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ICD-10-PCS 2027 procedure code

06RM4KZReplacement of Right Femoral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of R Femor Vein with Nonaut Sub, 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 06RM4KZ

06RM4KZ is the ICD-10-PCS code for a replacement procedure on the right femoral vein using a percutaneous endoscopic approach with nonautologous 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, lower limb veins, the ICD-9-CM procedure title it maps to (38.49).

For a different body part, codes include 06R04KZ (inferior vena cava), 06R14KZ (splenic vein), 06R24KZ (gastric vein), 06R34KZ (esophageal vein), 06R44KZ (hepatic vein), 06R54KZ (superior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 06RM0KZ (open).

With a different device, use 06RM47Z (autologous tissue substitute) and 06RM4JZ (synthetic substitute).

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
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
MFemoral Vein, Right
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

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 →
  • 38.49Resection of vessel with replacement, 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 06RM4KZ

Is 06RM4KZ a valid ICD-10-PCS code for 2027?

Yes. 06RM4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06RM4KZ an O.R. procedure?

Yes. 06RM4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 06RM4KZ group to?

Depending on the principal diagnosis, 06RM4KZ 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 06RM4KZ?

The CMS GEMs map 06RM4KZ to ICD-9-CM 38.49 (Resection of vessel with replacement, lower limb veins).