05R40KZReplacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach

  • Billable / Specific Code
ICD-10-PCS 05R40KZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

05R40KZ is a billable ICD-10-PCS procedure code for Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

Code Identity

ICD-10-PCS Code
05R40KZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach
Parent Code
Short Description
Replacement of L Innom Vein with Nonaut Sub, Open 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
3OperationRReplacement
4BodyPart4Innominate Vein, Left
5Approach0Open
6DeviceKNonautologous Tissue Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 05R40KZ under the General Equivalence Mappings.

38.45
Approximate match.

Similar Procedure Codes

Questions About 05R40KZ

Is 05R40KZ a billable code?

Yes. 05R40KZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 05R40KZ mean?

05R40KZ 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 R is the Operation (Replacement); the 4th character 4 is the BodyPart (Innominate Vein, Left); the 5th character 0 is the Approach (Open); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 05R40KZ group to?

On an inpatient stay, Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach maps to MS-DRGs 163, 164, 165, 219, 220, 221, 907, 908, 909, 957, 958, 959, with relative weights from 1.3127 to 7.6783. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 05R40KZ?

Under the General Equivalence Mappings, Replacement of Left Innominate Vein with Nonautologous Tissue Substitute, Open Approach crosswalks to ICD-9-PCS 38.45. The mapping is approximate, so confirm it fits the documentation.