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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 06H4 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the hepatic vein. These ICD-10-PCS codes are used for inpatient documentation when a clinician places a percutaneous endoscopic monitoring or therapeutic device into the hepatic vein. Accurate coding within the ICD-10-PCS 06H4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Hepatic Vein Insertion Procedure Overview

Procedures in this group involve the percutaneous endoscopic insertion of a nonbiological appliance into the hepatic vein to monitor, assist, perform, or prevent a physiological function. These procedures target the lower veins body system and specifically the hepatic vein. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the exact insertion procedure and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
H	Operation	Insertion
4	Body Part	Hepatic Vein

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

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Hepatic Vein Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
H	Operation	Insertion
4	Body Part	Hepatic Vein

When to Use

Use a code from this group when a nonbiological appliance is placed into the hepatic vein via a percutaneous endoscopic approach for monitoring or therapeutic purposes. Do not use these codes for devices that replace a body part or for insertions performed by nonpercutaneous or nonendoscopic approaches.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
06H403Z	Insertion of Infusion Device into Hepatic Vein, Open Approach
06H40DZ	Insertion of Intraluminal Device into Hepatic Vein, Open Approach
06H433Z	Insertion of Infusion Device into Hepatic Vein, Percutaneous Approach
06H43DZ	Insertion of Intraluminal Device into Hepatic Vein, Percutaneous Approach
06H443Z	Insertion of Infusion Device into Hepatic Vein, Percutaneous Endoscopic Approach
06H44DZ	Insertion of Intraluminal Device into Hepatic Vein, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An adult patient with decompensated cirrhosis is admitted for severe refractory ascites and suspected portal hypertension-related hepatic venous pressure gradient measurement to guide transjugular intrahepatic portosystemic shunt planning. The inpatient team performs a percutaneous endoscopic insertion of a monitoring catheter into the hepatic vein to obtain hemodynamic measurements and guide therapy. Typical codes: 06H443Z, 06H44DZ
A middle-aged cancer patient receiving systemic chemotherapy develops hepatic vein thrombosis with persistent hepatic congestion requiring placement of a percutaneous endoscopic intraluminal device to restore venous outflow and prevent further liver ischemia. The procedure is undertaken during the hospital stay because of worsening liver function and risk of systemic complications. Typical codes: 06H44DZ, 06H443Z
A patient with a previously placed hepatic vein infusion port presents with malfunction and recurrent medication extravasation; inpatient management includes removal and replacement via a percutaneous endoscopic approach to re-establish safe hepatic venous access for targeted hepatic chemotherapy. Typical codes: 06H443Z, 06H44DZ

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

06H1-SPLENIC-VEIN-INSERTION

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

06H2-GASTRIC-VEIN-INSERTION

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

06H3-ESOPHAGEAL-VEIN-INSERTION

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

06H5-SUPERIOR-MESENTERIC-VEIN-INSERTION

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

06H6-INFERIOR-MESENTERIC-VEIN-INSERTION

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

06H7-COLIC-VEIN-INSERTION

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

06H8-PORTAL-VEIN-INSERTION

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

06H9-RENAL-VEIN-RIGHT-INSERTION

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

06HB-LEFT-RENAL-VEIN-INSERTION

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

6 rows

ICD-10-PCS Code	Description
06H403Z	Insertion of Infusion Device into Hepatic Vein, Open Approach
06H40DZ	Insertion of Intraluminal Device into Hepatic Vein, Open Approach
06H433Z	Insertion of Infusion Device into Hepatic Vein, Percutaneous Approach
06H43DZ	Insertion of Intraluminal Device into Hepatic Vein, Percutaneous Approach
06H443Z	Insertion of Infusion Device into Hepatic Vein, Percutaneous Endoscopic Approach
06H44DZ	Insertion of Intraluminal Device into Hepatic Vein, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
356	Other Digestive System O.R. Procedures with MCC
357	Other Digestive System O.R. Procedures with CC
358	Other Digestive System O.R. Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An adult patient with decompensated cirrhosis is admitted for severe refractory ascites and suspected portal hypertension-related hepatic venous pressure gradient measurement to guide transjugular intrahepatic portosystemic shunt planning. The inpatient team performs a percutaneous endoscopic insertion of a monitoring catheter into the hepatic vein to obtain hemodynamic measurements and guide therapy. Typical codes: 06H443Z, 06H44DZ
A middle-aged cancer patient receiving systemic chemotherapy develops hepatic vein thrombosis with persistent hepatic congestion requiring placement of a percutaneous endoscopic intraluminal device to restore venous outflow and prevent further liver ischemia. The procedure is undertaken during the hospital stay because of worsening liver function and risk of systemic complications. Typical codes: 06H44DZ, 06H443Z
A patient with a previously placed hepatic vein infusion port presents with malfunction and recurrent medication extravasation; inpatient management includes removal and replacement via a percutaneous endoscopic approach to re-establish safe hepatic venous access for targeted hepatic chemotherapy. Typical codes: 06H443Z, 06H44DZ

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

06H1-SPLENIC-VEIN-INSERTION

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

06H2-GASTRIC-VEIN-INSERTION

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

06H3-ESOPHAGEAL-VEIN-INSERTION

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

06H5-SUPERIOR-MESENTERIC-VEIN-INSERTION

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

06H6-INFERIOR-MESENTERIC-VEIN-INSERTION

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

06H7-COLIC-VEIN-INSERTION

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

06H8-PORTAL-VEIN-INSERTION

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

06H9-RENAL-VEIN-RIGHT-INSERTION

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

06HB-LEFT-RENAL-VEIN-INSERTION

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.

OpenPayer

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

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

Hepatic Vein Insertion Procedure Overview

Code Attributes

OpenPayer

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

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

Hepatic Vein Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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

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

Hepatic Vein Insertion Procedure Overview

Code Attributes

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

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

Hepatic Vein Insertion 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 06H4 hepatic vein insertion group?

What body system and operation does the 06H4 group represent in ICD-10-PCS?

How does accurate coding in the 06H4 group affect inpatient reimbursement?

Which DRGs may be assigned when procedures from the 06H4 group are coded?

What types of devices are described by the 06H4 insertion codes?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the 06H4 hepatic vein insertion group?

What body system and operation does the 06H4 group represent in ICD-10-PCS?

How does accurate coding in the 06H4 group affect inpatient reimbursement?

Which DRGs may be assigned when procedures from the 06H4 group are coded?

What types of devices are described by the 06H4 insertion codes?

References