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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0656 includes procedures performed to destroy vessels in the inferior mesenteric vein. These ICD-10-PCS codes are used for inpatient documentation when destruction of all or part of the inferior mesenteric vein is performed using energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 0656 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Inferior Mesenteric Vein Destruction Procedure Overview

This procedure group includes destruction of all or part of the inferior mesenteric vein using energy, force, or a destructive agent. The procedures target the lower veins body system and specifically the inferior mesenteric vein. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it documents the precise operation performed and supports appropriate case mix assignment.

Code Attributes

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

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

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Inferior Mesenteric 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
6	Body Part	Inferior Mesenteric Vein

When to Use

Use a code from this group when the clinical record documents destruction of the inferior mesenteric vein as the operative intent. Do not use these codes for procedures that remove, repair, or bypass the vein; they are specific to destructive operations.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
06560ZZ	Destruction of Inferior Mesenteric Vein, Open Approach
06563ZZ	Destruction of Inferior Mesenteric Vein, Percutaneous Approach
06564ZZ	Destruction of Inferior Mesenteric 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

An elderly patient with cirrhosis and portal hypertension presents with acute lower gastrointestinal bleeding from large varices involving the inferior mesenteric vein territory that fail endoscopic control; surgical teams proceed with operative destruction of the diseased segment of the inferior mesenteric vein to control hemorrhage during an urgent open abdominal operation. Typical codes: 06560ZZ
A middle-aged patient with chronic left-sided portal-systemic shunting and recurrent symptomatic venous malformation localized to the inferior mesenteric vein is admitted electively for image-guided percutaneous obliteration using ablative energy to eliminate the aberrant venous channel and reduce symptoms. Typical codes: 06563ZZ
A patient develops persistent postprocedural sepsis and thrombosis of the inferior mesenteric vein after prior endovascular interventions; during an inpatient percutaneous endoscopic procedure the team performs targeted destruction of the infected thrombotic vein segment to remove the source of ongoing infection and sepsis. Typical codes: 06564ZZ

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

0652-GASTRIC-VEIN-DESTRUCTION

ICD-10-PCS Code For Gastric 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

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
06560ZZ	Destruction of Inferior Mesenteric Vein, Open Approach
06563ZZ	Destruction of Inferior Mesenteric Vein, Percutaneous Approach
06564ZZ	Destruction of Inferior Mesenteric 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

An elderly patient with cirrhosis and portal hypertension presents with acute lower gastrointestinal bleeding from large varices involving the inferior mesenteric vein territory that fail endoscopic control; surgical teams proceed with operative destruction of the diseased segment of the inferior mesenteric vein to control hemorrhage during an urgent open abdominal operation. Typical codes: 06560ZZ
A middle-aged patient with chronic left-sided portal-systemic shunting and recurrent symptomatic venous malformation localized to the inferior mesenteric vein is admitted electively for image-guided percutaneous obliteration using ablative energy to eliminate the aberrant venous channel and reduce symptoms. Typical codes: 06563ZZ
A patient develops persistent postprocedural sepsis and thrombosis of the inferior mesenteric vein after prior endovascular interventions; during an inpatient percutaneous endoscopic procedure the team performs targeted destruction of the infected thrombotic vein segment to remove the source of ongoing infection and sepsis. Typical codes: 06564ZZ

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

0652-GASTRIC-VEIN-DESTRUCTION

ICD-10-PCS Code For Gastric 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

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 Inferior Mesenteric Vein: Procedure Code Group Overview

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

Inferior Mesenteric Vein Destruction Procedure Overview

Code Attributes

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

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

Inferior Mesenteric Vein Destruction 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 destruction of the inferior mesenteric vein?

What are the individual ICD-10-PCS codes in the 0656 group and their approaches?

What section, body system, and operation attributes define the 0656 code group?

Why is accurate coding within ICD-10-PCS group 0656 important for inpatient reimbursement?

Which DRGs are related to procedures in the 0656 Inferior Mesenteric Vein destruction group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers destruction of the inferior mesenteric vein?

What are the individual ICD-10-PCS codes in the 0656 group and their approaches?

What section, body system, and operation attributes define the 0656 code group?

Why is accurate coding within ICD-10-PCS group 0656 important for inpatient reimbursement?

Which DRGs are related to procedures in the 0656 Inferior Mesenteric Vein destruction group?

References