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ICD-10-PCS 2027 procedure code

06104Z5Bypass Inferior Vena Cava to Superior Mesenteric Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Inf Vena Cava to Sup Mesent V, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 06104Z5

06104Z5 is the ICD-10-PCS code for a bypass procedure on the inferior vena cava using a percutaneous endoscopic approach (qualifier: superior mesenteric vein). 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 06100Z5 (open).

With a different device, use 0610475 (autologous tissue substitute), 0610495 (autologous venous tissue), 06104A5 (autologous arterial tissue), 06104J5 (synthetic substitute) and 06104K5 (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 326 (Stomach, Esophageal and Duodenal Procedures with MCC), DRG 327 (Stomach, Esophageal and Duodenal Procedures with CC) and DRG 328 (Stomach, Esophageal and Duodenal Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Stomach, Esophageal and Duodenal Procedures” and “Pancreas, Liver and Shunt Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

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
ZNo Device
7. Qualifier
5Superior Mesenteric Vein

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.

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 06104Z5

Is 06104Z5 a valid ICD-10-PCS code for 2027?

Yes. 06104Z5 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06104Z5 an O.R. procedure?

Yes. 06104Z5 is an O.R. procedure in MS-DRG v44.0.

What DRG does 06104Z5 group to?

Depending on the principal diagnosis, 06104Z5 can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 326, MS-DRG 327 and MS-DRG 328.

What is the ICD-9 procedure code for 06104Z5?

The CMS GEMs map 06104Z5 to ICD-9-CM 39.1 (Intra-abdominal venous shunt).