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ICD-10-PCS 2027 procedure code

06R007ZReplacement of Inferior Vena Cava with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Inf Vena Cava with Autol Sub, Open 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 06R007Z

06R007Z is the ICD-10-PCS code for a replacement procedure on the inferior vena cava using an open approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to resection of vessel with replacement, abdominal veins, the ICD-9-CM procedure title it maps to (38.47).

For a different body part, codes include 06R107Z (splenic vein), 06R207Z (gastric vein), 06R307Z (esophageal vein), 06R407Z (hepatic vein), 06R507Z (superior mesenteric vein), 06R607Z (inferior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 06R047Z (percutaneous endoscopic).

With a different device, use 06R00JZ (synthetic substitute) and 06R00KZ (nonautologous tissue substitute).

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) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical category “Other Major Cardiovascular Procedures”.

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

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
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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.

ICD-9-CM equivalent

Converter →
  • 38.47Resection of vessel with replacement, 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 06R007Z

Is 06R007Z a valid ICD-10-PCS code for 2027?

Yes. 06R007Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06R007Z an O.R. procedure?

Yes. 06R007Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 06R007Z group to?

Depending on the principal diagnosis, 06R007Z can group to MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 06R007Z?

The CMS GEMs map 06R007Z to ICD-9-CM 38.47 (Resection of vessel with replacement, abdominal veins).