05Q40ZZRepair Left Innominate Vein, Open Approach
- Billable / Specific Code
05Q40ZZ is a billable ICD-10-PCS procedure code for Repair Left Innominate Vein, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 7 MS-DRGs. The root operation Repair involves restoring, to the extent possible, a body part to its normal anatomic structure and function. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Vessel repair and replacement.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 5 | Upper Veins |
| 3 | Operation | Q | Repair |
| 4 | BodyPart | 4 | Innominate Vein, Left |
| 5 | Approach | 0 | Open |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code repair of the left innominate vein, open the FY 2027 ICD-10-PCS Alphabetic Index at Repair, then the subterms Vein, Innominate, Left. The index leads to table 05Q, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 05Q40ZZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 05Q40ZZ
Is 05Q40ZZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Repair Left Innominate Vein, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 05Q40ZZ mean?
The code 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 Q is the Operation (Repair); the 4th character 4 is the BodyPart (Innominate Vein, Left); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 05Q40ZZ group to?
On an inpatient stay, Repair Left Innominate Vein, Open Approach maps to MS-DRGs 263, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 05Q40ZZ?
Under the General Equivalence Mappings, Repair Left Innominate Vein, Open Approach crosswalks to ICD-9-PCS 39.32 (Suture of vein). The mapping is approximate, so confirm it fits the documentation.
