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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0610 includes procedures performed to bypass venous flow in the inferior vena cava within the lower veins body system. These ICD-10-PCS codes are used for inpatient documentation when an alternate route for venous return is surgically created to treat obstruction, trauma, or occlusive disease of the inferior vena cava. Accurate coding within the ICD-10-PCS 0610 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Inferior Vena Cava Bypass Procedure Overview

Procedures in this group involve creating an alternate route for blood flow through or around the inferior vena cava and target the lower veins body system. These bypass operations reroute venous circulation to restore or maintain adequate venous return when the native vessel is obstructed or damaged. Accurate ICD-10-PCS coding of inferior vena cava bypass 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
6	Body System	Lower Veins
1	Operation	Bypass
0	Body Part	Inferior Vena Cava

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

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Inferior Vena Cava Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
1	Operation	Bypass
0	Body Part	Inferior Vena Cava

When to Use

Use a code from this group when a documented surgical bypass of the inferior vena cava is performed to restore or maintain venous return. These codes apply when the procedure creates an alternative route around a diseased, injured, or occluded portion of the inferior vena cava.

ICD-10-PCS Codes

72 rows

ICD-10-PCS Code	Description
0610075	Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Tissue Substitute, Open Approach
0610076	Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Tissue Substitute, Open Approach
061007P	Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Open Approach
061007Q	Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Tissue Substitute, Open Approach
061007R	Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Tissue Substitute, Open Approach
061007Y	Bypass Inferior Vena Cava to Lower Vein with Autologous Tissue Substitute, Open Approach
0610095	Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Venous Tissue, Open Approach
0610096	Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Venous Tissue, Open Approach
061009P	Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Open Approach
061009Q	Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Venous Tissue, Open Approach

Showing 1–10 of 72

DRG Codes

11 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
405	Pancreas, Liver and Shunt Procedures with MCC
406	Pancreas, Liver and Shunt Procedures with CC

Showing 1–10 of 11

Typical Clinical Scenarios

A 62-year-old man with known extensive tumor thrombus from hepatocellular carcinoma obstructs the intrahepatic and infrahepatic inferior vena cava, causing progressive lower extremity edema and renal dysfunction. After multidisciplinary evaluation, the team performs an open surgical creation of an alternate venous channel to bypass the obstructed segment of the inferior vena cava using a synthetic conduit to restore venous return. The bypass is performed during an inpatient admission for major vascular surgery and postoperative monitoring. Typical codes: 06100JY
A 45-year-old woman presents emergently with traumatic laceration and segmental loss of the inferior vena cava after a motor vehicle collision, with hypotension and signs of massive venous hemorrhage. In the operating room, surgeons establish an open bypass of the damaged inferior vena cava to a lower vein using autologous venous tissue harvested from the patient to re-establish venous continuity and control hemorrhage. The patient remains inpatient for intensive care and monitoring postoperatively. Typical codes: 061009Y
A 70-year-old man with prior inferior vena cava stent placement and recurrent in-stent occlusion despite anticoagulation develops refractory venous hypertension and recurrent deep venous thrombosis. Because endovascular therapy has failed, a percutaneous endoscopic bypass to reroute flow around the occluded cava segment is performed using an autologous tissue substitute to provide a durable alternative pathway while minimizing open operative morbidity. The procedure is done during an inpatient admission for vascular intervention and observation. Typical codes: 0610475

Related Codes

0611-SPLENIC-VEIN-BYPASS

ICD-10-PCS Code For Splenic Vein: Procedure Code Group Overview

0612-GASTRIC-VEIN-BYPASS

ICD-10-PCS Code For Gastric Vein: Procedure Code Group Overview

0613-ESOPHAGEAL-VEIN-BYPASS

ICD-10-PCS Code For Esophageal Vein: Procedure Code Group Overview

0614-HEPATIC-VEIN-BYPASS

ICD-10-PCS Code For Hepatic Vein: Procedure Code Group Overview

0615-SUPERIOR-MESENTERIC-VEIN-BYPASS

ICD-10-PCS Code For Superior Mesenteric Vein: Procedure Code Group Overview

0616-INFERIOR-MESENTERIC-VEIN-BYPASS

ICD-10-PCS Code For Inferior Mesenteric Vein: Procedure Code Group Overview

0617-COLIC-VEIN-BYPASS

ICD-10-PCS Code For Colic Vein: Procedure Code Group Overview

0618-PORTAL-VEIN-BYPASS

ICD-10-PCS Code For Portal Vein: Procedure Code Group Overview

0619-RIGHT-RENAL-VEIN-BYPASS

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

061B-LEFT-RENAL-VEIN-BYPASS

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

Showing 1–10 of 22

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

72 rows

ICD-10-PCS Code	Description
0610075	Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Tissue Substitute, Open Approach
0610076	Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Tissue Substitute, Open Approach
061007P	Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Tissue Substitute, Open Approach
061007Q	Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Tissue Substitute, Open Approach
061007R	Bypass Inferior Vena Cava to Left Pulmonary Artery with Autologous Tissue Substitute, Open Approach
061007Y	Bypass Inferior Vena Cava to Lower Vein with Autologous Tissue Substitute, Open Approach
0610095	Bypass Inferior Vena Cava to Superior Mesenteric Vein with Autologous Venous Tissue, Open Approach
0610096	Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Autologous Venous Tissue, Open Approach
061009P	Bypass Inferior Vena Cava to Pulmonary Trunk with Autologous Venous Tissue, Open Approach
061009Q	Bypass Inferior Vena Cava to Right Pulmonary Artery with Autologous Venous Tissue, Open Approach

Showing 1–10 of 72

DRG Codes

11 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
326	Stomach, Esophageal and Duodenal Procedures with MCC
327	Stomach, Esophageal and Duodenal Procedures with CC
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC
405	Pancreas, Liver and Shunt Procedures with MCC
406	Pancreas, Liver and Shunt Procedures with CC

Showing 1–10 of 11

Typical Clinical Scenarios

A 62-year-old man with known extensive tumor thrombus from hepatocellular carcinoma obstructs the intrahepatic and infrahepatic inferior vena cava, causing progressive lower extremity edema and renal dysfunction. After multidisciplinary evaluation, the team performs an open surgical creation of an alternate venous channel to bypass the obstructed segment of the inferior vena cava using a synthetic conduit to restore venous return. The bypass is performed during an inpatient admission for major vascular surgery and postoperative monitoring. Typical codes: 06100JY
A 45-year-old woman presents emergently with traumatic laceration and segmental loss of the inferior vena cava after a motor vehicle collision, with hypotension and signs of massive venous hemorrhage. In the operating room, surgeons establish an open bypass of the damaged inferior vena cava to a lower vein using autologous venous tissue harvested from the patient to re-establish venous continuity and control hemorrhage. The patient remains inpatient for intensive care and monitoring postoperatively. Typical codes: 061009Y
A 70-year-old man with prior inferior vena cava stent placement and recurrent in-stent occlusion despite anticoagulation develops refractory venous hypertension and recurrent deep venous thrombosis. Because endovascular therapy has failed, a percutaneous endoscopic bypass to reroute flow around the occluded cava segment is performed using an autologous tissue substitute to provide a durable alternative pathway while minimizing open operative morbidity. The procedure is done during an inpatient admission for vascular intervention and observation. Typical codes: 0610475

Related Codes

0611-SPLENIC-VEIN-BYPASS

ICD-10-PCS Code For Splenic Vein: Procedure Code Group Overview

0612-GASTRIC-VEIN-BYPASS

ICD-10-PCS Code For Gastric Vein: Procedure Code Group Overview

0613-ESOPHAGEAL-VEIN-BYPASS

ICD-10-PCS Code For Esophageal Vein: Procedure Code Group Overview

0614-HEPATIC-VEIN-BYPASS

ICD-10-PCS Code For Hepatic Vein: Procedure Code Group Overview

0615-SUPERIOR-MESENTERIC-VEIN-BYPASS

ICD-10-PCS Code For Superior Mesenteric Vein: Procedure Code Group Overview

0616-INFERIOR-MESENTERIC-VEIN-BYPASS

ICD-10-PCS Code For Inferior Mesenteric Vein: Procedure Code Group Overview

0617-COLIC-VEIN-BYPASS

ICD-10-PCS Code For Colic Vein: Procedure Code Group Overview

0618-PORTAL-VEIN-BYPASS

ICD-10-PCS Code For Portal Vein: Procedure Code Group Overview

0619-RIGHT-RENAL-VEIN-BYPASS

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

061B-LEFT-RENAL-VEIN-BYPASS

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

Showing 1–10 of 22

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 Inferior Vena Cava: Procedure Code Group Overview

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

Inferior Vena Cava Bypass Procedure Overview

Code Attributes

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

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

Inferior Vena Cava Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are represented by ICD-10-PCS code group 0610?

When should an inferior vena cava bypass from this group be coded for inpatient documentation?

How are different graft materials and approaches represented in the codes listed?

Which destinations for bypass are included in the 0610 code list?

What DRG categories may be related when coding procedures from ICD-10-PCS group 0610?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are represented by ICD-10-PCS code group 0610?

When should an inferior vena cava bypass from this group be coded for inpatient documentation?

How are different graft materials and approaches represented in the codes listed?

Which destinations for bypass are included in the 0610 code list?

What DRG categories may be related when coding procedures from ICD-10-PCS group 0610?

References