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ICD-10-PCS 2027 procedure code

05190ZYBypass Right Brachial Vein to Upper Vein, Open 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 05190ZY

05190ZY is the ICD-10-PCS code for a bypass procedure on the right brachial vein using an open approach (qualifier: upper vein). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to other (peripheral) vascular shunt or bypass, the ICD-9-CM procedure title it maps to (39.29).

For a different body part, codes include 05100ZY (azygos vein), 05110ZY (hemiazygos vein), 05130ZY (right innominate vein), 05140ZY (left innominate vein), 05150ZY (right subclavian vein), 05160ZY (left subclavian vein) and 18 more.

The same procedure with a different approach is coded 05194ZY (percutaneous endoscopic).

With a different device, use 051907Y (autologous tissue substitute), 051909Y (autologous venous tissue), 05190AY (autologous arterial tissue), 05190JY (synthetic substitute) and 05190KY (nonautologous tissue substitute).

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
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
9Brachial Vein, Right
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
ZNo Device
7. Qualifier
YUpper Vein

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 →
  • 39.29Other (peripheral) vascular shunt or bypassapproximate

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 05190ZY

Is 05190ZY a valid ICD-10-PCS code for 2027?

Yes. 05190ZY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05190ZY an O.R. procedure?

Yes. 05190ZY is an O.R. procedure in MS-DRG v44.0.

What DRG does 05190ZY group to?

Depending on the principal diagnosis, 05190ZY can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.

What is the ICD-9 procedure code for 05190ZY?

The CMS GEMs map 05190ZY to ICD-9-CM 39.29 (Other (peripheral) vascular shunt or bypass).