2022 ICD-10-PCS Procedure Code 05RL07Z

Replacement of Intracranial Vein with Autologous Tissue Substitute, Open Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:05RL07Z
Short Description:Replacement of Intracran Vein with Autol Sub, Open Approach
Long Description:Replacement of Intracranial Vein with Autologous Tissue Substitute, Open Approach

05RL07Z is a billable procedure code used to specify the performance of replacement of intracranial vein with autologous tissue substitute, open approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 05RL07Z is in the medical and surgical section and is part of the upper veins body system, classified under the replacement operation. The applicable bodypart is intracranial vein.

ICD-10-PCS Details

Position Designation Character Label 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 L Intracranial Vein Includes:
  • Anterior cerebral vein
  • Basal (internal) cerebral vein
  • Dural venous sinus
  • Great cerebral vein
  • Inferior cerebellar vein
  • Inferior cerebral vein
  • Internal (basal) cerebral vein
  • Middle cerebral vein
  • Ophthalmic vein
  • Superior cerebellar vein
  • Superior cerebral vein
5 Approach 0 Open

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6 Device 7 Autologous Tissue Substitute Includes:
  • Autograft
  • Cultured epidermal cell autograft
  • Epicel(R) cultured epidermal autograft
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.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 05RL07Z is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
020INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC0110.337
021INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC017.5435
022INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC014.8428
023CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR015.6719
024CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC013.939
025CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC014.4974
026CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC013.062
027CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC012.5143
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 05RL07Z 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:

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. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

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.