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 0652 includes procedures performed to destroy tissue or structures in the gastric vein. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs direct destruction of all or part of the gastric vein for treatment of a venous lesion or abnormal flow. Accurate coding within the ICD-10-PCS 0652 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Gastric Vein Destruction Procedure Overview

Procedures in this group involve the destruction of all or part of the gastric vein within the lower veins body system using energy, force, or a destructive agent. These inpatient procedures target the gastric vein to eliminate abnormal or pathological venous tissue or flow. Accurate ICD-10-PCS coding of these destruction procedures ensures the inpatient record reflects the procedure performed and supports appropriate reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
5	Operation	Destruction
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 Destruction Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when the inpatient procedure explicitly documents destruction of all or part of the gastric vein. Codes apply when the intent and operative note indicate direct eradication of the gastric vein rather than other actions such as ligation or occlusion.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
06520ZZ	Destruction of Gastric Vein, Open Approach
06523ZZ	Destruction of Gastric Vein, Percutaneous Approach
06524ZZ	Destruction of Gastric Vein, Percutaneous Endoscopic Approach

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 patient with cirrhosis and portal hypertension presents with acute upper gastrointestinal bleeding from bleeding gastric varices that cannot be controlled endoscopically; the patient is admitted to the inpatient unit for definitive vascular intervention to eradicate the bleeding source in the gastric vein and reduce rebleeding risk. The procedure performed targets destruction of the affected portion of the gastric vein to stop hemorrhage. Typical codes: 06524ZZ, 06523ZZ
An elective inpatient admission for a patient with symptomatic gastric varices causing recurrent transfusion-dependent slow bleeding despite medical therapy; after multidisciplinary review, the team plans a percutaneous obliterative procedure to destroy the abnormal gastric venous segment to eliminate the source of chronic blood loss. The procedure intentionally destroys the diseased portion of the gastric vein to resolve symptoms and prevent further bleeding. Typical codes: 06523ZZ, 06524ZZ
A patient with prior surgical attempts at variceal control presents with persistent or recurrent variceal inflow localized to a residual gastric vein segment; under inpatient care, an open surgical approach is undertaken to directly destroy the remaining pathologic gastric vein tissue as a revisionary measure after failed prior treatments. The operation involves open destruction of the gastric vein to address the complication of recurrent variceal bleeding. Typical codes: 06520ZZ

Related Codes

0650-INFERIOR-VENA-CAVA-DESTRUCTION

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

0651-SPLENIC-VEIN-DESTRUCTION

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

0653-ESOPHAGEAL-VEIN-DESTRUCTION

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

0654-HEPATIC-VEIN-DESTRUCTION

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

0655-SUPERIOR-MESENTERIC-VEIN-DESTRUCTION

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

0656-INFERIOR-MESENTERIC-VEIN-DESTRUCTION

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

0657-COLIC-VEIN-DESTRUCTION

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

0658-PORTAL-VEIN-DESTRUCTION

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

0659-RENAL-VEIN-RIGHT-DESTRUCTION

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

065B-LEFT-RENAL-VEIN-DESTRUCTION

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

Showing 1–10 of 23

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

3 rows

ICD-10-PCS Code	Description
06520ZZ	Destruction of Gastric Vein, Open Approach
06523ZZ	Destruction of Gastric Vein, Percutaneous Approach
06524ZZ	Destruction of Gastric Vein, Percutaneous Endoscopic Approach

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 patient with cirrhosis and portal hypertension presents with acute upper gastrointestinal bleeding from bleeding gastric varices that cannot be controlled endoscopically; the patient is admitted to the inpatient unit for definitive vascular intervention to eradicate the bleeding source in the gastric vein and reduce rebleeding risk. The procedure performed targets destruction of the affected portion of the gastric vein to stop hemorrhage. Typical codes: 06524ZZ, 06523ZZ
An elective inpatient admission for a patient with symptomatic gastric varices causing recurrent transfusion-dependent slow bleeding despite medical therapy; after multidisciplinary review, the team plans a percutaneous obliterative procedure to destroy the abnormal gastric venous segment to eliminate the source of chronic blood loss. The procedure intentionally destroys the diseased portion of the gastric vein to resolve symptoms and prevent further bleeding. Typical codes: 06523ZZ, 06524ZZ
A patient with prior surgical attempts at variceal control presents with persistent or recurrent variceal inflow localized to a residual gastric vein segment; under inpatient care, an open surgical approach is undertaken to directly destroy the remaining pathologic gastric vein tissue as a revisionary measure after failed prior treatments. The operation involves open destruction of the gastric vein to address the complication of recurrent variceal bleeding. Typical codes: 06520ZZ

Related Codes

0650-INFERIOR-VENA-CAVA-DESTRUCTION

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

0651-SPLENIC-VEIN-DESTRUCTION

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

0653-ESOPHAGEAL-VEIN-DESTRUCTION

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

0654-HEPATIC-VEIN-DESTRUCTION

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

0655-SUPERIOR-MESENTERIC-VEIN-DESTRUCTION

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

0656-INFERIOR-MESENTERIC-VEIN-DESTRUCTION

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

0657-COLIC-VEIN-DESTRUCTION

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

0658-PORTAL-VEIN-DESTRUCTION

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

0659-RENAL-VEIN-RIGHT-DESTRUCTION

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

065B-LEFT-RENAL-VEIN-DESTRUCTION

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

Showing 1–10 of 23

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 Destruction 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 Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation describe the gastric vein procedures in code group 0652?

What specific ICD-10-PCS codes are included in the 0652 gastric vein group and what approaches do they represent?

For what clinical purpose are procedures in the 0652 group performed?

How does accurate coding within ICD-10-PCS group 0652 affect inpatient records and reimbursement?

Which related DRGs are associated with the gastric vein destruction codes in group 0652?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation describe the gastric vein procedures in code group 0652?

What specific ICD-10-PCS codes are included in the 0652 gastric vein group and what approaches do they represent?

For what clinical purpose are procedures in the 0652 group performed?

How does accurate coding within ICD-10-PCS group 0652 affect inpatient records and reimbursement?

Which related DRGs are associated with the gastric vein destruction codes in group 0652?

References