ICD-10-PCS 2027 procedure code
06L04CZOcclusion of Inferior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
Short description: Occlusion Inf Vena Cava w Extralum Dev, Perc Endo
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 06L04CZ
06L04CZ is the ICD-10-PCS code for a occlusion procedure on the inferior vena cava using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to Interruption of the vena cava, the ICD-9-CM procedure title it maps to (38.7).
For a different body part, codes include 06L14CZ (splenic vein), 06L24CZ (gastric vein), 06L34CZ (esophageal vein), 06L44CZ (hepatic vein), 06L54CZ (superior mesenteric vein), 06L64CZ (inferior mesenteric vein) and 17 more.
The same procedure with a different approach is coded 06L00CZ (open) and 06L03CZ (percutaneous).
With a different device, use 06L04DZ (intraluminal device) and 06L04ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 040 (Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC), DRG 041 (Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator), DRG 042 (Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC), DRG 166 (Other Respiratory System O.R. Procedures with MCC), DRG 167 (Other Respiratory System O.R. Procedures with CC) and DRG 168 (Other Respiratory System O.R. Procedures without CC/MCC), under the surgical categories “Peripheral, Cranial Nerve and Other Nervous System Procedures”, “Other Respiratory System O.R. Procedures”, “Other Vascular Procedures” and 11 more.
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
- LOcclusion
Completely closing an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice
Includes: Fallopian tube ligation, ligation of inferior vena cava
- 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
- CExtraluminal Device
Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 01 · Diseases and Disorders of the Nervous System · Peripheral, Cranial Nerve and Other Nervous System Procedures
MDC 04 · Diseases and Disorders of the Respiratory System · Other Respiratory System O.R. Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Vascular Procedures
MDC 06 · Diseases and Disorders of the Digestive System · Other Digestive System O.R. Procedures
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Other Musculoskeletal System and Connective Tissue O.R. Procedures
MDC 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Other Endocrine, Nutritional and Metabolic O.R. Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract Procedures
MDC 12 · Diseases and Disorders of the Male Reproductive System
MDC 12 · Diseases and Disorders of the Male Reproductive System · Other Male Reproductive System O.R. Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
MDC 16 · Diseases and Disorders of the Blood and Blood Forming Organs and Immunological Disorders · Other O.R. Procedures of the Blood and Blood Forming Organs
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 38.7Interruption of the vena cavaapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 06L04CZ
Is 06L04CZ a valid ICD-10-PCS code for 2027?
- Yes. 06L04CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 06L04CZ an O.R. procedure?
- Yes. 06L04CZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 06L04CZ group to?
- Depending on the principal diagnosis, 06L04CZ can group to MS-DRG 040, MS-DRG 041, MS-DRG 042, MS-DRG 166, MS-DRG 167 and MS-DRG 168.
What is the ICD-9 procedure code for 06L04CZ?
- The CMS GEMs map 06L04CZ to ICD-9-CM 38.7 (Interruption of the vena cava).