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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 06B5 includes procedures performed to excise portions of the superior mesenteric vein in the lower veins. These ICD-10-PCS codes are used for inpatient documentation when a portion of the superior mesenteric vein is surgically removed without replacement, such as for thrombectomy with excision or resection of diseased vessel segments. Accurate coding within the ICD-10-PCS 06B5 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Superior Mesenteric Vein Excision Procedure Overview

This procedure group covers excision of a portion of the superior mesenteric vein within the lower veins body system. Procedures involve cutting out or off part of the superior mesenteric vein and do not include replacement. Accurate ICD-10-PCS coding ensures inpatient documentation reflects the specific vessel and operation, which affects reimbursement and clinical records.

Code Attributes

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

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

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Superior Mesenteric Vein Excision Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a surgeon removes a portion of the superior mesenteric vein during an inpatient procedure and no replacement or graft is performed. These codes apply to procedures addressing thrombosis, localized disease, or vessel injury requiring resection of the vein segment.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
06B50ZX	Excision of Superior Mesenteric Vein, Open Approach, Diagnostic
06B50ZZ	Excision of Superior Mesenteric Vein, Open Approach
06B53ZX	Excision of Superior Mesenteric Vein, Percutaneous Approach, Diagnostic
06B53ZZ	Excision of Superior Mesenteric Vein, Percutaneous Approach
06B54ZX	Excision of Superior Mesenteric Vein, Percutaneous Endoscopic Approach, Diagnostic
06B54ZZ	Excision of Superior Mesenteric Vein, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular 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 58-year-old man presents to the emergency department with acute abdominal pain, distension, and signs of mesenteric ischemia. Imaging shows an occlusive thrombus in the proximal superior mesenteric vein with necrotic bowel requiring operative exploration; during laparotomy the surgeon excises the thrombosed segment of the superior mesenteric vein without vascular replacement to control sepsis and remove the diseased vessel. An open excision code is assigned to reflect removal of a portion of the vessel during this emergent inpatient operation. Typical codes: 06B50ZZ
A 45-year-old woman with chronic mesenteric venous stenosis and recurrent postprandial pain is admitted for a planned intervention after failure of medical therapy. Interventional radiology performs a percutaneous excision of a focal diseased segment of the superior mesenteric vein to relieve venous obstruction, without placement of a graft or prosthetic replacement. A percutaneous approach excision code captures the targeted removal of the vein segment during this elective inpatient procedure. Typical codes: 06B53ZZ
A 67-year-old patient develops a persistent infected segment of the superior mesenteric vein after prior endovascular thrombectomy, with ongoing bacteremia and failure of conservative measures. During a subsequent percutaneous endoscopic-assisted procedure, the surgeon excises the infected portion of the vein to control the source of infection without replacing the vessel. The percutaneous endoscopic excision code documents removal of the diseased venous segment during this complication management admission. Typical codes: 06B54ZZ

Related Codes

06B0-INFERIOR-VENA-CAVA-EXCISION

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

06B1-SPLENIC-VEIN-EXCISION

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

06B2-GASTRIC-VEIN-EXCISION

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

06B3-ESOPHAGEAL-VEIN-EXCISION

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

06B4-HEPATIC-VEIN-EXCISION

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

06B6-INFERIOR-MESENTERIC-VEIN-EXCISION

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

06B7-COLIC-VEIN-CUTTING-OUT-COLIC-VEIN-EXCISION

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

06B8-PORTAL-VEIN-EXCISION

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

06B9-RENAL-VEIN-RIGHT-EXCISION

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

06BB-LEFT-RENAL-VEIN-EXCISION

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

6 rows

ICD-10-PCS Code	Description
06B50ZX	Excision of Superior Mesenteric Vein, Open Approach, Diagnostic
06B50ZZ	Excision of Superior Mesenteric Vein, Open Approach
06B53ZX	Excision of Superior Mesenteric Vein, Percutaneous Approach, Diagnostic
06B53ZZ	Excision of Superior Mesenteric Vein, Percutaneous Approach
06B54ZX	Excision of Superior Mesenteric Vein, Percutaneous Endoscopic Approach, Diagnostic
06B54ZZ	Excision of Superior Mesenteric Vein, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular 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 58-year-old man presents to the emergency department with acute abdominal pain, distension, and signs of mesenteric ischemia. Imaging shows an occlusive thrombus in the proximal superior mesenteric vein with necrotic bowel requiring operative exploration; during laparotomy the surgeon excises the thrombosed segment of the superior mesenteric vein without vascular replacement to control sepsis and remove the diseased vessel. An open excision code is assigned to reflect removal of a portion of the vessel during this emergent inpatient operation. Typical codes: 06B50ZZ
A 45-year-old woman with chronic mesenteric venous stenosis and recurrent postprandial pain is admitted for a planned intervention after failure of medical therapy. Interventional radiology performs a percutaneous excision of a focal diseased segment of the superior mesenteric vein to relieve venous obstruction, without placement of a graft or prosthetic replacement. A percutaneous approach excision code captures the targeted removal of the vein segment during this elective inpatient procedure. Typical codes: 06B53ZZ
A 67-year-old patient develops a persistent infected segment of the superior mesenteric vein after prior endovascular thrombectomy, with ongoing bacteremia and failure of conservative measures. During a subsequent percutaneous endoscopic-assisted procedure, the surgeon excises the infected portion of the vein to control the source of infection without replacing the vessel. The percutaneous endoscopic excision code documents removal of the diseased venous segment during this complication management admission. Typical codes: 06B54ZZ

Related Codes

06B0-INFERIOR-VENA-CAVA-EXCISION

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

06B1-SPLENIC-VEIN-EXCISION

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

06B2-GASTRIC-VEIN-EXCISION

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

06B3-ESOPHAGEAL-VEIN-EXCISION

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

06B4-HEPATIC-VEIN-EXCISION

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

06B6-INFERIOR-MESENTERIC-VEIN-EXCISION

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

06B7-COLIC-VEIN-CUTTING-OUT-COLIC-VEIN-EXCISION

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

06B8-PORTAL-VEIN-EXCISION

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

06B9-RENAL-VEIN-RIGHT-EXCISION

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

06BB-LEFT-RENAL-VEIN-EXCISION

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 Superior Mesenteric Vein: Procedure Code Group Overview

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

Superior Mesenteric Vein Excision Procedure Overview

Code Attributes

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

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

Superior Mesenteric Vein Excision Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 06B5?

What are the specific ICD-10-PCS codes in the 06B5 group?

What code attributes define the 06B5 procedure group?

How does accurate coding in 06B5 affect inpatient documentation and reimbursement?

Which DRGs are related to procedures coded in the 06B5 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 06B5?

What are the specific ICD-10-PCS codes in the 06B5 group?

What code attributes define the 06B5 procedure group?

How does accurate coding in 06B5 affect inpatient documentation and reimbursement?

Which DRGs are related to procedures coded in the 06B5 group?

References