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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 06B9 includes procedures performed to excise portions of the renal vein, right in the lower veins body system. These ICD-10-PCS codes are used for inpatient documentation when a segment of the right renal vein must be removed without replacement, such as for thrombus removal or resection of damaged tissue. Accurate coding within the ICD-10-PCS 06B9 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Renal Vein, Right Excision Procedure Overview

This procedure group includes excision of a portion of the right renal vein within the lower veins body system. Procedures involve cutting out or off tissue from the right renal vein without replacement and may be performed to remove thrombus, damaged tissue, or lesions. Accurate coding of these excisions is important for inpatient reimbursement because it documents the precise operation 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
B	Operation	Excision
9	Body Part	Renal Vein, Right

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

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Renal Vein, Right 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
9	Body Part	Renal Vein, Right

When to Use

Use a code from this group when a portion of the right renal vein is surgically removed without replacement, for example to excise thrombus or damaged vein tissue. Select the specific code that matches the portion removed and the clinical documentation in the operative report.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
06B90ZX	Excision of Right Renal Vein, Open Approach, Diagnostic
06B90ZZ	Excision of Right Renal Vein, Open Approach
06B93ZX	Excision of Right Renal Vein, Percutaneous Approach, Diagnostic
06B93ZZ	Excision of Right Renal Vein, Percutaneous Approach
06B94ZX	Excision of Right Renal Vein, Percutaneous Endoscopic Approach, Diagnostic
06B94ZZ	Excision of Right Renal 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 62-year-old man presents to the emergency department with sudden-onset right flank pain, hematuria, and signs of acute venous congestion on imaging demonstrating a large occlusive thrombus confined to the proximal right renal vein. Because the thrombus is causing renal dysfunction and is not amenable to endovascular extraction, an open surgical excision of the involved segment of the right renal vein is performed to remove the thrombus and restore renal outflow. The procedure involves cutting out the affected portion of the vein without replacement. Typical codes: 06B90ZZ
A 45-year-old woman with a history of right renal cell carcinoma undergoes a planned inpatient procedure for resection of a locally invasive tumor segment involving the right renal vein identified on preoperative imaging. During the elective operation, the surgeon excises the diseased portion of the right renal vein via a minimally invasive percutaneous endoscopic approach to ensure complete removal of tumor extension into the vein. The excised segment is removed without vascular replacement. Typical codes: 06B94ZZ
A 70-year-old patient with prior endovascular thrombectomy of the right renal vein returns with persistent venous stenosis and recurrent organized thrombus causing progressive renal impairment. A targeted percutaneous excision is performed to remove the residual segment of scarred thrombus and damaged vein tissue using a percutaneous approach without placement of a graft or replacement vessel. This procedure addresses the complication of prior intervention and relieves venous outflow obstruction. Typical codes: 06B93ZZ

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

06B5-SUPERIOR-MESENTERIC-VEIN-EXCISION

ICD-10-PCS Code For Superior Mesenteric 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

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
06B90ZX	Excision of Right Renal Vein, Open Approach, Diagnostic
06B90ZZ	Excision of Right Renal Vein, Open Approach
06B93ZX	Excision of Right Renal Vein, Percutaneous Approach, Diagnostic
06B93ZZ	Excision of Right Renal Vein, Percutaneous Approach
06B94ZX	Excision of Right Renal Vein, Percutaneous Endoscopic Approach, Diagnostic
06B94ZZ	Excision of Right Renal 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 62-year-old man presents to the emergency department with sudden-onset right flank pain, hematuria, and signs of acute venous congestion on imaging demonstrating a large occlusive thrombus confined to the proximal right renal vein. Because the thrombus is causing renal dysfunction and is not amenable to endovascular extraction, an open surgical excision of the involved segment of the right renal vein is performed to remove the thrombus and restore renal outflow. The procedure involves cutting out the affected portion of the vein without replacement. Typical codes: 06B90ZZ
A 45-year-old woman with a history of right renal cell carcinoma undergoes a planned inpatient procedure for resection of a locally invasive tumor segment involving the right renal vein identified on preoperative imaging. During the elective operation, the surgeon excises the diseased portion of the right renal vein via a minimally invasive percutaneous endoscopic approach to ensure complete removal of tumor extension into the vein. The excised segment is removed without vascular replacement. Typical codes: 06B94ZZ
A 70-year-old patient with prior endovascular thrombectomy of the right renal vein returns with persistent venous stenosis and recurrent organized thrombus causing progressive renal impairment. A targeted percutaneous excision is performed to remove the residual segment of scarred thrombus and damaged vein tissue using a percutaneous approach without placement of a graft or replacement vessel. This procedure addresses the complication of prior intervention and relieves venous outflow obstruction. Typical codes: 06B93ZZ

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

06B5-SUPERIOR-MESENTERIC-VEIN-EXCISION

ICD-10-PCS Code For Superior Mesenteric 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

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 Renal Vein, Right: Procedure Code Group Overview

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

Renal Vein, Right Excision Procedure Overview

Code Attributes

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

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

Renal Vein, Right Excision 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 excision of the right renal vein?

What are the specific ICD-10-PCS codes in the 06B9 group?

What is the clinical intent of procedures coded to the 06B9 group?

Which ICD-10-PCS section and attributes apply to the 06B9 code group?

How does accurate coding in the 06B9 group affect inpatient reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers excision of the right renal vein?

What are the specific ICD-10-PCS codes in the 06B9 group?

What is the clinical intent of procedures coded to the 06B9 group?

Which ICD-10-PCS section and attributes apply to the 06B9 code group?

How does accurate coding in the 06B9 group affect inpatient reimbursement?

References