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ICD-10-PCS 2027 procedure code

05HY42ZInsertion of Monitoring Device into Upper Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insertion of Monitor Dev into Up 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 05HY42Z

05HY42Z is the ICD-10-PCS code for a insertion procedure on the upper vein using a percutaneous endoscopic approach with monitoring device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to incision of vessel, other vessels of head and neck, the ICD-9-CM procedure title it maps to (38.02).

For a different body part, codes include 05H042Z (azygos vein).

The same procedure with a different approach is coded 05HY02Z (open) and 05HY32Z (percutaneous).

With a different device, use 05HY43Z (infusion device), 05HY4DZ (intraluminal device) and 05HY4YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Vascular Procedures” and 3 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
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
YUpper 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
2Monitoring Device

Includes: Blood glucose monitoring system; Cardiac event recorder; Continuous Glucose Monitoring (CGM) device; Implantable glucose monitoring device; Loop recorder, implantable; Reveal (LINQ)(DX)(XT)

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

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 →
  • 38.02Incision of vessel, other vessels of head and neckapproximate

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 05HY42Z

Is 05HY42Z a valid ICD-10-PCS code for 2027?

Yes. 05HY42Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 05HY42Z an O.R. procedure?

Yes. 05HY42Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 05HY42Z group to?

Depending on the principal diagnosis, 05HY42Z can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 05HY42Z?

The CMS GEMs map 05HY42Z to ICD-9-CM 38.02 (Incision of vessel, other vessels of head and neck).