05LY4DZOcclusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 05LY4DZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

05LY4DZ is a billable ICD-10-PCS procedure code for Occlusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 9 MS-DRGs. The root operation Occlusion involves completely closing an orifice or the lumen of a tubular body part.

Code Identity

ICD-10-PCS Code
05LY4DZ
Billable Status
Yes — Valid for Submission
Code Describes
Occlusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach
Parent Code
Short Description
Occlusion of Up Vein with Intralum Dev, Perc Endo Approach

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System5Upper Veins
3OperationLOcclusion
4BodyPartYUpper Vein
5Approach4Percutaneous Endoscopic
6DeviceDIntraluminal Device
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 05LY4DZ under the General Equivalence Mappings.

38.80
Approximate match.

Similar Procedure Codes

Questions About 05LY4DZ

Is 05LY4DZ a billable code?

Yes. 05LY4DZ is a complete seven-character ICD-10-PCS code, specific enough to report Occlusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 05LY4DZ mean?

05LY4DZ breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 5 is the Body System (Upper Veins); the 3rd character L is the Operation (Occlusion); the 4th character Y is the BodyPart (Upper Vein); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character D is the Device (Intraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 05LY4DZ group to?

On an inpatient stay, Occlusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach maps to MS-DRGs 252, 253, 254, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 05LY4DZ?

Under the General Equivalence Mappings, Occlusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.80. The mapping is approximate, so confirm it fits the documentation.