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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0611 includes procedures performed to bypass venous flow in the splenic vein. These ICD-10-PCS codes are used for inpatient documentation when a surgical bypass of the splenic vein is performed to restore or reroute venous drainage. Accurate coding within the ICD-10-PCS 0611 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Splenic Vein: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Splenic Vein Bypass Procedure Overview

Procedures in this ICD-10-PCS group involve creating an alternate route for blood flow around or through the splenic vein within the lower venous system. These bypass operations target the splenic vein and adjacent lower veins to restore or reroute venous drainage when native flow is obstructed or inadequate. Accurate coding of these bypass procedures is important for inpatient reimbursement because it documents the specific surgical action and anatomical site that determine case mix and payment.

Code Attributes

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

Explore openpayer tools

View all tools

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

Customize your policy alerts

Sign up for ICD-10-PCS Code For Splenic Vein: Procedure Code Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Splenic Vein 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
1	Body Part	Splenic Vein

When to Use

Use a code from this group when a surgical bypass of the splenic vein is performed to restore or redirect venous drainage around an obstructed or damaged segment. These codes apply when the operative intent is to create a new conduit or pathway for blood flow in the splenic vein rather than repair or remove the vessel.

ICD-10-PCS Codes

36 rows

ICD-10-PCS Code	Description
0611079	Bypass Splenic Vein to Right Renal Vein with Autologous Tissue Substitute, Open Approach
061107B	Bypass Splenic Vein to Left Renal Vein with Autologous Tissue Substitute, Open Approach
061107Y	Bypass Splenic Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
0611099	Bypass Splenic Vein to Right Renal Vein with Autologous Venous Tissue, Open Approach
061109B	Bypass Splenic Vein to Left Renal Vein with Autologous Venous Tissue, Open Approach
061109Y	Bypass Splenic Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06110A9	Bypass Splenic Vein to Right Renal Vein with Autologous Arterial Tissue, Open Approach
06110AB	Bypass Splenic Vein to Left Renal Vein with Autologous Arterial Tissue, Open Approach
06110AY	Bypass Splenic Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06110J9	Bypass Splenic Vein to Right Renal Vein with Synthetic Substitute, Open Approach

Showing 1–10 of 36

DRG Codes

9 rows

DRG Code	Description
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
407	Pancreas, Liver and Shunt Procedures without CC/MCC

Typical Clinical Scenarios

A middle-aged patient with portal hypertension secondary to cirrhosis presents with acute variceal bleeding and persistent splenic vein thrombosis causing congestive splenomegaly and refractory left-sided portal hypertension despite endoscopic therapy; inpatient care is required for hemodynamic stabilization and definitive surgical rerouting of splenic venous outflow to decompress the congested venous bed. A surgical bypass from the splenic vein to a renal or other lower vein is performed to restore venous drainage and reduce recurrent bleeding risk. Typical codes: 06110ZB, 06110ZY
An adult with a chronic, symptomatic splenic vein occlusion after pancreatitis has progressive left-sided portal hypertension, recurrent abdominal pain, and hypersplenism planned for elective inpatient surgery to re-establish splenic venous drainage; the operative plan is to create an alternate conduit using autologous vein or tissue to bypass the obstructed splenic vein. This elective bypass procedure redirects flow to a renal vein or another lower vein to relieve symptoms and correct cytopenias from hypersplenism. Typical codes: 061109B, 061107B
A patient develops an infected or failed prior splenic vein graft with recurrent thrombosis and worsening splenic ischemia after an earlier endovascular attempt, requiring urgent open revision with placement of a synthetic or nonautologous bypass conduit to re-establish flow; they are admitted for urgent operative management due to graft failure and sepsis risk. The revision uses an open approach and a nonautologous or synthetic substitute to bypass the diseased segment. Typical codes: 06110JY, 06110KY

Related Codes

0610-INFERIOR-VENA-CAVA-BYPASS

ICD-10-PCS Code For Inferior Vena Cava: 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

36 rows

ICD-10-PCS Code	Description
0611079	Bypass Splenic Vein to Right Renal Vein with Autologous Tissue Substitute, Open Approach
061107B	Bypass Splenic Vein to Left Renal Vein with Autologous Tissue Substitute, Open Approach
061107Y	Bypass Splenic Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
0611099	Bypass Splenic Vein to Right Renal Vein with Autologous Venous Tissue, Open Approach
061109B	Bypass Splenic Vein to Left Renal Vein with Autologous Venous Tissue, Open Approach
061109Y	Bypass Splenic Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06110A9	Bypass Splenic Vein to Right Renal Vein with Autologous Arterial Tissue, Open Approach
06110AB	Bypass Splenic Vein to Left Renal Vein with Autologous Arterial Tissue, Open Approach
06110AY	Bypass Splenic Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06110J9	Bypass Splenic Vein to Right Renal Vein with Synthetic Substitute, Open Approach

Showing 1–10 of 36

DRG Codes

9 rows

DRG Code	Description
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
407	Pancreas, Liver and Shunt Procedures without CC/MCC

Typical Clinical Scenarios

A middle-aged patient with portal hypertension secondary to cirrhosis presents with acute variceal bleeding and persistent splenic vein thrombosis causing congestive splenomegaly and refractory left-sided portal hypertension despite endoscopic therapy; inpatient care is required for hemodynamic stabilization and definitive surgical rerouting of splenic venous outflow to decompress the congested venous bed. A surgical bypass from the splenic vein to a renal or other lower vein is performed to restore venous drainage and reduce recurrent bleeding risk. Typical codes: 06110ZB, 06110ZY
An adult with a chronic, symptomatic splenic vein occlusion after pancreatitis has progressive left-sided portal hypertension, recurrent abdominal pain, and hypersplenism planned for elective inpatient surgery to re-establish splenic venous drainage; the operative plan is to create an alternate conduit using autologous vein or tissue to bypass the obstructed splenic vein. This elective bypass procedure redirects flow to a renal vein or another lower vein to relieve symptoms and correct cytopenias from hypersplenism. Typical codes: 061109B, 061107B
A patient develops an infected or failed prior splenic vein graft with recurrent thrombosis and worsening splenic ischemia after an earlier endovascular attempt, requiring urgent open revision with placement of a synthetic or nonautologous bypass conduit to re-establish flow; they are admitted for urgent operative management due to graft failure and sepsis risk. The revision uses an open approach and a nonautologous or synthetic substitute to bypass the diseased segment. Typical codes: 06110JY, 06110KY

Related Codes

0610-INFERIOR-VENA-CAVA-BYPASS

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

Sign up for ICD-10-PCS Code For Splenic Vein: Procedure Code Group Overview policy alerts

Splenic Vein Bypass Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Splenic Vein: Procedure Code Group Overview policy alerts

Splenic Vein Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0611?

What are the approach types and tissue options represented in the 0611 code set?

How should coders document anatomy and operation when assigning a 0611 code?

Why is accurate coding of ICD-10-PCS 0611 important for inpatient reimbursement?

Which DRGs may be assigned when procedures from the 0611 group are coded?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0611?

What are the approach types and tissue options represented in the 0611 code set?

How should coders document anatomy and operation when assigning a 0611 code?

Why is accurate coding of ICD-10-PCS 0611 important for inpatient reimbursement?

Which DRGs may be assigned when procedures from the 0611 group are coded?

References