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 02VV includes procedures performed to restrict luminal flow in the superior vena cava within the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician partially closes or narrows the superior vena cava to control flow or treat vascular pathology. Accurate coding within the ICD-10-PCS 02VV group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Superior Vena Cava Restriction Procedure Overview

Procedures in this group involve partially closing or narrowing the lumen of the superior vena cava, a central vessel within the heart and great vessels body system. These operations are performed to restrict blood flow for therapeutic or hemostatic purposes and may involve sutures, clips, bands, or intraluminal devices. Accurate coding of superior vena cava restriction procedures is important for inpatient reimbursement because it captures the specific operation performed and supports appropriate case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
V	Operation	Restriction
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 Restriction Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when an inpatient procedure partially closes or limits the lumen of the superior vena cava to control blood flow or manage vascular complications. Codes in this group apply when the primary operation performed is restriction rather than occlusion, repair, or replacement.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
02VV0CZ	Restriction of Superior Vena Cava with Extraluminal Device, Open Approach
02VV0DZ	Restriction of Superior Vena Cava with Intraluminal Device, Open Approach
02VV0ZZ	Restriction of Superior Vena Cava, Open Approach
02VV3CZ	Restriction of Superior Vena Cava with Extraluminal Device, Percutaneous Approach
02VV3DZ	Restriction of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
02VV3ZZ	Restriction of Superior Vena Cava, Percutaneous Approach
02VV4CZ	Restriction of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
02VV4DZ	Restriction of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
02VV4ZZ	Restriction 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

A patient presents emergently with central venous catheter–related bleeding from the superior vena cava after removal of a tunneled catheter; ongoing brisk oozing and hemodynamic instability necessitate urgent partial narrowing of the vessel to control hemorrhage while preserving central venous return. An open thoracic approach is performed to place external sutures or a constrictive device around the superior vena cava to restrict flow and stop bleeding. The procedure targets partial closure rather than complete occlusion to maintain some venous drainage. Typical codes: 02VV0CZ, 02VV0ZZ
An elective case for a patient with recurrent symptomatic superior vena cava syndrome due to a partially obstructing mediastinal mass; prior stenting was unsuccessful and the team plans a percutaneous endovascular strategy to reduce luminal diameter and improve symptom control while avoiding full occlusion. A percutaneous endoscopic approach is used to place an intraluminal or extraluminal device to narrow the superior vena cava lumen and decrease venous congestion symptoms. Typical codes: 02VV4CZ, 02VV4DZ
A patient with prior percutaneous partial banding of the superior vena cava returns with recurrent venous hypertension due to device migration causing inadequate restriction; a percutaneous revision is undertaken to reposition or exchange the intraluminal device to restore the intended luminal narrowing. The procedure is performed percutaneously to correct the prior restriction without converting to complete occlusion. Typical codes: 02VV3DZ, 02VV3ZZ

Related Codes

02VA-HEART-RESTRICTION

ICD-10-PCS Code For Heart: Procedure Code Group Overview

02VG-MITRAL-VALVE-RESTRICTION

ICD-10-PCS Code for Mitral Valve: Procedure Code Group Overview

02VL-LEFT-VENTRICLE-RESTRICTION

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

02VP-PULMONARY-TRUNK-RESTRICTION

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

02VQ-RIGHT-PULMONARY-ARTERY-PARTIAL-CLOSURE-PULMONARY-ARTERY-RIGHT

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

02VR-PULMONARY-ARTERY-LEFT-RESTRICTION

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

02VS-PULMONARY-VEIN-RIGHT-RESTRICTION

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

02VT-PULMONARY-VEIN-LEFT-RESTRICTION

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

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

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

02VX-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Ascending/Arch: 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
02VV0CZ	Restriction of Superior Vena Cava with Extraluminal Device, Open Approach
02VV0DZ	Restriction of Superior Vena Cava with Intraluminal Device, Open Approach
02VV0ZZ	Restriction of Superior Vena Cava, Open Approach
02VV3CZ	Restriction of Superior Vena Cava with Extraluminal Device, Percutaneous Approach
02VV3DZ	Restriction of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
02VV3ZZ	Restriction of Superior Vena Cava, Percutaneous Approach
02VV4CZ	Restriction of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
02VV4DZ	Restriction of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
02VV4ZZ	Restriction 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

A patient presents emergently with central venous catheter–related bleeding from the superior vena cava after removal of a tunneled catheter; ongoing brisk oozing and hemodynamic instability necessitate urgent partial narrowing of the vessel to control hemorrhage while preserving central venous return. An open thoracic approach is performed to place external sutures or a constrictive device around the superior vena cava to restrict flow and stop bleeding. The procedure targets partial closure rather than complete occlusion to maintain some venous drainage. Typical codes: 02VV0CZ, 02VV0ZZ
An elective case for a patient with recurrent symptomatic superior vena cava syndrome due to a partially obstructing mediastinal mass; prior stenting was unsuccessful and the team plans a percutaneous endovascular strategy to reduce luminal diameter and improve symptom control while avoiding full occlusion. A percutaneous endoscopic approach is used to place an intraluminal or extraluminal device to narrow the superior vena cava lumen and decrease venous congestion symptoms. Typical codes: 02VV4CZ, 02VV4DZ
A patient with prior percutaneous partial banding of the superior vena cava returns with recurrent venous hypertension due to device migration causing inadequate restriction; a percutaneous revision is undertaken to reposition or exchange the intraluminal device to restore the intended luminal narrowing. The procedure is performed percutaneously to correct the prior restriction without converting to complete occlusion. Typical codes: 02VV3DZ, 02VV3ZZ

Related Codes

02VA-HEART-RESTRICTION

ICD-10-PCS Code For Heart: Procedure Code Group Overview

02VG-MITRAL-VALVE-RESTRICTION

ICD-10-PCS Code for Mitral Valve: Procedure Code Group Overview

02VL-LEFT-VENTRICLE-RESTRICTION

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

02VP-PULMONARY-TRUNK-RESTRICTION

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

02VQ-RIGHT-PULMONARY-ARTERY-PARTIAL-CLOSURE-PULMONARY-ARTERY-RIGHT

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

02VR-PULMONARY-ARTERY-LEFT-RESTRICTION

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

02VS-PULMONARY-VEIN-RIGHT-RESTRICTION

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

02VT-PULMONARY-VEIN-LEFT-RESTRICTION

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

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

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

02VX-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Ascending/Arch: 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 Restriction 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 Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 02VV code group?

How are individual codes in the 02VV group differentiated?

Which ICD-10-PCS code represents an open approach restriction of the superior vena cava with an intraluminal device?

Why is accurate coding within the 02VV group important for inpatient reimbursement?

What DRG categories may be related to procedures coded in the 02VV group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 02VV code group?

How are individual codes in the 02VV group differentiated?

Which ICD-10-PCS code represents an open approach restriction of the superior vena cava with an intraluminal device?

Why is accurate coding within the 02VV group important for inpatient reimbursement?

What DRG categories may be related to procedures coded in the 02VV group?

References