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ICD-10-PCS 2027 procedure code

06140AYBypass Hepatic Vein to Lower Vein with Autologous Arterial Tissue, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Hepatic Vein to Low Vein w Autol Art, Open

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 06140AY

06140AY is the ICD-10-PCS code for a bypass procedure on the hepatic vein using an open approach with autologous arterial tissue (qualifier: lower 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).

For a different body part, codes include 06100AY (inferior vena cava), 06110AY (splenic vein), 06120AY (gastric vein), 06130AY (esophageal vein), 06150AY (superior mesenteric vein), 06160AY (inferior mesenteric vein) and 16 more.

The same procedure with a different approach is coded 06144AY (percutaneous endoscopic).

With a different device, use 061407Y (autologous tissue substitute), 061409Y (autologous venous tissue), 06140JY (synthetic substitute), 06140KY (nonautologous tissue substitute) and 06140ZY (no device).

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) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical category “Other Major Cardiovascular 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
4Hepatic Vein
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
AAutologous Arterial Tissue
7. Qualifier
YLower Vein

Other versions of this procedure

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 06140AY

Is 06140AY a valid ICD-10-PCS code for 2027?

Yes. 06140AY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06140AY an O.R. procedure?

Yes. 06140AY is an O.R. procedure in MS-DRG v44.0.

What DRG does 06140AY group to?

Depending on the principal diagnosis, 06140AY can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 06140AY?

The CMS GEMs map 06140AY to ICD-9-CM 39.1 (Intra-abdominal venous shunt).