNo Qualifier
Other versions of this procedure
Different body part
- 05L04ZZAzygos Vein
- 05L14ZZHemiazygos Vein
- 05L34ZZInnominate Vein, Right
- 05L44ZZInnominate Vein, Left
- 05L54ZZSubclavian Vein, Right
- 05L64ZZSubclavian Vein, Left
- 05L74ZZAxillary Vein, Right
- 05L84ZZAxillary Vein, Left
- 05L94ZZBrachial Vein, Right
- 05LA4ZZBrachial Vein, Left
- 05LB4ZZBasilic Vein, Right
- 05LC4ZZBasilic Vein, Left
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy and endovascular intracranial procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Craniotomy for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 38.81Other surgical occlusion of vessels, intracranial vesselsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 05LL4ZZ
Is 05LL4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 05LL4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05LL4ZZ an O.R. procedure?
- Yes. 05LL4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 05LL4ZZ group to?
- Depending on the principal diagnosis, 05LL4ZZ can group to MS-DRG 020, MS-DRG 021, MS-DRG 022, MS-DRG 023, MS-DRG 024 and MS-DRG 025.
What is the ICD-9 procedure code for 05LL4ZZ?
- The CMS GEMs map 05LL4ZZ to ICD-9-CM 38.81 (Other surgical occlusion of vessels, intracranial vessels).