ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02LV includes procedures performed to occlude vascular structures in the heart and great vessels, specifically the superior vena cava. These ICD-10-PCS codes are used for inpatient documentation when a clinician completely closes the lumen of the superior vena cava for therapeutic control of blood flow or management of vascular pathology. Accurate coding within the ICD-10-PCS 02LV group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Superior Vena Cava Occlusion Procedure Overview

Procedures in this group involve completely closing the lumen of the superior vena cava and target the heart and great vessels body system. These occlusion procedures are performed to stop blood flow through the superior vena cava for therapeutic or management reasons. Accurate ICD-10-PCS coding of these occlusions is important for inpatient documentation and reimbursement because it precisely captures the procedure performed and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
L	Operation	Occlusion
V	Body Part	Superior Vena Cava

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ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

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Superior Vena Cava Occlusion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
L	Operation	Occlusion
V	Body Part	Superior Vena Cava

When to Use

Use a code from this group when the clinical intent is to completely close the superior vena cava lumen as part of treatment or management. Codes in this group are assigned when documentation supports that the superior vena cava was occluded during the inpatient procedure.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
02LV0CZ	Occlusion of Superior Vena Cava with Extraluminal Device, Open Approach
02LV0DZ	Occlusion of Superior Vena Cava with Intraluminal Device, Open Approach
02LV0ZZ	Occlusion of Superior Vena Cava, Open Approach
02LV3CZ	Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Approach
02LV3DZ	Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
02LV3ZZ	Occlusion of Superior Vena Cava, Percutaneous Approach
02LV4CZ	Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
02LV4DZ	Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
02LV4ZZ	Occlusion of Superior Vena Cava, Percutaneous Endoscopic Approach

DRG Codes

39 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
166	Other Respiratory System O.R. Procedures with MCC
167	Other Respiratory System O.R. Procedures with CC
168	Other Respiratory System O.R. Procedures without CC/MCC
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
356	Other Digestive System O.R. Procedures with MCC

Showing 1–10 of 39

Typical Clinical Scenarios

An elderly patient with a large, symptomatic superior vena cava aneurysm causing cephalad venous congestion and risk of rupture is admitted for planned surgical management. After open exposure, the surgeon completely occludes the superior vena cava and places an external vascular clamp/occlusive device to definitively stop flow and prevent further hemorrhage or embolization. This approach is chosen because the pathology is extensive and not amenable to endovascular techniques. Typical codes: 02LV0CZ
A middle-aged cancer patient with acute superior vena cava syndrome from extrinsic tumor compression presents with worsening hypoxemia and facial edema. During a percutaneous endovascular procedure to control symptoms and prevent further cerebral edema, an intraluminal occlusive device is deployed to completely close the superior vena cava lumen because palliation and control of blood flow is the treatment goal. Typical codes: 02LV3DZ, 02LV4DZ
A patient with a previously placed endovascular stent in the superior vena cava develops recurrent thrombosis and persistent symptoms despite anticoagulation; in a planned revision during inpatient admission the interventionalist removes the dysfunctional intraluminal device and performs complete occlusion of the vessel using an extraluminal surgical device via open approach to control recurrent thromboembolic complications. The procedure is undertaken to definitively stop flow through the diseased segment and prevent further embolic events. Typical codes: 02LV0CZ, 02LV0ZZ

Related Codes

02L7-LEFT-ATRIUM-OCCLUSION

ICD-10-PCS Code For Left Atrium: Procedure Code Group Overview

02LH-PULMONARY-VALVE-OCCLUSION

ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

02LP-PULMONARY-TRUNK-OCCLUSION

ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview

02LQ-PULMONARY-ARTERY-RIGHT-OCCLUSION

ICD-10-PCS Code For Pulmonary Artery Right: Procedure Code Group Overview

02LR-PULMONARY-ARTERY-LEFT-OCCLUSION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02LS-PULMONARY-VEIN-RIGHT-OCCLUSION

ICD-10-PCS Code For Pulmonary Vein Right: Procedure Code Group Overview

02LT-PULMONARY-VEIN-LEFT-OCCLUSION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

02LW-THORACIC-AORTA-DESCENDING-OCCLUSION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
02LV0CZ	Occlusion of Superior Vena Cava with Extraluminal Device, Open Approach
02LV0DZ	Occlusion of Superior Vena Cava with Intraluminal Device, Open Approach
02LV0ZZ	Occlusion of Superior Vena Cava, Open Approach
02LV3CZ	Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Approach
02LV3DZ	Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
02LV3ZZ	Occlusion of Superior Vena Cava, Percutaneous Approach
02LV4CZ	Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
02LV4DZ	Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
02LV4ZZ	Occlusion of Superior Vena Cava, Percutaneous Endoscopic Approach

DRG Codes

39 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
166	Other Respiratory System O.R. Procedures with MCC
167	Other Respiratory System O.R. Procedures with CC
168	Other Respiratory System O.R. Procedures without CC/MCC
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
356	Other Digestive System O.R. Procedures with MCC

Showing 1–10 of 39

Typical Clinical Scenarios

An elderly patient with a large, symptomatic superior vena cava aneurysm causing cephalad venous congestion and risk of rupture is admitted for planned surgical management. After open exposure, the surgeon completely occludes the superior vena cava and places an external vascular clamp/occlusive device to definitively stop flow and prevent further hemorrhage or embolization. This approach is chosen because the pathology is extensive and not amenable to endovascular techniques. Typical codes: 02LV0CZ
A middle-aged cancer patient with acute superior vena cava syndrome from extrinsic tumor compression presents with worsening hypoxemia and facial edema. During a percutaneous endovascular procedure to control symptoms and prevent further cerebral edema, an intraluminal occlusive device is deployed to completely close the superior vena cava lumen because palliation and control of blood flow is the treatment goal. Typical codes: 02LV3DZ, 02LV4DZ
A patient with a previously placed endovascular stent in the superior vena cava develops recurrent thrombosis and persistent symptoms despite anticoagulation; in a planned revision during inpatient admission the interventionalist removes the dysfunctional intraluminal device and performs complete occlusion of the vessel using an extraluminal surgical device via open approach to control recurrent thromboembolic complications. The procedure is undertaken to definitively stop flow through the diseased segment and prevent further embolic events. Typical codes: 02LV0CZ, 02LV0ZZ

Related Codes

02L7-LEFT-ATRIUM-OCCLUSION

ICD-10-PCS Code For Left Atrium: Procedure Code Group Overview

02LH-PULMONARY-VALVE-OCCLUSION

ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

02LP-PULMONARY-TRUNK-OCCLUSION

ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview

02LQ-PULMONARY-ARTERY-RIGHT-OCCLUSION

ICD-10-PCS Code For Pulmonary Artery Right: Procedure Code Group Overview

02LR-PULMONARY-ARTERY-LEFT-OCCLUSION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02LS-PULMONARY-VEIN-RIGHT-OCCLUSION

ICD-10-PCS Code For Pulmonary Vein Right: Procedure Code Group Overview

02LT-PULMONARY-VEIN-LEFT-OCCLUSION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

02LW-THORACIC-AORTA-DESCENDING-OCCLUSION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview policy alerts

Superior Vena Cava Occlusion Procedure Overview

Code Attributes

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview policy alerts

Superior Vena Cava Occlusion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS group 02LV represent?

When should a coder use a code from the 02LV group for the superior vena cava?

What are the approach variations listed for superior vena cava occlusion codes?

Can you list examples of specific ICD-10-PCS codes in the 02LV group for superior vena cava occlusion?

How does accurate coding in the 02LV group affect reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS group 02LV represent?

When should a coder use a code from the 02LV group for the superior vena cava?

What are the approach variations listed for superior vena cava occlusion codes?

Can you list examples of specific ICD-10-PCS codes in the 02LV group for superior vena cava occlusion?

How does accurate coding in the 02LV group affect reimbursement?

References