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 06C5 includes procedures performed to extirpate solid matter from veins in the superior mesenteric vein. These ICD-10-PCS codes are used for inpatient documentation when a procedure removes thrombus or other solid obstructive material from the superior mesenteric vein. Accurate coding within the ICD-10-PCS 06C5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Superior Mesenteric Vein Extirpation Procedure Overview

This procedure group includes extirpation procedures that remove solid matter from the superior mesenteric vein within the lower veins body system. These procedures involve physically taking or cutting out obstructing material such as thrombus or foreign matter from the superior mesenteric vein. Accurate coding identifies the specific extirpation of a lower vein and supports appropriate inpatient reimbursement and clinical recordkeeping.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
C	Operation	Extirpation
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 Extirpation Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when a clinician performs an extirpation to remove thrombus or other solid material from the superior mesenteric vein. These codes apply when the procedure targets the superior mesenteric vein specifically and not surrounding vascular structures.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
06C50ZZ	Extirpation of Matter from Superior Mesenteric Vein, Open Approach
06C53ZZ	Extirpation of Matter from Superior Mesenteric Vein, Percutaneous Approach
06C54ZZ	Extirpation of Matter from Superior 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

A middle-aged patient presents to the emergency department with acute abdominal pain, nausea, and signs of mesenteric ischemia. Imaging (CT venography) reveals acute thrombus occluding the superior mesenteric vein with compromised bowel perfusion; the vascular surgery team performs an open surgical thrombectomy to rapidly remove the clot and restore venous outflow. An open extirpation is selected because of hemodynamic instability and the need for direct visualization and possible bowel assessment. Typical codes: 06C50ZZ
A patient with chronic, recurrent superior mesenteric vein thrombosis and persistent symptoms undergoes a planned, image-guided percutaneous procedure to mechanically remove organized thrombus after anticoagulation alone failed to resolve the obstruction. The percutaneous extirpation is performed under fluoroscopic guidance to restore venous drainage and relieve chronic mesenteric congestion. Typical codes: 06C53ZZ
A hospitalized patient who previously had a percutaneous thrombectomy develops recurrent symptomatic thrombosis of the superior mesenteric vein with partial re-occlusion and increasing abdominal tenderness. Because the initial percutaneous approach was inadequate and the clot is adherent, the team performs a percutaneous endoscopic-assisted extirpation to remove residual organized material and evaluate the vein lumen directly. Typical codes: 06C54ZZ

Related Codes

06C0-INFERIOR-VENA-CAVA-EXTIRPATION

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

06C1-SPLENIC-VEIN-EXTIRPATION

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

06C2-GASTRIC-VEIN-EXTIRPATION

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

06C3-ESOPHAGEAL-VEIN-EXTIRPATION

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

06C4-HEPATIC-VEIN-EXTIRPATION

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

06C6-INFERIOR-MESENTERIC-VEIN-EXTIRPATION

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

06C7-COLIC-VEIN-EXTIRPATION

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

06C8-PORTAL-VEIN-EXTIRPATION

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

06C9-RIGHT-RENAL-VEIN-EXTIRPATION

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

06CB-LEFT-RENAL-VEIN-EXTIRPATION

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
06C50ZZ	Extirpation of Matter from Superior Mesenteric Vein, Open Approach
06C53ZZ	Extirpation of Matter from Superior Mesenteric Vein, Percutaneous Approach
06C54ZZ	Extirpation of Matter from Superior 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

A middle-aged patient presents to the emergency department with acute abdominal pain, nausea, and signs of mesenteric ischemia. Imaging (CT venography) reveals acute thrombus occluding the superior mesenteric vein with compromised bowel perfusion; the vascular surgery team performs an open surgical thrombectomy to rapidly remove the clot and restore venous outflow. An open extirpation is selected because of hemodynamic instability and the need for direct visualization and possible bowel assessment. Typical codes: 06C50ZZ
A patient with chronic, recurrent superior mesenteric vein thrombosis and persistent symptoms undergoes a planned, image-guided percutaneous procedure to mechanically remove organized thrombus after anticoagulation alone failed to resolve the obstruction. The percutaneous extirpation is performed under fluoroscopic guidance to restore venous drainage and relieve chronic mesenteric congestion. Typical codes: 06C53ZZ
A hospitalized patient who previously had a percutaneous thrombectomy develops recurrent symptomatic thrombosis of the superior mesenteric vein with partial re-occlusion and increasing abdominal tenderness. Because the initial percutaneous approach was inadequate and the clot is adherent, the team performs a percutaneous endoscopic-assisted extirpation to remove residual organized material and evaluate the vein lumen directly. Typical codes: 06C54ZZ

Related Codes

06C0-INFERIOR-VENA-CAVA-EXTIRPATION

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

06C1-SPLENIC-VEIN-EXTIRPATION

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

06C2-GASTRIC-VEIN-EXTIRPATION

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

06C3-ESOPHAGEAL-VEIN-EXTIRPATION

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

06C4-HEPATIC-VEIN-EXTIRPATION

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

06C6-INFERIOR-MESENTERIC-VEIN-EXTIRPATION

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

06C7-COLIC-VEIN-EXTIRPATION

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

06C8-PORTAL-VEIN-EXTIRPATION

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

06C9-RIGHT-RENAL-VEIN-EXTIRPATION

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

06CB-LEFT-RENAL-VEIN-EXTIRPATION

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 Extirpation 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 Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 06C5 group?

What is the purpose of coding within the 06C5 procedure group?

Under which ICD-10-PCS section and body system are these codes classified?

How do the 06C5 codes relate to DRG assignment?

When should a coder select `06C50ZZ` versus `06C53ZZ` or `06C54ZZ`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 06C5 group?

What is the purpose of coding within the 06C5 procedure group?

Under which ICD-10-PCS section and body system are these codes classified?

How do the 06C5 codes relate to DRG assignment?

When should a coder select `06C50ZZ` versus `06C53ZZ` or `06C54ZZ`?

References