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ICD-10-PCS 2027 procedure code

065Y4ZZDestruction of Lower Vein, Percutaneous Endoscopic 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 065Y4ZZ

065Y4ZZ is the ICD-10-PCS code for a destruction procedure on the lower 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 065Y0ZZ (open) and 065Y3ZZ (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
YLower 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 qualifier

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)
  • No changes since FY2016.

Common questions about 065Y4ZZ

Is 065Y4ZZ a valid ICD-10-PCS code for 2027?

Yes. 065Y4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 065Y4ZZ an O.R. procedure?

Yes. 065Y4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 065Y4ZZ group to?

Depending on the principal diagnosis, 065Y4ZZ 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 065Y4ZZ?

The CMS GEMs map 065Y4ZZ to ICD-9-CM 38.69 (Other excision of vessels, lower limb veins).