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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 06BB includes procedures performed to excise portions of the left renal vein in the lower veins. These ICD-10-PCS codes are used for inpatient documentation when a portion of the left renal vein is surgically removed without replacement to treat pathology or complications. Accurate coding within the ICD-10-PCS 06BB group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Left Renal Vein Excision Procedure Overview

Procedures in this group involve excision of a portion of the left renal vein within the lower veins body system. These operations remove part of the vessel without replacement and typically address intravascular pathology or access-related complications. Accurate ICD-10-PCS coding of these excisions is important for inpatient reimbursement because it documents the specific vascular site and operation performed, 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
B	Body Part	Renal Vein, Left

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

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Left Renal 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
B	Body Part	Renal Vein, Left

When to Use

Use a code from this group when a surgeon removes part of the left renal vein as the primary operative action during an inpatient encounter. These codes apply when the procedure is an excision only and no vessel replacement or bypass is performed.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
06BB0ZX	Excision of Left Renal Vein, Open Approach, Diagnostic
06BB0ZZ	Excision of Left Renal Vein, Open Approach
06BB3ZX	Excision of Left Renal Vein, Percutaneous Approach, Diagnostic
06BB3ZZ	Excision of Left Renal Vein, Percutaneous Approach
06BB4ZX	Excision of Left Renal Vein, Percutaneous Endoscopic Approach, Diagnostic
06BB4ZZ	Excision of Left 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 middle-aged patient presents to the emergency department with acute flank pain, gross hematuria, and hemodynamic instability after blunt abdominal trauma causing suspected partial avulsion of the left renal vein. Imaging in the ED shows active extravasation from the left renal vein and the patient is taken to the OR for open surgical control with excision of the damaged venous segment to stop hemorrhage and allow direct repair or ligation as clinically indicated. Typical codes: 06BB0ZZ
An older patient with a history of left renal cell carcinoma undergoes planned inpatient surgery for resection of a tumor that has invaded the left renal vein; intraoperatively the surgeon excises the involved portion of the left renal vein without vascular replacement to achieve negative margins. This elective oncologic procedure is performed in a controlled operative setting to remove tumor-involved venous tissue. Typical codes: 06BB0ZX, 06BB4ZX
A patient with a chronic dialysis catheter-related thrombosis of the left renal vein develops persistent venous congestion and recurrent infections after failed endovascular attempts; a percutaneous or percutaneous endoscopic excision of the thrombosed segment is performed to remove the diseased vein portion and control ongoing complications. Typical codes: 06BB3ZZ, 06BB4ZZ

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

06B9-RENAL-VEIN-RIGHT-EXCISION

ICD-10-PCS Code For Renal Vein, Right: 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
06BB0ZX	Excision of Left Renal Vein, Open Approach, Diagnostic
06BB0ZZ	Excision of Left Renal Vein, Open Approach
06BB3ZX	Excision of Left Renal Vein, Percutaneous Approach, Diagnostic
06BB3ZZ	Excision of Left Renal Vein, Percutaneous Approach
06BB4ZX	Excision of Left Renal Vein, Percutaneous Endoscopic Approach, Diagnostic
06BB4ZZ	Excision of Left 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 middle-aged patient presents to the emergency department with acute flank pain, gross hematuria, and hemodynamic instability after blunt abdominal trauma causing suspected partial avulsion of the left renal vein. Imaging in the ED shows active extravasation from the left renal vein and the patient is taken to the OR for open surgical control with excision of the damaged venous segment to stop hemorrhage and allow direct repair or ligation as clinically indicated. Typical codes: 06BB0ZZ
An older patient with a history of left renal cell carcinoma undergoes planned inpatient surgery for resection of a tumor that has invaded the left renal vein; intraoperatively the surgeon excises the involved portion of the left renal vein without vascular replacement to achieve negative margins. This elective oncologic procedure is performed in a controlled operative setting to remove tumor-involved venous tissue. Typical codes: 06BB0ZX, 06BB4ZX
A patient with a chronic dialysis catheter-related thrombosis of the left renal vein develops persistent venous congestion and recurrent infections after failed endovascular attempts; a percutaneous or percutaneous endoscopic excision of the thrombosed segment is performed to remove the diseased vein portion and control ongoing complications. Typical codes: 06BB3ZZ, 06BB4ZZ

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

06B9-RENAL-VEIN-RIGHT-EXCISION

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

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

Left Renal Vein Excision Procedure Overview

Code Attributes

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

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

Left Renal Vein Excision Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Renal Vein, Left 06BB group?

What body system and operation are represented by ICD-10-PCS 06BB codes?

For what clinical situations are procedures in the 06BB group typically performed?

How does accurate coding of 06BB procedures affect inpatient reimbursement?

Which DRG categories may be related to procedures coded in the 06BB group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Renal Vein, Left 06BB group?

What body system and operation are represented by ICD-10-PCS 06BB codes?

For what clinical situations are procedures in the 06BB group typically performed?

How does accurate coding of 06BB procedures affect inpatient reimbursement?

Which DRG categories may be related to procedures coded in the 06BB group?

References