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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 05R6 includes procedures performed to replace biological or synthetic material in the left subclavian vein. These ICD-10-PCS codes are used for inpatient documentation when a portion or the entirety of the left subclavian vein is removed and replaced to restore venous function. Accurate coding within the ICD-10-PCS 05R6 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Subclavian Vein, Left Replacement Procedure Overview

This procedure group covers inpatient replacement procedures performed on the left subclavian vein, part of the upper venous system. These operations involve removing and replacing all or a portion of the subclavian vein with biological or synthetic material to restore venous function. Accurate ICD-10-PCS coding for these procedures ensures clinical actions are properly captured and supports correct inpatient reimbursement and case classification.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
5	Body System	Upper Veins
R	Operation	Replacement
6	Body Part	Subclavian Vein, Left

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

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Subclavian Vein, Left Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
5	Body System	Upper Veins
R	Operation	Replacement
6	Body Part	Subclavian Vein, Left

When to Use

Use these codes when the left subclavian vein is surgically removed and replaced to restore or maintain venous continuity or function. Select the specific code when documentation supports replacement as the root operation and identifies the left subclavian vein as the body part.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
05R607Z	Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Open Approach
05R60JZ	Replacement of Left Subclavian Vein with Synthetic Substitute, Open Approach
05R60KZ	Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Open Approach
05R647Z	Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
05R64JZ	Replacement of Left Subclavian Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05R64KZ	Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

16 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC

Showing 1–10 of 16

Typical Clinical Scenarios

An adult patient presents with acute upper extremity swelling, severe pain, and signs of venous hypertension after blunt chest trauma that resulted in extensive injury to the left subclavian vein with loss of venous continuity. Imaging confirms segmental destruction of the vein that cannot be repaired primarily, and urgent surgical replacement is performed to re-establish venous outflow using the patient's own vein graft harvested from the leg. The operation is open and the procedure's intent is replacement of the damaged segment to restore function and prevent limb-threatening venous congestion. Typical codes: 05R607Z
A patient with chronic central venous occlusion related to multiple prior left-sided dialysis catheters experiences progressive left upper extremity edema and recurrent access dysfunction. After multidisciplinary evaluation and failed endovascular recanalization attempts, a planned open surgical replacement of the diseased segment of the left subclavian vein with a synthetic conduit is performed to restore durable central venous flow for hemodialysis access preservation. The inpatient procedure is elective but aims to reestablish long-term venous patency. Typical codes: 05R60JZ
A patient with a prior left subclavian vein graft presents months after initial reconstruction with graft infection and recurrent thrombosis despite anticoagulation. Given graft failure and sepsis risk, the infected prosthetic segment is removed and replaced with a cryopreserved nonautologous tissue graft under a percutaneous endoscopic approach to limit surgical trauma. The procedure is performed to control infection and restore venous continuity using nonautologous biological material. Typical codes: 05R64KZ

Related Codes

05R0-AZYGOS-VEIN-REPLACEMENT

ICD-10-PCS Code For Azygos Vein: Procedure Code Group Overview

05R1-HEMIAZYGOS-VEIN-REPLACEMENT

ICD-10-PCS Code For Hemiazygos Vein: Procedure Code Group Overview

05R3-INNOMINATE-VEIN-RIGHT-REPLACEMENT

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

05R4-INNOMINATE-VEIN-LEFT-REPLACEMENT

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

05R5-SUBCLAVIAN-VEIN-RIGHT-REPLACEMENT

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

05R7-AXILLARY-VEIN-RIGHT-REPLACEMENT

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

05R8-LEFT-AXILLARY-VEIN-REPLACEMENT

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

05R9-BRACHIAL-VEIN-RIGHT-REPLACEMENT

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

05RA-LEFT-BRACHIAL-VEIN-REPLACEMENT

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

05RB-BASILIC-VEIN-RIGHT-REPLACEMENT

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

Showing 1–10 of 25

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

6 rows

ICD-10-PCS Code	Description
05R607Z	Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Open Approach
05R60JZ	Replacement of Left Subclavian Vein with Synthetic Substitute, Open Approach
05R60KZ	Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Open Approach
05R647Z	Replacement of Left Subclavian Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
05R64JZ	Replacement of Left Subclavian Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05R64KZ	Replacement of Left Subclavian Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

16 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC

Showing 1–10 of 16

Typical Clinical Scenarios

An adult patient presents with acute upper extremity swelling, severe pain, and signs of venous hypertension after blunt chest trauma that resulted in extensive injury to the left subclavian vein with loss of venous continuity. Imaging confirms segmental destruction of the vein that cannot be repaired primarily, and urgent surgical replacement is performed to re-establish venous outflow using the patient's own vein graft harvested from the leg. The operation is open and the procedure's intent is replacement of the damaged segment to restore function and prevent limb-threatening venous congestion. Typical codes: 05R607Z
A patient with chronic central venous occlusion related to multiple prior left-sided dialysis catheters experiences progressive left upper extremity edema and recurrent access dysfunction. After multidisciplinary evaluation and failed endovascular recanalization attempts, a planned open surgical replacement of the diseased segment of the left subclavian vein with a synthetic conduit is performed to restore durable central venous flow for hemodialysis access preservation. The inpatient procedure is elective but aims to reestablish long-term venous patency. Typical codes: 05R60JZ
A patient with a prior left subclavian vein graft presents months after initial reconstruction with graft infection and recurrent thrombosis despite anticoagulation. Given graft failure and sepsis risk, the infected prosthetic segment is removed and replaced with a cryopreserved nonautologous tissue graft under a percutaneous endoscopic approach to limit surgical trauma. The procedure is performed to control infection and restore venous continuity using nonautologous biological material. Typical codes: 05R64KZ

Related Codes

05R0-AZYGOS-VEIN-REPLACEMENT

ICD-10-PCS Code For Azygos Vein: Procedure Code Group Overview

05R1-HEMIAZYGOS-VEIN-REPLACEMENT

ICD-10-PCS Code For Hemiazygos Vein: Procedure Code Group Overview

05R3-INNOMINATE-VEIN-RIGHT-REPLACEMENT

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

05R4-INNOMINATE-VEIN-LEFT-REPLACEMENT

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

05R5-SUBCLAVIAN-VEIN-RIGHT-REPLACEMENT

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

05R7-AXILLARY-VEIN-RIGHT-REPLACEMENT

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

05R8-LEFT-AXILLARY-VEIN-REPLACEMENT

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

05R9-BRACHIAL-VEIN-RIGHT-REPLACEMENT

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

05RA-LEFT-BRACHIAL-VEIN-REPLACEMENT

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

05RB-BASILIC-VEIN-RIGHT-REPLACEMENT

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

Showing 1–10 of 25

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.

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

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

Subclavian Vein, Left Replacement Procedure Overview

Code Attributes

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

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

Subclavian Vein, Left Replacement 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 05R6 for the left subclavian vein?

What approaches are represented among the codes in this procedure group?

How does accurate coding in ICD-10-PCS 05R6 affect inpatient reimbursement?

What are the code attribute values for this procedure group?

Which related DRGs might be assigned when a 05R6 procedure is coded?

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 05R6 for the left subclavian vein?

What approaches are represented among the codes in this procedure group?

How does accurate coding in ICD-10-PCS 05R6 affect inpatient reimbursement?

What are the code attribute values for this procedure group?

Which related DRGs might be assigned when a 05R6 procedure is coded?

References