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ICD-10-PCS 2027 procedure code

05P042ZRemoval of Monitoring Device from Azygos Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Monitor Dev from Azygos Vein, Perc Endo Approach

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 05P042Z

05P042Z is the ICD-10-PCS code for a removal procedure on the azygos vein using a percutaneous endoscopic approach with monitoring device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision of vessel, other thoracic vessels, the ICD-9-CM procedure title it maps to (38.05).

For a different body part, codes include 05PY42Z (upper vein).

The same procedure with a different approach is coded 05P002Z (open), 05P032Z (percutaneous) and 05P0X2Z (external).

With a different device, use 05P04MZ (neurostimulator lead).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2017, effective October 1, 2016.

What each character means

1. Section
0Medical and Surgical
2. Body System
5Upper Veins
3. Operation
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
0Azygos Vein

Includes: Right ascending lumbar vein; Right subcostal 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
2Monitoring Device

Includes: Blood glucose monitoring system; Cardiac event recorder; Continuous Glucose Monitoring (CGM) device; Implantable glucose monitoring device; Loop recorder, implantable; Reveal (LINQ)(DX)(XT)

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

ICD-9-CM equivalent

Converter →
  • 38.05Incision of vessel, other 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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 05P042Z

Is 05P042Z a valid ICD-10-PCS code for 2027?

Yes. 05P042Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 05P042Z?

The CMS GEMs map 05P042Z to ICD-9-CM 38.05 (Incision of vessel, other thoracic vessels).