ICD-10-PCS 2027 procedure code
05SY4ZZReposition Upper 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 05SY4ZZ
05SY4ZZ is the ICD-10-PCS code for a reposition procedure on the upper vein using a percutaneous endoscopic approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.
In plain terms, this corresponds to other repair of vessel, the ICD-9-CM procedure title it maps to (39.59).
For a different body part, codes include 05S04ZZ (azygos vein), 05S14ZZ (hemiazygos vein), 05S34ZZ (right innominate vein), 05S44ZZ (left innominate vein), 05S54ZZ (right subclavian vein), 05S64ZZ (left subclavian vein) and 19 more.
The same procedure with a different approach is coded 05SY0ZZ (open) and 05SY3ZZ (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), DRG 254 (Other Vascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Vascular Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
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
- SReposition
Moving to its normal location, or other suitable location, all or a portion of a body part
The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location
Includes: Reposition of undescended testicle, fracture reduction
- 4. Body Part
- YUpper 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
- 05S04ZZAzygos Vein
- 05S14ZZHemiazygos Vein
- 05S34ZZInnominate Vein, Right
- 05S44ZZInnominate Vein, Left
- 05S54ZZSubclavian Vein, Right
- 05S64ZZSubclavian Vein, Left
- 05S74ZZAxillary Vein, Right
- 05S84ZZAxillary Vein, Left
- 05S94ZZBrachial Vein, Right
- 05SA4ZZBrachial Vein, Left
- 05SB4ZZBasilic Vein, Right
- 05SC4ZZBasilic 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
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 →- 39.59Other repair 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 05SY4ZZ
Is 05SY4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 05SY4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 05SY4ZZ an O.R. procedure?
- Yes. 05SY4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 05SY4ZZ group to?
- Depending on the principal diagnosis, 05SY4ZZ can group to MS-DRG 252, MS-DRG 253, MS-DRG 254, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 05SY4ZZ?
- The CMS GEMs map 05SY4ZZ to ICD-9-CM 39.59 (Other repair of vessel).