ICD-10-PCS 2027 procedure code
05NH4ZZRelease Left Hand Vein, Percutaneous Endoscopic 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 05NH4ZZ
05NH4ZZ is the ICD-10-PCS code for a release procedure on the left hand vein using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.
In plain terms, this corresponds to Freeing of vessel, the ICD-9-CM procedure title it maps to (39.91).
For a different body part, codes include 05N04ZZ (azygos vein), 05N14ZZ (hemiazygos vein), 05N34ZZ (right innominate vein), 05N44ZZ (left innominate vein), 05N54ZZ (right subclavian vein), 05N64ZZ (left subclavian vein) and 19 more.
The same procedure with a different approach is coded 05NH0ZZ (open) and 05NH3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.
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
- NRelease
Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Some of the restraining tissue may be taken out but none of the body part is taken out
Includes: Adhesiolysis, carpal tunnel release
- 4. Body Part
- HHand Vein, Left
Includes: Dorsal metacarpal vein; Palmar (volar) digital vein; Palmar (volar) metacarpal vein; Superficial palmar venous arch; Volar (palmar) digital vein; Volar (palmar) metacarpal 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
- 05N04ZZAzygos Vein
- 05N14ZZHemiazygos Vein
- 05N34ZZInnominate Vein, Right
- 05N44ZZInnominate Vein, Left
- 05N54ZZSubclavian Vein, Right
- 05N64ZZSubclavian Vein, Left
- 05N74ZZAxillary Vein, Right
- 05N84ZZAxillary Vein, Left
- 05N94ZZBrachial Vein, Right
- 05NA4ZZBrachial Vein, Left
- 05NB4ZZBasilic Vein, Right
- 05NC4ZZBasilic Vein, Left
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular Procedures
ICD-9-CM equivalent
Converter →- 39.91Freeing of vesselapproximate
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 05NH4ZZ
Is 05NH4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 05NH4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05NH4ZZ an O.R. procedure?
- Yes. 05NH4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 05NH4ZZ group to?
- Depending on the principal diagnosis, 05NH4ZZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 05NH4ZZ?
- The CMS GEMs map 05NH4ZZ to ICD-9-CM 39.91 (Freeing of vessel).