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 06L4 includes procedures performed to occlude veins in the hepatic vein. These ICD-10-PCS codes are used for inpatient documentation when complete closure of the hepatic vein lumen is performed to stop blood flow for therapeutic or hemostatic purposes. Accurate coding within the ICD-10-PCS 06L4 group is essential for proper inpatient reimbursement, as it captures the specific occlusion procedure performed and supports clinical documentation accuracy.

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Hepatic Vein Occlusion Procedure Overview

This procedure group includes inpatient occlusion procedures targeting the hepatic vein within the lower venous system. These procedures involve completely closing the lumen of the hepatic vein to stop blood flow for therapeutic or hemostatic reasons. Accurate ICD-10-PCS coding of these occlusion procedures is important for reflecting the clinical care provided and for appropriate inpatient reimbursement.

Code Attributes

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

Code Attributes

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

When to Use

Use a code from this group when the procedure performed intentionally and completely closes the hepatic vein lumen. These circumstances include therapeutic occlusion or hemostatic procedures where stopping blood flow in the hepatic vein is the clinical objective.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
06L40CZ	Occlusion of Hepatic Vein with Extraluminal Device, Open Approach
06L40DZ	Occlusion of Hepatic Vein with Intraluminal Device, Open Approach
06L40ZZ	Occlusion of Hepatic Vein, Open Approach
06L43CZ	Occlusion of Hepatic Vein with Extraluminal Device, Percutaneous Approach
06L43DZ	Occlusion of Hepatic Vein with Intraluminal Device, Percutaneous Approach
06L43ZZ	Occlusion of Hepatic Vein, Percutaneous Approach
06L44CZ	Occlusion of Hepatic Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06L44DZ	Occlusion of Hepatic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06L44ZZ	Occlusion of Hepatic Vein, Percutaneous Endoscopic Approach

DRG Codes

15 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
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
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An adult patient with blunt abdominal trauma presents with hemodynamic instability and imaging shows active bleeding from a hepatic vein injury causing ongoing intraperitoneal hemorrhage; the patient is taken to the operating room for urgent surgical control where the hepatic vein lumen is intentionally and completely closed to stop hemorrhage. Typical codes: 06L40ZZ, 06L40DZ
A patient with a large hepatic arteriovenous malformation causing high-output heart failure is admitted electively for definitive therapy; interventional access to the hepatic venous drainage is used to occlude the hepatic vein lumen percutaneously to alter flow dynamics as part of the planned treatment strategy. Typical codes: 06L43DZ, 06L43ZZ
A postoperative patient develops persistent hepatic venous bleeding at a previous resection site despite conservative measures; during a percutaneous endoscopic intervention the hepatic vein is completely occluded using an extraluminal device to achieve hemostasis and control the complication. Typical codes: 06L44CZ, 06L44ZZ

Related Codes

06L0-INFERIOR-VENA-CAVA-OCCLUSION

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

06L1-SPLENIC-VEIN-OCCLUSION

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

06L2-GASTRIC-VEIN-OCCLUSION

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

06L3-ESOPHAGEAL-VEIN-OCCLUSION

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

06L5-SUPERIOR-MESENTERIC-VEIN-OCCLUSION

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

06L6-INFERIOR-MESENTERIC-VEIN-OCCLUSION

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

06L7-COLIC-VEIN-OCCLUSION

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

06L8-PORTAL-VEIN-OCCLUSION

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

06L9-RENAL-VEIN-RIGHT-OCCLUSION

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

06LB-LEFT-RENAL-VEIN-OCCLUSION

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

9 rows

ICD-10-PCS Code	Description
06L40CZ	Occlusion of Hepatic Vein with Extraluminal Device, Open Approach
06L40DZ	Occlusion of Hepatic Vein with Intraluminal Device, Open Approach
06L40ZZ	Occlusion of Hepatic Vein, Open Approach
06L43CZ	Occlusion of Hepatic Vein with Extraluminal Device, Percutaneous Approach
06L43DZ	Occlusion of Hepatic Vein with Intraluminal Device, Percutaneous Approach
06L43ZZ	Occlusion of Hepatic Vein, Percutaneous Approach
06L44CZ	Occlusion of Hepatic Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06L44DZ	Occlusion of Hepatic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06L44ZZ	Occlusion of Hepatic Vein, Percutaneous Endoscopic Approach

DRG Codes

15 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
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
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC

Showing 1–10 of 15

Typical Clinical Scenarios

An adult patient with blunt abdominal trauma presents with hemodynamic instability and imaging shows active bleeding from a hepatic vein injury causing ongoing intraperitoneal hemorrhage; the patient is taken to the operating room for urgent surgical control where the hepatic vein lumen is intentionally and completely closed to stop hemorrhage. Typical codes: 06L40ZZ, 06L40DZ
A patient with a large hepatic arteriovenous malformation causing high-output heart failure is admitted electively for definitive therapy; interventional access to the hepatic venous drainage is used to occlude the hepatic vein lumen percutaneously to alter flow dynamics as part of the planned treatment strategy. Typical codes: 06L43DZ, 06L43ZZ
A postoperative patient develops persistent hepatic venous bleeding at a previous resection site despite conservative measures; during a percutaneous endoscopic intervention the hepatic vein is completely occluded using an extraluminal device to achieve hemostasis and control the complication. Typical codes: 06L44CZ, 06L44ZZ

Related Codes

06L0-INFERIOR-VENA-CAVA-OCCLUSION

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

06L1-SPLENIC-VEIN-OCCLUSION

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

06L2-GASTRIC-VEIN-OCCLUSION

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

06L3-ESOPHAGEAL-VEIN-OCCLUSION

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

06L5-SUPERIOR-MESENTERIC-VEIN-OCCLUSION

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

06L6-INFERIOR-MESENTERIC-VEIN-OCCLUSION

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

06L7-COLIC-VEIN-OCCLUSION

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

06L8-PORTAL-VEIN-OCCLUSION

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

06L9-RENAL-VEIN-RIGHT-OCCLUSION

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

06LB-LEFT-RENAL-VEIN-OCCLUSION

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 Hepatic Vein: Procedure Code Group Overview

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

Hepatic Vein Occlusion 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 Occlusion 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 Hepatic Vein occlusion group 06L4?

What body system and operation does ICD-10-PCS group 06L4 represent?

How do approach and device type vary among the codes in 06L4?

For what clinical purpose are procedures in the 06L4 group documented?

Which DRG categories may relate to inpatient claims containing 06L4 occlusion procedures?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Hepatic Vein occlusion group 06L4?

What body system and operation does ICD-10-PCS group 06L4 represent?

How do approach and device type vary among the codes in 06L4?

For what clinical purpose are procedures in the 06L4 group documented?

Which DRG categories may relate to inpatient claims containing 06L4 occlusion procedures?

References