ICD-10-PCS 2027 procedure code
057L4ZZDilation of Intracranial Vein, Percutaneous Endoscopic Approach
Short description: Dilation of Intracranial Vein, Perc Endo 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 057L4ZZ
057L4ZZ is the ICD-10-PCS code for a dilation procedure on the intracranial vein using a percutaneous endoscopic approach. In ICD-10-PCS, dilation means expanding an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to procedure on single vessel and angioplasty of other non-coronary vessel(s), the ICD-9-CM procedure titles it maps to (00.40 and 39.50).
For a different body part, codes include 05704ZZ (azygos vein), 05714ZZ (hemiazygos vein), 05734ZZ (right innominate vein), 05744ZZ (left innominate vein), 05754ZZ (right subclavian vein), 05764ZZ (left subclavian vein) and 19 more.
The same procedure with a different approach is coded 057L0ZZ (open) and 057L3ZZ (percutaneous).
With a different device, use 057L4DZ (intraluminal device).
It is an operating-room procedure in the MS-DRG logic for DRG 020 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC), DRG 021 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC), DRG 022 (Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC), DRG 023 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator), DRG 024 (Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC) and DRG 025 (Craniotomy and Endovascular Intracranial Procedures with MCC), under the surgical categories “Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage”, “Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis”, “Craniotomy and endovascular intracranial procedures” and 1 more.
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
- 7Dilation
Expanding an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part
Includes: Percutaneous transluminal angioplasty, internal urethrotomy
- 4. Body Part
- LIntracranial Vein
Includes: Anterior cerebral vein; Basal (internal) cerebral vein; Dural venous sinus; Great cerebral vein; Inferior cerebellar vein; Inferior cerebral vein; Internal (basal) cerebral vein; Middle cerebral vein; Ophthalmic vein; Superior cerebellar vein; Superior cerebral 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
- 05704ZZAzygos Vein
- 05714ZZHemiazygos Vein
- 05734ZZInnominate Vein, Right
- 05744ZZInnominate Vein, Left
- 05754ZZSubclavian Vein, Right
- 05764ZZSubclavian Vein, Left
- 05774ZZAxillary Vein, Right
- 05784ZZAxillary Vein, Left
- 05794ZZBrachial Vein, Right
- 057A4ZZBrachial Vein, Left
- 057B4ZZBasilic Vein, Right
- 057C4ZZBasilic Vein, Left
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis
MDC 01 · Diseases and Disorders of the Nervous System · Craniotomy and endovascular intracranial procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular Procedures
ICD-9-CM equivalent
Converter →- 00.40Procedure on single vesselapproximate, combination
- 39.50Angioplasty of other non-coronary vessel(s)approximate, combination
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 057L4ZZ
Is 057L4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 057L4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 057L4ZZ an O.R. procedure?
- Yes. 057L4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 057L4ZZ group to?
- Depending on the principal diagnosis, 057L4ZZ can group to MS-DRG 020, MS-DRG 021, MS-DRG 022, MS-DRG 023, MS-DRG 024 and MS-DRG 025.
What is the ICD-9 procedure code for 057L4ZZ?
- The CMS GEMs map 057L4ZZ to ICD-9-CM 00.40 (Procedure on single vessel) and 39.50 (Angioplasty of other non-coronary vessel(s)).