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ICD-10-PCS 2027 procedure code

05RL4KZReplacement of Intracranial Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Intracran Vein w Nonaut Sub, 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 05RL4KZ

05RL4KZ is the ICD-10-PCS code for a replacement procedure on the intracranial vein using a percutaneous endoscopic approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to resection of vessel with replacement, intracranial vessels, the ICD-9-CM procedure title it maps to (38.41).

For a different body part, codes include 05R04KZ (azygos vein), 05R14KZ (hemiazygos vein), 05R34KZ (right innominate vein), 05R44KZ (left innominate vein), 05R54KZ (right subclavian vein), 05R64KZ (left subclavian vein) and 19 more.

The same procedure with a different approach is coded 05RL0KZ (open).

With a different device, use 05RL47Z (autologous tissue substitute) and 05RL4JZ (synthetic substitute).

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

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 →
  • 38.41Resection of vessel with replacement, intracranial 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 05RL4KZ

Is 05RL4KZ a valid ICD-10-PCS code for 2027?

Yes. 05RL4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05RL4KZ an O.R. procedure?

Yes. 05RL4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05RL4KZ group to?

Depending on the principal diagnosis, 05RL4KZ 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 05RL4KZ?

The CMS GEMs map 05RL4KZ to ICD-9-CM 38.41 (Resection of vessel with replacement, intracranial vessels).