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ICD-10-PCS 2027 procedure code

06L38ZZOcclusion of Esophageal Vein, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Occlusion of Esophageal Vein, Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 06L38ZZ

06L38ZZ is the ICD-10-PCS code for a occlusion procedure on the esophageal vein using a via natural or artificial opening 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 ligation of esophageal varices, the ICD-9-CM procedure title it maps to (42.91).

For a different body part, codes include 06L28ZZ (gastric vein) and 06LY8ZZ (lower vein).

The same procedure with a different approach is coded 06L30ZZ (open), 06L33ZZ (percutaneous), 06L34ZZ (percutaneous endoscopic) and 06L37ZZ (via natural or artificial opening).

With a different device, use 06L38CZ (extraluminal device) and 06L38DZ (intraluminal device).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2018, effective October 1, 2017.

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
3Esophageal Vein
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 42.91Ligation of esophageal varicesapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 06L38ZZ

Is 06L38ZZ a valid ICD-10-PCS code for 2027?

Yes. 06L38ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 06L38ZZ?

The CMS GEMs map 06L38ZZ to ICD-9-CM 42.91 (Ligation of esophageal varices).