Skip to content
Dx

ICD-10-PCS 2027 procedure code

05V04ZZRestriction of Azygos Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

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 05V04ZZ

05V04ZZ is the ICD-10-PCS code for a restriction procedure on the azygos vein using a percutaneous endoscopic approach. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other repair of aneurysm, the ICD-9-CM procedure title it maps to (39.52).

For a different body part, codes include 05V14ZZ (hemiazygos vein), 05V34ZZ (right innominate vein), 05V44ZZ (left innominate vein), 05V54ZZ (right subclavian vein), 05V64ZZ (left subclavian vein), 05V74ZZ (right axillary vein) and 19 more.

The same procedure with a different approach is coded 05V00ZZ (open) and 05V03ZZ (percutaneous).

With a different device, use 05V04CZ (extraluminal device) and 05V04DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular 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 Major Cardiovascular Procedures” and “Other O.R. Procedures for Injuries”.

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
VRestriction

Partially closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Esophagogastric fundoplication, cervical cerclage

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
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 →
  • 39.52Other repair of aneurysmapproximate

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 05V04ZZ

Is 05V04ZZ a valid ICD-10-PCS code for 2027?

Yes. 05V04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05V04ZZ an O.R. procedure?

Yes. 05V04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05V04ZZ group to?

Depending on the principal diagnosis, 05V04ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 05V04ZZ?

The CMS GEMs map 05V04ZZ to ICD-9-CM 39.52 (Other repair of aneurysm).