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ICD-10-PCS 2027 procedure code

06104ARBypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Inf Vena Cava to L Pulm Art w Autol Art, Perc Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 06104AR

06104AR is the ICD-10-PCS code for a bypass procedure on the inferior vena cava using a percutaneous endoscopic approach with autologous arterial tissue (qualifier: left pulmonary artery). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to intra-abdominal venous shunt, the ICD-9-CM procedure title it maps to (39.1).

The same procedure with a different approach is coded 06100AR (open).

With a different device, use 061047R (autologous tissue substitute), 061049R (autologous venous tissue), 06104JR (synthetic substitute), 06104KR (nonautologous tissue substitute) and 06104ZR (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC) and DRG 229 (Other Cardiothoracic Procedures without MCC), under the surgical category “Other Cardiothoracic Procedures”.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
6Lower Veins
3. Operation
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
0Inferior Vena Cava

Includes: Postcava; Right inferior phrenic vein; Right ovarian vein; Right second lumbar vein; Right suprarenal vein; Right testicular vein

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
AAutologous Arterial Tissue
7. Qualifier
RPulmonary Artery, Left

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Cardiothoracic Procedures

ICD-9-CM equivalent

Converter →
  • 39.1Intra-abdominal venous shuntapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 06104AR

Is 06104AR a valid ICD-10-PCS code for 2027?

Yes. 06104AR is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06104AR an O.R. procedure?

Yes. 06104AR is an O.R. procedure in MS-DRG v44.0.

What DRG does 06104AR group to?

Depending on the principal diagnosis, 06104AR can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 06104AR?

The CMS GEMs map 06104AR to ICD-9-CM 39.1 (Intra-abdominal venous shunt).