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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 05R7 includes procedures performed to replace biological or synthetic material that takes the place and/or function of all or a portion of the axillary vein, right in the upper veins. These ICD-10-PCS codes are used for inpatient documentation when a segment of the right axillary vein is removed and replaced with a graft or prosthetic conduit to restore venous flow. Accurate coding within the ICD-10-PCS 05R7 group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and supports clinical documentation accuracy.

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Axillary Vein, Right Replacement Procedure Overview

This procedure group includes inpatient surgical replacement procedures performed on the right axillary vein, part of the upper venous system. Replacement procedures involve removing all or a portion of the native venous segment and implanting biological or synthetic material to restore venous continuity and function. Accurate ICD-10-PCS coding ensures the procedure is captured correctly for clinical documentation and inpatient reimbursement.

Code Attributes

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

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

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Axillary Vein, Right 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
7	Body Part	Axillary Vein, Right

When to Use

Use a code from this group when an inpatient undergoes surgical removal and replacement of a right axillary vein segment due to disease, injury, or dysfunction requiring grafting. Apply these codes when documentation specifies replacement of all or a portion of the right axillary vein with biological or synthetic material.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
05R707Z	Replacement of Right Axillary Vein with Autologous Tissue Substitute, Open Approach
05R70JZ	Replacement of Right Axillary Vein with Synthetic Substitute, Open Approach
05R70KZ	Replacement of Right Axillary Vein with Nonautologous Tissue Substitute, Open Approach
05R747Z	Replacement of Right Axillary Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
05R74JZ	Replacement of Right Axillary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05R74KZ	Replacement of Right Axillary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

A 62-year-old man with chronic dialysis-dependent end-stage renal disease presents with symptoms of ipsilateral upper extremity swelling and documented central venous occlusion of the right axillary vein from prior catheter-related thrombosis. After angiographic confirmation of an occlusive segment unsuitable for angioplasty, the surgical team performs open excision of the diseased segment and implants an autologous vein graft harvested from the patient to re-establish venous outflow. The replacement is undertaken during the inpatient stay due to comorbidities and need for surgical monitoring. Typical codes: 05R707Z
A 45-year-old woman arrives to the emergency department with acute right upper extremity swelling, severe pain, and rapidly progressive cyanosis after high-energy trauma to the shoulder. Imaging demonstrates transection and segmental loss of the right axillary vein with active venous bleeding and limb-threatening venous congestion, necessitating urgent operative repair. The vascular surgeon performs an open replacement of the damaged venous segment using a synthetic prosthetic conduit to control hemorrhage and restore venous continuity. Typical codes: 05R70JZ
A 58-year-old woman with prior right axillary vein graft reconstruction presents inpatient with recurrent graft stenosis and evidence of infected prosthetic material with purulent drainage and bacteremia. The operative plan calls for removal of the infected conduit and replacement with a cryopreserved nonautologous tissue graft to eradicate infection while restoring venous flow. The revision replacement is performed via a percutaneous endoscopic approach where feasible to minimize additional soft-tissue dissection. Typical codes: 05R74KZ

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

05R6-SUBCLAVIAN-VEIN-LEFT-REPLACEMENT

ICD-10-PCS Code For Subclavian Vein, Left: 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
05R707Z	Replacement of Right Axillary Vein with Autologous Tissue Substitute, Open Approach
05R70JZ	Replacement of Right Axillary Vein with Synthetic Substitute, Open Approach
05R70KZ	Replacement of Right Axillary Vein with Nonautologous Tissue Substitute, Open Approach
05R747Z	Replacement of Right Axillary Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
05R74JZ	Replacement of Right Axillary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05R74KZ	Replacement of Right Axillary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

A 62-year-old man with chronic dialysis-dependent end-stage renal disease presents with symptoms of ipsilateral upper extremity swelling and documented central venous occlusion of the right axillary vein from prior catheter-related thrombosis. After angiographic confirmation of an occlusive segment unsuitable for angioplasty, the surgical team performs open excision of the diseased segment and implants an autologous vein graft harvested from the patient to re-establish venous outflow. The replacement is undertaken during the inpatient stay due to comorbidities and need for surgical monitoring. Typical codes: 05R707Z
A 45-year-old woman arrives to the emergency department with acute right upper extremity swelling, severe pain, and rapidly progressive cyanosis after high-energy trauma to the shoulder. Imaging demonstrates transection and segmental loss of the right axillary vein with active venous bleeding and limb-threatening venous congestion, necessitating urgent operative repair. The vascular surgeon performs an open replacement of the damaged venous segment using a synthetic prosthetic conduit to control hemorrhage and restore venous continuity. Typical codes: 05R70JZ
A 58-year-old woman with prior right axillary vein graft reconstruction presents inpatient with recurrent graft stenosis and evidence of infected prosthetic material with purulent drainage and bacteremia. The operative plan calls for removal of the infected conduit and replacement with a cryopreserved nonautologous tissue graft to eradicate infection while restoring venous flow. The revision replacement is performed via a percutaneous endoscopic approach where feasible to minimize additional soft-tissue dissection. Typical codes: 05R74KZ

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

05R6-SUBCLAVIAN-VEIN-LEFT-REPLACEMENT

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

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

Axillary Vein, Right Replacement Procedure Overview

Code Attributes

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

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

Axillary Vein, Right Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 05R7 code group?

What is the primary clinical purpose of procedures in 05R7?

What code attributes define the 05R7 group for coding and billing?

Which specific ICD-10-PCS codes belong to this group?

How do these codes impact inpatient reimbursement and DRG assignment?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 05R7 code group?

What is the primary clinical purpose of procedures in 05R7?

What code attributes define the 05R7 group for coding and billing?

Which specific ICD-10-PCS codes belong to this group?

How do these codes impact inpatient reimbursement and DRG assignment?

References