ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 05F4 includes procedures performed to fragment solid matter in the left innominate vein. These ICD-10-PCS codes are used for inpatient documentation when fragmentation of thrombus or other obstructive material in the upper venous system is performed to restore or improve venous flow. Accurate coding within the ICD-10-PCS 05F4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Innominate Vein, Left Fragmentation Procedure Overview

Procedures in this group involve fragmentation of solid material within the left innominate vein and target the upper venous system. Fragmentation breaks solid matter, such as thrombus or embolic material, into smaller pieces to restore or improve venous blood flow. Accurate coding of these procedures in inpatient records ensures the clinical action is captured and supports appropriate inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
5	Body System	Upper Veins
F	Operation	Fragmentation
4	Body Part	Innominate Vein, Left

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ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview

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Innominate Vein, Left Fragmentation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
5	Body System	Upper Veins
F	Operation	Fragmentation
4	Body Part	Innominate Vein, Left

When to Use

Use a code from this group when a clinician performs an inpatient procedure to fragment thrombus or other solid obstruction in the left innominate vein. This applies when the primary action is fragmentation rather than removal, bypass, or other venous interventions.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
05F43Z0	Fragmentation of Left Innominate Vein, Percutaneous Approach, Ultrasonic
05F43ZZ	Fragmentation of Left Innominate Vein, Percutaneous Approach

DRG Codes

8 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
278	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC
279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An elderly hospitalized patient with recent central venous catheter placement develops acute swelling and cyanosis of the left upper extremity; duplex ultrasound and venography show a large occlusive thrombus in the left innominate vein causing venous hypertension and compromised perfusion, prompting urgent inpatient intervention to rapidly restore flow by fragmenting the thrombus. Typical codes: 05F43ZZ.
A middle-aged patient with chronic left-sided central venous stenosis and recurrent upper extremity edema is admitted for a planned endovascular session after anticoagulation fails to relieve symptoms; the interventional team performs percutaneous fragmentation of organized thrombotic material within the left innominate vein to facilitate subsequent angioplasty or stent placement. Typical codes: 05F43ZZ, 05F43Z0.
A postoperative cancer patient on the oncology ward develops worsening respiratory distress and concern for septic embolization from a partially organized thrombus in the left innominate vein; interventional radiology performs percutaneous ultrasonic fragmentation to break the thrombus into smaller pieces for aspiration and to reduce ongoing embolic risk. Typical codes: 05F43Z0, 05F43ZZ

ICD-10-PCS Code For Innominate Vein, Right: Procedure Code Group Overview

05F5-SUBCLAVIAN-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Subclavian Vein, Right: Procedure Code Group Overview

05F6-LEFT-SUBCLAVIAN-VEIN-FRAGMENTATION

ICD-10-PCS Code For Subclavian Vein, Left: Procedure Code Group Overview

05F7-AXILLARY-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Axillary Vein Right: Procedure Code Group Overview

05F8-LEFT-AXILLARY-VEIN-FRAGMENTATION

ICD-10-PCS Code For Axillary Vein, Left: Procedure Code Group Overview

05F9-BRACHIAL-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Brachial Vein Right: Procedure Code Group Overview

05FA-LEFT-BRACHIAL-VEIN-FRAGMENTATION

ICD-10-PCS Code For Brachial Vein, Left: Procedure Code Group Overview

05FB-BASILIC-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Basilic Vein Right: Procedure Code Group Overview

05FC-LEFT-BASILIC-VEIN-FRAGMENTATION

ICD-10-PCS Code For Left Basilic Vein: Procedure Code Group Overview

05FD-CEPHALIC-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Cephalic Vein Right: Procedure Code Group Overview

Showing 1–10 of 12

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
05F43Z0	Fragmentation of Left Innominate Vein, Percutaneous Approach, Ultrasonic
05F43ZZ	Fragmentation of Left Innominate Vein, Percutaneous Approach

DRG Codes

8 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
278	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC
279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An elderly hospitalized patient with recent central venous catheter placement develops acute swelling and cyanosis of the left upper extremity; duplex ultrasound and venography show a large occlusive thrombus in the left innominate vein causing venous hypertension and compromised perfusion, prompting urgent inpatient intervention to rapidly restore flow by fragmenting the thrombus. Typical codes: 05F43ZZ.
A middle-aged patient with chronic left-sided central venous stenosis and recurrent upper extremity edema is admitted for a planned endovascular session after anticoagulation fails to relieve symptoms; the interventional team performs percutaneous fragmentation of organized thrombotic material within the left innominate vein to facilitate subsequent angioplasty or stent placement. Typical codes: 05F43ZZ, 05F43Z0.
A postoperative cancer patient on the oncology ward develops worsening respiratory distress and concern for septic embolization from a partially organized thrombus in the left innominate vein; interventional radiology performs percutaneous ultrasonic fragmentation to break the thrombus into smaller pieces for aspiration and to reduce ongoing embolic risk. Typical codes: 05F43Z0, 05F43ZZ

ICD-10-PCS Code For Innominate Vein, Right: Procedure Code Group Overview

05F5-SUBCLAVIAN-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Subclavian Vein, Right: Procedure Code Group Overview

05F6-LEFT-SUBCLAVIAN-VEIN-FRAGMENTATION

ICD-10-PCS Code For Subclavian Vein, Left: Procedure Code Group Overview

05F7-AXILLARY-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Axillary Vein Right: Procedure Code Group Overview

05F8-LEFT-AXILLARY-VEIN-FRAGMENTATION

ICD-10-PCS Code For Axillary Vein, Left: Procedure Code Group Overview

05F9-BRACHIAL-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Brachial Vein Right: Procedure Code Group Overview

05FA-LEFT-BRACHIAL-VEIN-FRAGMENTATION

ICD-10-PCS Code For Brachial Vein, Left: Procedure Code Group Overview

05FB-BASILIC-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Basilic Vein Right: Procedure Code Group Overview

05FC-LEFT-BASILIC-VEIN-FRAGMENTATION

ICD-10-PCS Code For Left Basilic Vein: Procedure Code Group Overview

05FD-CEPHALIC-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Cephalic Vein Right: Procedure Code Group Overview

Showing 1–10 of 12

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview

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Innominate Vein, Left Fragmentation Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview

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Innominate Vein, Left Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview policy alerts

Innominate Vein, Left Fragmentation Procedure Overview

Code Attributes

ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Innominate Vein, Left: Procedure Code Group Overview policy alerts

Innominate Vein, Left Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 05F4?

What is the clinical purpose of procedures coded to 05F4?

What ICD-10-PCS section and attributes describe these codes?

How do these codes relate to inpatient reimbursement and DRG assignment?

What approach and technique distinctions are captured by the individual codes in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 05F4?

What is the clinical purpose of procedures coded to 05F4?

What ICD-10-PCS section and attributes describe these codes?

How do these codes relate to inpatient reimbursement and DRG assignment?

What approach and technique distinctions are captured by the individual codes in this group?

References