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ICD-10-PCS 2027 procedure code

06PY4DZRemoval of Intraluminal Device from Lower Vein, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Intralum Dev from Low 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 06PY4DZ

06PY4DZ is the ICD-10-PCS code for a removal procedure on the lower vein using a percutaneous endoscopic approach with intraluminal device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision of vessel, lower limb veins, the ICD-9-CM procedure title it maps to (38.09).

The same procedure with a different approach is coded 06PY0DZ (open), 06PY3DZ (percutaneous) and 06PYXDZ (external).

With a different device, use 06PY40Z (drainage device), 06PY42Z (monitoring device), 06PY43Z (infusion device), 06PY47Z (autologous tissue substitute), 06PY4CZ (extraluminal device), 06PY4JZ (synthetic substitute) and 2 more.

It is an operating-room procedure in the MS-DRG logic for DRG 263 (Vein Ligation and Stripping), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC) and DRG 958 (Other O.R. Procedures for Multiple Significant Trauma with CC), under the surgical categories “Vein Ligation and Stripping”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
YLower 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
DIntraluminal Device

Includes: Absolute Pro Vascular (OTW) Self-Expanding Stent System; Acculink (RX) Carotid Stent System; AFX(R) Endovascular AAA System; AneuRx(R) AAA Advantage(R); Assurant (Cobalt) stent; Carotid WALLSTENT(R) Monorail(R) Endoprosthesis; CoAxia NeuroFlo catheter; Colonic Z-Stent(R); Complete (SE) stent; Cook Zenith AAA Endovascular Graft; Driver stent (RX) (OTW); E-Luminexx(tm) (Biliary)(Vascular) Stent; Embolization coil(s); Endologix AFX(R) Endovascular AAA System; Endurant(R) Endovascular Stent Graft; Endurant(R) II AAA stent graft system; EXCLUDER(R) AAA Endoprosthesis; Express(R) (LD) Premounted Stent System; Express(R) Biliary SD Monorail(R) Premounted Stent System; Express(R) SD Renal Monorail(R) Premounted Stent System; FLAIR(R) Endovascular Stent Graft; Formula(tm) Balloon-Expandable Renal Stent System; GORE EXCLUDER(R) AAA Endoprosthesis; GORE TAG(R) Thoracic Endoprosthesis; GORE(R) VIABAHN(R) Endoprosthesis; GORE(R) VIABIL(R) Biliary Endoprosthesis; Herculink (RX) Elite Renal Stent System; Innova(tm) stent; LifeStent(R) (Flexstar)(XL) Vascular Stent System; Medtronic Endurant(R) II AAA stent graft system; Micro-Driver stent (RX) (OTW); MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System; Omnilink Elite Vascular Balloon Expandable Stent System; Protege(R) RX Carotid Stent System; Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary); Talent(R) Converter; Talent(R) Occluder; Talent(R) Stent Graft (abdominal)(thoracic); Therapeutic occlusion coil(s); Ultraflex(tm) Precision Colonic Stent System; Valiant Thoracic Stent Graft; WALLSTENT(R) Endoprosthesis; Xact Carotid Stent System; Zenith AAA Endovascular Graft; Zenith Flex(R) AAA Endovascular Graft; Zenith TX2(R) TAA Endovascular Graft; Zenith(R) Renu(tm) AAA Ancillary Graft

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 05 · Diseases and Disorders of the Circulatory System · Vein Ligation and Stripping

ICD-9-CM equivalent

Converter →
  • 38.09Incision of vessel, lower limb 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 06PY4DZ

Is 06PY4DZ a valid ICD-10-PCS code for 2027?

Yes. 06PY4DZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06PY4DZ an O.R. procedure?

Yes. 06PY4DZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 06PY4DZ group to?

Depending on the principal diagnosis, 06PY4DZ can group to MS-DRG 263, MS-DRG 907, MS-DRG 908, MS-DRG 909, MS-DRG 957 and MS-DRG 958.

What is the ICD-9 procedure code for 06PY4DZ?

The CMS GEMs map 06PY4DZ to ICD-9-CM 38.09 (Incision of vessel, lower limb veins).