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ICD-10-PCS 2027 procedure code

05VR4CZRestriction of Right Vertebral Vein with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restrict R Verteb Vein w Extralum Dev, 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 05VR4CZ

05VR4CZ is the ICD-10-PCS code for a restriction procedure on the right vertebral vein using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to Clipping of aneurysm, the ICD-9-CM procedure title it maps to (39.51).

For a different body part, codes include 05V04CZ (azygos vein), 05V14CZ (hemiazygos vein), 05V34CZ (right innominate vein), 05V44CZ (left innominate vein), 05V54CZ (right subclavian vein), 05V64CZ (left subclavian vein) and 19 more.

The same procedure with a different approach is coded 05VR0CZ (open) and 05VR3CZ (percutaneous).

With a different device, use 05VR4DZ (intraluminal device) and 05VR4ZZ (no device).

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) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “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
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
RVertebral 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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

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 →
  • 39.51Clipping 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 05VR4CZ

Is 05VR4CZ a valid ICD-10-PCS code for 2027?

Yes. 05VR4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05VR4CZ an O.R. procedure?

Yes. 05VR4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 05VR4CZ group to?

Depending on the principal diagnosis, 05VR4CZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 05VR4CZ?

The CMS GEMs map 05VR4CZ to ICD-9-CM 39.51 (Clipping of aneurysm).