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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0690 includes procedures performed to drain fluids or gases from the inferior vena cava. These ICD-10-PCS codes are used for inpatient documentation when removal of fluids or gases from the inferior vena cava is clinically indicated to relieve venous congestion, treat effusion, or manage related complications. Accurate coding within the ICD-10-PCS 0690 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Inferior Vena Cava Drainage Procedure Overview

This procedure group includes drainage operations performed on the inferior vena cava within the lower veins body system. Procedures involve removing fluids or gases from the inferior vena cava to relieve symptoms or treat pathologic collections. Accurate ICD-10-PCS coding ensures the inpatient record reflects the specific drainage performed and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
9	Operation	Drainage
0	Body Part	Inferior Vena Cava

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

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Inferior Vena Cava Drainage Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
9	Operation	Drainage
0	Body Part	Inferior Vena Cava

When to Use

Use a code from this group when a documented procedure involves removing fluid or gas from the inferior vena cava. Codes apply when the drainage is performed during an inpatient encounter to treat venous system complications or related conditions.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
069000Z	Drainage of Inferior Vena Cava with Drainage Device, Open Approach
06900ZX	Drainage of Inferior Vena Cava, Open Approach, Diagnostic
06900ZZ	Drainage of Inferior Vena Cava, Open Approach
069030Z	Drainage of Inferior Vena Cava with Drainage Device, Percutaneous Approach
06903ZX	Drainage of Inferior Vena Cava, Percutaneous Approach, Diagnostic
06903ZZ	Drainage of Inferior Vena Cava, Percutaneous Approach
069040Z	Drainage of Inferior Vena Cava with Drainage Device, Percutaneous Endoscopic Approach
06904ZX	Drainage of Inferior Vena Cava, Percutaneous Endoscopic Approach, Diagnostic
06904ZZ	Drainage of Inferior Vena Cava, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A patient with advanced liver cirrhosis is admitted with acute worsening lower extremity and abdominal venous congestion and imaging shows a large thrombus with associated venous engorgement in the inferior vena cava causing impaired outflow; urgent inpatient intervention is performed to evacuate accumulated thrombotic material or fluid to relieve hemodynamic compromise and reduce risk of further embolic complications. Typical codes: 06903ZZ, 06904ZZ
An elective inpatient procedure for a patient with chronic symptomatic inferior vena cava pseudoaneurysm or persistent serous collection identified on surveillance imaging, where percutaneous endoscopic drainage is planned to remove the collection and obtain fluid for diagnostic analysis to guide further management. Typical codes: 06904ZX, 069030Z
A postoperative patient develops a suspected infected hematoma tracking into the inferior vena cava after abdominal vascular surgery, with sepsis and imaging-confirmed collection requiring open surgical drainage and placement of a drainage device for source control and ongoing evacuation. Typical codes: 069000Z, 06900ZZ

Related Codes

0691-SPLENIC-VEIN-DRAINAGE

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

0692-GASTRIC-VEIN-DRAINAGE

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

0693-ESOPHAGEAL-VEIN-DRAINAGE

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

0694-HEPATIC-VEIN-DRAINAGE

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

0695-SUPERIOR-MESENTERIC-VEIN-DRAINAGE

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

0696-INFERIOR-MESENTERIC-VEIN-DRAINAGE

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

0697-COLIC-VEIN-DRAINAGE

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

0698-PORTAL-VEIN-DRAINAGE

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

0699-RENAL-VEIN-RIGHT-DRAINAGE

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

069B-LEFT-RENAL-VEIN-DRAINAGE

ICD-10-PCS Code For Left Renal Vein: 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

9 rows

ICD-10-PCS Code	Description
069000Z	Drainage of Inferior Vena Cava with Drainage Device, Open Approach
06900ZX	Drainage of Inferior Vena Cava, Open Approach, Diagnostic
06900ZZ	Drainage of Inferior Vena Cava, Open Approach
069030Z	Drainage of Inferior Vena Cava with Drainage Device, Percutaneous Approach
06903ZX	Drainage of Inferior Vena Cava, Percutaneous Approach, Diagnostic
06903ZZ	Drainage of Inferior Vena Cava, Percutaneous Approach
069040Z	Drainage of Inferior Vena Cava with Drainage Device, Percutaneous Endoscopic Approach
06904ZX	Drainage of Inferior Vena Cava, Percutaneous Endoscopic Approach, Diagnostic
06904ZZ	Drainage of Inferior Vena Cava, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A patient with advanced liver cirrhosis is admitted with acute worsening lower extremity and abdominal venous congestion and imaging shows a large thrombus with associated venous engorgement in the inferior vena cava causing impaired outflow; urgent inpatient intervention is performed to evacuate accumulated thrombotic material or fluid to relieve hemodynamic compromise and reduce risk of further embolic complications. Typical codes: 06903ZZ, 06904ZZ
An elective inpatient procedure for a patient with chronic symptomatic inferior vena cava pseudoaneurysm or persistent serous collection identified on surveillance imaging, where percutaneous endoscopic drainage is planned to remove the collection and obtain fluid for diagnostic analysis to guide further management. Typical codes: 06904ZX, 069030Z
A postoperative patient develops a suspected infected hematoma tracking into the inferior vena cava after abdominal vascular surgery, with sepsis and imaging-confirmed collection requiring open surgical drainage and placement of a drainage device for source control and ongoing evacuation. Typical codes: 069000Z, 06900ZZ

Related Codes

0691-SPLENIC-VEIN-DRAINAGE

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

0692-GASTRIC-VEIN-DRAINAGE

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

0693-ESOPHAGEAL-VEIN-DRAINAGE

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

0694-HEPATIC-VEIN-DRAINAGE

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

0695-SUPERIOR-MESENTERIC-VEIN-DRAINAGE

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

0696-INFERIOR-MESENTERIC-VEIN-DRAINAGE

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

0697-COLIC-VEIN-DRAINAGE

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

0698-PORTAL-VEIN-DRAINAGE

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

0699-RENAL-VEIN-RIGHT-DRAINAGE

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

069B-LEFT-RENAL-VEIN-DRAINAGE

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

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

Inferior Vena Cava Drainage Procedure Overview

Code Attributes

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

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

Inferior Vena Cava Drainage 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 drainage procedures of the inferior vena cava?

What are the approaches and device distinctions within codes in group `0690`?

How does coding within ICD-10-PCS group `0690` affect inpatient reimbursement?

Which DRG categories are related to procedures coded in the `0690` group?

What is the primary clinical indication for procedures in the inferior vena cava drainage group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers drainage procedures of the inferior vena cava?

What are the approaches and device distinctions within codes in group `0690`?

How does coding within ICD-10-PCS group `0690` affect inpatient reimbursement?

Which DRG categories are related to procedures coded in the `0690` group?

What is the primary clinical indication for procedures in the inferior vena cava drainage group?

References