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ICD-10-PCS 2027 procedure code

065P4ZZDestruction of Right Saphenous Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Right Saphenous Vein, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 065P4ZZ

065P4ZZ is the ICD-10-PCS code for a destruction procedure on the right saphenous vein using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other excision of vessels, lower limb veins, the ICD-9-CM procedure title it maps to (38.69).

For a different body part, codes include 06504ZZ (inferior vena cava), 06514ZZ (splenic vein), 06524ZZ (gastric vein), 06534ZZ (esophageal vein), 06544ZZ (hepatic vein), 06554ZZ (superior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 065P0ZZ (open) and 065P3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 263 (Vein Ligation and Stripping), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC) and DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC), under the surgical categories “Vein Ligation and Stripping”, “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
6Lower Veins
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
PSaphenous 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
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.

MDC 05 · Diseases and Disorders of the Circulatory System · Vein Ligation and Stripping

ICD-9-CM equivalent

Converter →
  • 38.69Other excision of vessels, lower limb veinsapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Destruction of Right Greater Saphenous Vein, Percutaneous Endoscopic Approach”

Common questions about 065P4ZZ

Is 065P4ZZ a valid ICD-10-PCS code for 2027?

Yes. 065P4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 065P4ZZ an O.R. procedure?

Yes. 065P4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 065P4ZZ group to?

Depending on the principal diagnosis, 065P4ZZ can group to MS-DRG 263, MS-DRG 907, MS-DRG 908, MS-DRG 909, MS-DRG 957 and MS-DRG 958.

What is the ICD-9 procedure code for 065P4ZZ?

The CMS GEMs map 065P4ZZ to ICD-9-CM 38.69 (Other excision of vessels, lower limb veins).