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ICD-10-PCS 2027 procedure code

06L04ZZOcclusion of Inferior Vena Cava, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Inferior Vena Cava, 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 06L04ZZ

06L04ZZ is the ICD-10-PCS code for a occlusion procedure on the inferior vena cava using a percutaneous endoscopic approach. 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 06L14ZZ (splenic vein), 06L24ZZ (gastric vein), 06L34ZZ (esophageal vein), 06L44ZZ (hepatic vein), 06L54ZZ (superior mesenteric vein), 06L64ZZ (inferior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 06L00ZZ (open) and 06L03ZZ (percutaneous).

With a different device, use 06L04CZ (extraluminal device) and 06L04DZ (intraluminal 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
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.

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

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

  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 06L04ZZ

Is 06L04ZZ a valid ICD-10-PCS code for 2027?

Yes. 06L04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06L04ZZ an O.R. procedure?

Yes. 06L04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 06L04ZZ group to?

Depending on the principal diagnosis, 06L04ZZ 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 06L04ZZ?

The CMS GEMs map 06L04ZZ to ICD-9-CM 38.7 (Interruption of the vena cava).