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ICD-10-PCS 2027 procedure code

05RT4KZReplacement of Right Face Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of R Face Vein with Nonaut Sub, 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 05RT4KZ

05RT4KZ is the ICD-10-PCS code for a replacement procedure on the right face 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, other vessels of head and neck, the ICD-9-CM procedure title it maps to (38.42).

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 05RT0KZ (open).

With a different device, use 05RT47Z (autologous tissue substitute) and 05RT4JZ (synthetic substitute).

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 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 categories “Peripheral, Cranial Nerve and Other Nervous System Procedures” and “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
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
TFace Vein, Right
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 →
  • 38.42Resection of vessel with replacement, other vessels of head and neckapproximate

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 05RT4KZ

Is 05RT4KZ a valid ICD-10-PCS code for 2027?

Yes. 05RT4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05RT4KZ an O.R. procedure?

Yes. 05RT4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05RT4KZ group to?

Depending on the principal diagnosis, 05RT4KZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 05RT4KZ?

The CMS GEMs map 05RT4KZ to ICD-9-CM 38.42 (Resection of vessel with replacement, other vessels of head and neck).