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ICD-10-PCS 2027 procedure code

06184ZYBypass Portal Vein to Lower Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Portal Vein to Lower Vein, 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 06184ZY

06184ZY is the ICD-10-PCS code for a bypass procedure on the portal vein using a percutaneous endoscopic approach (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 06104ZY (inferior vena cava), 06114ZY (splenic vein), 06124ZY (gastric vein), 06134ZY (esophageal vein), 06144ZY (hepatic vein), 06154ZY (superior mesenteric vein) and 16 more.

The same procedure with a different approach is coded 06180ZY (open).

With a different device, use 061847Y (autologous tissue substitute), 061849Y (autologous venous tissue), 06184AY (autologous arterial tissue), 06184JY (synthetic substitute) and 06184KY (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
8Portal Vein

Includes: Hepatic portal 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
YLower 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 06184ZY

Is 06184ZY a valid ICD-10-PCS code for 2027?

Yes. 06184ZY is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06184ZY an O.R. procedure?

Yes. 06184ZY is an O.R. procedure in MS-DRG v44.0.

What DRG does 06184ZY group to?

Depending on the principal diagnosis, 06184ZY 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 06184ZY?

The CMS GEMs map 06184ZY to ICD-9-CM 39.1 (Intra-abdominal venous shunt).