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ICD-10-PCS 2027 procedure code

06RY47ZReplacement of Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Lower Vein with Autol 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 06RY47Z

06RY47Z is the ICD-10-PCS code for a replacement procedure on the lower vein using a percutaneous endoscopic 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, lower limb veins, the ICD-9-CM procedure title it maps to (38.49).

For a different body part, codes include 06R047Z (inferior vena cava), 06R147Z (splenic vein), 06R247Z (gastric vein), 06R347Z (esophageal vein), 06R447Z (hepatic vein), 06R547Z (superior mesenteric vein) and 17 more.

The same procedure with a different approach is coded 06RY07Z (open).

With a different device, use 06RY4JZ (synthetic substitute) and 06RY4KZ (nonautologous tissue 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
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
7Autologous Tissue Substitute

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

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 06RY47Z

Is 06RY47Z a valid ICD-10-PCS code for 2027?

Yes. 06RY47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 06RY47Z an O.R. procedure?

Yes. 06RY47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 06RY47Z group to?

Depending on the principal diagnosis, 06RY47Z 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 06RY47Z?

The CMS GEMs map 06RY47Z to ICD-9-CM 38.49 (Resection of vessel with replacement, lower limb veins).