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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0614 includes procedures performed to bypass vascular structures in the hepatic vein. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous endoscopic bypass is created to redirect blood flow around an obstructed or diseased segment of the hepatic vein. Accurate coding within the ICD-10-PCS 0614 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Hepatic Vein Bypass Procedure Overview

This group includes percutaneous endoscopic bypass procedures performed on the hepatic vein within the lower veins body system. These procedures create an alternate route for blood flow through or around the hepatic vein using minimally invasive, endoscopic, percutaneous techniques. Accurate coding of these bypass procedures is important for inpatient reimbursement because it documents the specific operative approach and anatomical target, which affects 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
4	Body Part	Hepatic Vein

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

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Hepatic 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
4	Body Part	Hepatic Vein

When to Use

Use a code from this group when a percutaneous endoscopic approach is used to create a bypass of the hepatic vein to bypass an obstructed or diseased segment. Do not use these codes for open or non-bypass hepatic vein procedures; select the code that reflects the bypass operation, body system, and body part exactly.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
061407Y	Bypass Hepatic Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
061409Y	Bypass Hepatic Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06140AY	Bypass Hepatic Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06140JY	Bypass Hepatic Vein to Lower Vein with Synthetic Substitute, Open Approach
06140KY	Bypass Hepatic Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06140ZY	Bypass Hepatic Vein to Lower Vein, Open Approach
061447Y	Bypass Hepatic Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061449Y	Bypass Hepatic Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06144AY	Bypass Hepatic Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06144JY	Bypass Hepatic 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 patient with cirrhosis and progressive hepatic vein outflow obstruction from chronic thrombosis presents with increasing ascites, hepatomegaly, and renal dysfunction. After imaging confirms a focal obstructed segment of the hepatic vein not amenable to endovascular stenting alone, the team performs a planned percutaneous endoscopic bypass to restore hepatic venous drainage using a synthetic conduit to create an alternate route. The procedure is performed electively in the inpatient setting to improve venous outflow and relieve portal hypertension-related symptoms. Typical codes: 06144JY
An adult patient is admitted emergently with acute Budd-Chiari–type presentation: sudden worsening abdominal pain, rapid onset ascites, and hepatic congestion due to acute thrombosis occluding a major hepatic vein. After failure of catheter-directed thrombolysis, an urgent percutaneous endoscopic bypass is created using the patient's own venous graft to reestablish outflow and stabilize liver perfusion. The inpatient procedure aims to promptly decompress the congested liver and prevent ischemic injury. Typical codes: 061449Y
A patient with a prior hepatic vein bypass presents with recurrent symptoms of venous congestion and imaging that demonstrates graft stenosis and loss of flow through the original bypass. The surgical team performs a percutaneous endoscopic revision, creating a new bypass using autologous tissue substitute to reestablish durable hepatic venous drainage while avoiding open reoperation. This inpatient revision addresses failure of the initial bypass and restores hepatic outflow. Typical codes: 061447Y

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

0613-ESOPHAGEAL-VEIN-BYPASS

ICD-10-PCS Code For Esophageal 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
061407Y	Bypass Hepatic Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
061409Y	Bypass Hepatic Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06140AY	Bypass Hepatic Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06140JY	Bypass Hepatic Vein to Lower Vein with Synthetic Substitute, Open Approach
06140KY	Bypass Hepatic Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06140ZY	Bypass Hepatic Vein to Lower Vein, Open Approach
061447Y	Bypass Hepatic Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061449Y	Bypass Hepatic Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06144AY	Bypass Hepatic Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06144JY	Bypass Hepatic 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 patient with cirrhosis and progressive hepatic vein outflow obstruction from chronic thrombosis presents with increasing ascites, hepatomegaly, and renal dysfunction. After imaging confirms a focal obstructed segment of the hepatic vein not amenable to endovascular stenting alone, the team performs a planned percutaneous endoscopic bypass to restore hepatic venous drainage using a synthetic conduit to create an alternate route. The procedure is performed electively in the inpatient setting to improve venous outflow and relieve portal hypertension-related symptoms. Typical codes: 06144JY
An adult patient is admitted emergently with acute Budd-Chiari–type presentation: sudden worsening abdominal pain, rapid onset ascites, and hepatic congestion due to acute thrombosis occluding a major hepatic vein. After failure of catheter-directed thrombolysis, an urgent percutaneous endoscopic bypass is created using the patient's own venous graft to reestablish outflow and stabilize liver perfusion. The inpatient procedure aims to promptly decompress the congested liver and prevent ischemic injury. Typical codes: 061449Y
A patient with a prior hepatic vein bypass presents with recurrent symptoms of venous congestion and imaging that demonstrates graft stenosis and loss of flow through the original bypass. The surgical team performs a percutaneous endoscopic revision, creating a new bypass using autologous tissue substitute to reestablish durable hepatic venous drainage while avoiding open reoperation. This inpatient revision addresses failure of the initial bypass and restores hepatic outflow. Typical codes: 061447Y

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

0613-ESOPHAGEAL-VEIN-BYPASS

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

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

Hepatic Vein Bypass Procedure Overview

Code Attributes

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

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

Hepatic 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 percutaneous endoscopic bypass of the hepatic vein?

What body system and operation are indicated by the 0614 code group?

Which specific codes in the 0614 group represent percutaneous endoscopic approaches?

Why is accurate coding within the 0614 group important for inpatient documentation?

Which DRGs are related to procedures in the 0614 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers percutaneous endoscopic bypass of the hepatic vein?

What body system and operation are indicated by the 0614 code group?

Which specific codes in the 0614 group represent percutaneous endoscopic approaches?

Why is accurate coding within the 0614 group important for inpatient documentation?

Which DRGs are related to procedures in the 0614 code group?

References