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ICD-10-PCS 2027 procedure code

06540ZZDestruction of Hepatic Vein, Open Approach

✓ Valid for 2027O.R. procedure

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 06540ZZ

06540ZZ is the ICD-10-PCS code for a destruction procedure on the hepatic vein using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other excision of vessels, abdominal veins, the ICD-9-CM procedure title it maps to (38.67).

For a different body part, codes include 06500ZZ (inferior vena cava), 06510ZZ (splenic vein), 06520ZZ (gastric vein), 06530ZZ (esophageal vein), 06550ZZ (superior mesenteric vein), 06560ZZ (inferior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 06543ZZ (percutaneous) and 06544ZZ (percutaneous endoscopic).

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
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

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
ZNo Device
7. Qualifier
ZNo Qualifier

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 →
  • 38.67Other excision of vessels, abdominal veinsapproximate

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 06540ZZ

Is 06540ZZ a valid ICD-10-PCS code for 2027?

Yes. 06540ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06540ZZ an O.R. procedure?

Yes. 06540ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 06540ZZ group to?

Depending on the principal diagnosis, 06540ZZ can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 06540ZZ?

The CMS GEMs map 06540ZZ to ICD-9-CM 38.67 (Other excision of vessels, abdominal veins).