ICD-10-PCS 2027 procedure code
05LS4ZZOcclusion of Left Vertebral Vein, Percutaneous Endoscopic Approach
Short description: Occlusion 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 05LS4ZZ
05LS4ZZ is the ICD-10-PCS code for a occlusion procedure on the left vertebral 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, other vessels of head and neck, the ICD-9-CM procedure title it maps to (38.82).
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 05LS0ZZ (open) and 05LS3ZZ (percutaneous).
With a different device, use 05LS4CZ (extraluminal device) and 05LS4DZ (intraluminal device).
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System 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 “Peripheral, Cranial Nerve and Other Nervous System 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
- 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
- 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 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 · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 38.82Other surgical occlusion of vessels, other vessels of head and neckapproximate
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 05LS4ZZ
Is 05LS4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 05LS4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05LS4ZZ an O.R. procedure?
- Yes. 05LS4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 05LS4ZZ group to?
- Depending on the principal diagnosis, 05LS4ZZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 05LS4ZZ?
- The CMS GEMs map 05LS4ZZ to ICD-9-CM 38.82 (Other surgical occlusion of vessels, other vessels of head and neck).