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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0612 includes procedures performed to bypass venous segments in the gastric vein. These ICD-10-PCS codes are used for inpatient documentation when an alternate route of venous flow is established to circumvent obstruction or disease in the gastric vein. Accurate coding within the ICD-10-PCS 0612 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Gastric Vein Bypass Procedure Overview

This procedure group includes bypass operations performed on the gastric vein within the lower veins body system. These procedures create an alternate route for venous blood flow around an obstructed or diseased segment of the gastric vein. Accurate ICD-10-PCS coding of these bypass procedures ensures inpatient records reflect the surgical intervention performed and supports correct reimbursement.

Code Attributes

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

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

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Gastric 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
2	Body Part	Gastric Vein

When to Use

Use codes from this group when a surgical bypass of the gastric vein is performed to reroute venous blood around an obstructed or diseased portion. These codes apply to inpatient settings where the operation creates an alternate venous pathway for the gastric vein.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
061207Y	Bypass Gastric Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
061209Y	Bypass Gastric Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06120AY	Bypass Gastric Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06120JY	Bypass Gastric Vein to Lower Vein with Synthetic Substitute, Open Approach
06120KY	Bypass Gastric Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06120ZY	Bypass Gastric Vein to Lower Vein, Open Approach
061247Y	Bypass Gastric Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061249Y	Bypass Gastric Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06124AY	Bypass Gastric Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06124JY	Bypass Gastric Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 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

Typical Clinical Scenarios

A 62-year-old man with cirrhosis and portal hypertension presents with recurrent bleeding from gastric varices refractory to endoscopic banding and sclerotherapy. Imaging demonstrates an obstructed segment of the gastric vein with impaired outflow; the surgical team performs an open bypass using the patient's own saphenous vein to establish an alternate venous route and control hemorrhage. This inpatient operation creates a new venous pathway around the diseased gastric vein segment to reduce portal pressure and prevent further variceal bleeding. Typical codes: 061209Y
A 48-year-old woman with chronic portal vein thrombosis and symptomatic gastric varices is scheduled electively for surgical management after failure of medical therapy. To restore venous drainage and prevent future bleeding episodes, the surgeon performs a planned percutaneous endoscopic bypass of the diseased gastric vein using an autologous tissue conduit harvested from the patient. The procedure is performed inpatient to monitor for hemodynamic changes and ensure patency of the new venous route. Typical codes: 061247Y
A 70-year-old patient who previously underwent an open gastric vein bypass with a synthetic graft develops graft stenosis and recurrent variceal bleeding. During an inpatient revision, the surgeon explants the failing synthetic conduit and performs an open bypass using a nonautologous tissue substitute to reestablish adequate venous outflow from the gastric vein. The revision addresses the complication of graft failure and reestablishes an alternate venous pathway. Typical codes: 06120KY

Related Codes

0610-INFERIOR-VENA-CAVA-BYPASS

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

0611-SPLENIC-VEIN-BYPASS

ICD-10-PCS Code For Splenic 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

12 rows

ICD-10-PCS Code	Description
061207Y	Bypass Gastric Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
061209Y	Bypass Gastric Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06120AY	Bypass Gastric Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06120JY	Bypass Gastric Vein to Lower Vein with Synthetic Substitute, Open Approach
06120KY	Bypass Gastric Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06120ZY	Bypass Gastric Vein to Lower Vein, Open Approach
061247Y	Bypass Gastric Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061249Y	Bypass Gastric Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06124AY	Bypass Gastric Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06124JY	Bypass Gastric Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 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

Typical Clinical Scenarios

A 62-year-old man with cirrhosis and portal hypertension presents with recurrent bleeding from gastric varices refractory to endoscopic banding and sclerotherapy. Imaging demonstrates an obstructed segment of the gastric vein with impaired outflow; the surgical team performs an open bypass using the patient's own saphenous vein to establish an alternate venous route and control hemorrhage. This inpatient operation creates a new venous pathway around the diseased gastric vein segment to reduce portal pressure and prevent further variceal bleeding. Typical codes: 061209Y
A 48-year-old woman with chronic portal vein thrombosis and symptomatic gastric varices is scheduled electively for surgical management after failure of medical therapy. To restore venous drainage and prevent future bleeding episodes, the surgeon performs a planned percutaneous endoscopic bypass of the diseased gastric vein using an autologous tissue conduit harvested from the patient. The procedure is performed inpatient to monitor for hemodynamic changes and ensure patency of the new venous route. Typical codes: 061247Y
A 70-year-old patient who previously underwent an open gastric vein bypass with a synthetic graft develops graft stenosis and recurrent variceal bleeding. During an inpatient revision, the surgeon explants the failing synthetic conduit and performs an open bypass using a nonautologous tissue substitute to reestablish adequate venous outflow from the gastric vein. The revision addresses the complication of graft failure and reestablishes an alternate venous pathway. Typical codes: 06120KY

Related Codes

0610-INFERIOR-VENA-CAVA-BYPASS

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

0611-SPLENIC-VEIN-BYPASS

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

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

Gastric Vein Bypass Procedure Overview

Code Attributes

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

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

Gastric Vein Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures on the gastric vein?

What are the approach and device variants included in the 0612 code group?

How should coders interpret the operation and body system for these codes?

Can you list examples of specific ICD-10-PCS codes in this gastric vein bypass group?

Which DRGs are related to procedures coded in the 0612 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures on the gastric vein?

What are the approach and device variants included in the 0612 code group?

How should coders interpret the operation and body system for these codes?

Can you list examples of specific ICD-10-PCS codes in this gastric vein bypass group?

Which DRGs are related to procedures coded in the 0612 group?

References