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ICD-10-PCS 2027 procedure code

06LB4ZZOcclusion of Left Renal Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Left Renal 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 06LB4ZZ

06LB4ZZ is the ICD-10-PCS code for a occlusion procedure on the left renal vein 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 ligation of adrenal vessels and other surgical occlusion of vessels, abdominal veins, the ICD-9-CM procedure titles it maps to (07.43 and 38.87).

For a different body part, codes include 06L04ZZ (inferior vena cava), 06L14ZZ (splenic vein), 06L24ZZ (gastric vein), 06L34ZZ (esophageal vein), 06L44ZZ (hepatic vein), 06L54ZZ (superior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 06LB0ZZ (open) and 06LB3ZZ (percutaneous).

With a different device, use 06LB4CZ (extraluminal device) and 06LB4DZ (intraluminal device).

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 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC) and DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures”, “Other Digestive System O.R. Procedures”, “Adrenal and Pituitary Procedures” and 3 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
BRenal Vein, Left

Includes: Left inferior phrenic vein; Left ovarian vein; Left second lumbar vein; Left suprarenal vein; Left 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 10 · Endocrine, Nutritional and Metabolic Diseases and Disorders · Adrenal and Pituitary Procedures

ICD-9-CM equivalent

Converter →
  • 07.43Ligation of adrenal vesselsapproximate
  • 38.87Other surgical occlusion 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 06LB4ZZ

Is 06LB4ZZ a valid ICD-10-PCS code for 2027?

Yes. 06LB4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06LB4ZZ an O.R. procedure?

Yes. 06LB4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 06LB4ZZ group to?

Depending on the principal diagnosis, 06LB4ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 356, MS-DRG 357 and MS-DRG 358.

What is the ICD-9 procedure code for 06LB4ZZ?

The CMS GEMs map 06LB4ZZ to ICD-9-CM 07.43 (Ligation of adrenal vessels) and 38.87 (Other surgical occlusion of vessels, abdominal veins).