2025 ICD-10-CM Procedure Code 05R54KZ

Replacement of Right Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

ICD-10-PCS Code:: 05R54KZ
ICD-10-PCS Code for:: Replace R Subclav Vein w Nonaut Sub, Perc Endo
Is Billable?: Yes - Valid for Submission
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05R54KZ is a billable procedure code used to specify the performance of replacement of right subclavian vein with nonautologous tissue substitute, percutaneous endoscopic approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code 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. Procedure code explanation: the body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the replacement procedure. a removal procedure is coded for taking out the device used in a previous replacement procedure total hip replacement, bone graft, free skin graft

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

05R54KZ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the upper veins body system, classified under replacement operation. The applicable bodypart for this procedure code is subclavian vein, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	5	Upper Veins
3	Operation	R	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 Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure Includes: Total hip replacement, bone graft, free skin graft
4	BodyPart	5	Subclavian Vein, Right
5	Approach	4	Percutaneous Endoscopic	Involves: 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	K	Nonautologous Tissue Substitute	Includes: Acellular Hydrated Dermis Bone bank bone graft Cook Biodesign(R) Fistula Plug(s) Cook Biodesign(R) Hernia Graft(s) Cook Biodesign(R) Layered Graft(s) Cook Zenapro(tm) Layered Graft(s) Fish skin Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose) MIRODERM(tm) Biologic Wound Matrix Piscine skin Tissue bank graft
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Clinical Classification

Clinical Category is Vessel repair and replacement
CCSR Category Code: CAR012
Clinical Domain is Cardiovascular Procedures - CAR contains 29 categories that include cardiovascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), and aneurysm repair procedures.

05R54KZ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 05R54KZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
163	Major Chest Procedures with MCC	04
164	Major Chest Procedures with CC	04
165	Major Chest Procedures without CC/MCC	04
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC	05
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC	05
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC	05
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC	05
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC	05
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC	05
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 3845 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Replacement Subclavian Vein, Right

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What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.