05RY4JZReplacement of Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
05RY4JZ is a billable ICD-10-PCS procedure code for Replacement of Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 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
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 | R | Replacement |
| 4 | BodyPart | Y | Upper Vein |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | J | Synthetic Substitute |
| 7 | Qualifier | Z | No Qualifier |
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 05RY4JZ under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 05RY4JZ
Is 05RY4JZ a billable code?
Yes. 05RY4JZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 05RY4JZ mean?
05RY4JZ 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 Y is the BodyPart (Upper Vein); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character J is the Device (Synthetic Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 05RY4JZ group to?
On an inpatient stay, Replacement of Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 252, 253, 254, 907, 908, 909, with relative weights from 1.3127 to 3.8393. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 05RY4JZ?
Under the General Equivalence Mappings, Replacement of Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 38.43. The mapping is approximate, so confirm it fits the documentation.
