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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0613 includes procedures performed to bypass structures in the esophageal vein. These ICD-10-PCS codes are used for inpatient documentation when an alternate route of venous flow is created to reroute blood around an obstructed or diseased segment of the esophageal vein. Accurate coding within the ICD-10-PCS 0613 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Esophageal Vein Bypass Procedure Overview

Procedures in this group involve bypassing the esophageal vein to alter the route of blood flow within the lower veins of the body. These operations create an alternate pathway for venous contents of the esophageal vein and can involve grafts or anastomoses. Accurate inpatient coding reflects the specific bypass technique and anatomy treated, which is important for appropriate reimbursement and clinical record integrity.

Code Attributes

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

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

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Esophageal 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
3	Body Part	Esophageal Vein

When to Use

Use a code from this group when an inpatient procedure creates a bypass around an obstructed or diseased portion of the esophageal vein. Select the specific code that matches the bypass technique and any devices or graft materials used.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
061307Y	Bypass Esophageal Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
061309Y	Bypass Esophageal Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06130AY	Bypass Esophageal Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06130JY	Bypass Esophageal Vein to Lower Vein with Synthetic Substitute, Open Approach
06130KY	Bypass Esophageal Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06130ZY	Bypass Esophageal Vein to Lower Vein, Open Approach
061347Y	Bypass Esophageal Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061349Y	Bypass Esophageal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06134AY	Bypass Esophageal Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06134JY	Bypass Esophageal Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC

Typical Clinical Scenarios

A 58-year-old patient with cirrhosis and portal hypertension presents with acute, massive hematemesis from bleeding esophageal varices refractory to endoscopic band ligation and medical therapy. In the inpatient setting, vascular surgery creates a surgical bypass to reroute venous flow around the diseased esophageal vein using an autologous vein graft to decompress the variceal channel. An open approach is used due to hemodynamic instability and the need for definitive control of bleeding. Typical codes: 061309Y
A 45-year-old patient with chronic portal vein stenosis and recurrent symptomatic esophageal venous congestion is scheduled for an elective procedure to establish long-term venous drainage. The planned operation creates an alternate route for blood from the esophageal vein to a lower-order vein using a synthetic vascular conduit placed via a minimally invasive endoscopic-assisted percutaneous approach to reduce future episodes of variceal formation and bleeding. Typical codes: 06134JY
A 62-year-old patient who previously underwent an esophageal vein bypass with an autologous tissue graft presents months later with graft thrombosis and recurrent symptoms of venous obstruction. During the inpatient admission, revision surgery is performed to reestablish flow by constructing a new bypass using a nonautologous tissue substitute via an open approach because the original graft is no longer viable. Typical codes: 06130KY

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

0612-GASTRIC-VEIN-BYPASS

ICD-10-PCS Code For Gastric 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
061307Y	Bypass Esophageal Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
061309Y	Bypass Esophageal Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06130AY	Bypass Esophageal Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06130JY	Bypass Esophageal Vein to Lower Vein with Synthetic Substitute, Open Approach
06130KY	Bypass Esophageal Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06130ZY	Bypass Esophageal Vein to Lower Vein, Open Approach
061347Y	Bypass Esophageal Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061349Y	Bypass Esophageal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06134AY	Bypass Esophageal Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06134JY	Bypass Esophageal Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC

Typical Clinical Scenarios

A 58-year-old patient with cirrhosis and portal hypertension presents with acute, massive hematemesis from bleeding esophageal varices refractory to endoscopic band ligation and medical therapy. In the inpatient setting, vascular surgery creates a surgical bypass to reroute venous flow around the diseased esophageal vein using an autologous vein graft to decompress the variceal channel. An open approach is used due to hemodynamic instability and the need for definitive control of bleeding. Typical codes: 061309Y
A 45-year-old patient with chronic portal vein stenosis and recurrent symptomatic esophageal venous congestion is scheduled for an elective procedure to establish long-term venous drainage. The planned operation creates an alternate route for blood from the esophageal vein to a lower-order vein using a synthetic vascular conduit placed via a minimally invasive endoscopic-assisted percutaneous approach to reduce future episodes of variceal formation and bleeding. Typical codes: 06134JY
A 62-year-old patient who previously underwent an esophageal vein bypass with an autologous tissue graft presents months later with graft thrombosis and recurrent symptoms of venous obstruction. During the inpatient admission, revision surgery is performed to reestablish flow by constructing a new bypass using a nonautologous tissue substitute via an open approach because the original graft is no longer viable. Typical codes: 06130KY

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

0612-GASTRIC-VEIN-BYPASS

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

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

Esophageal Vein Bypass Procedure Overview

Code Attributes

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

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

Esophageal 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 of the esophageal vein?

What body system and operation are represented by the 0613 code group?

How do the codes in 0613 differentiate by approach and substitute material?

Which DRGs are related to procedures in ICD-10-PCS code group 0613?

Why is accurate coding within the 0613 group important for inpatient records?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers bypass procedures of the esophageal vein?

What body system and operation are represented by the 0613 code group?

How do the codes in 0613 differentiate by approach and substitute material?

Which DRGs are related to procedures in ICD-10-PCS code group 0613?

Why is accurate coding within the 0613 group important for inpatient records?

References