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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 06R8 includes procedures performed to replace biological or synthetic materials taking the place and/or function of the portal vein in the lower veins. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the portal vein is surgically replaced due to disease, injury, thrombosis, or other loss of function. Accurate coding within the ICD-10-PCS 06R8 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Portal Vein Replacement Procedure Overview

Procedures in this ICD-10-PCS group involve replacement of all or part of the portal vein using biological or synthetic material and target the lower veins body system. These operations physically take the place and/or function of the portal vein when it is diseased, injured, or otherwise nonfunctional. Accurate coding ensures the inpatient record reflects the complexity of the replacement and supports correct reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
R	Operation	Replacement
8	Body Part	Portal Vein

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

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Portal Vein Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
6	Body System	Lower Veins
R	Operation	Replacement
8	Body Part	Portal Vein

When to Use

Use a code from this group when the portal vein, or a portion of it, is surgically removed and replaced with graft material. These codes apply when the replacement is performed to restore portal venous flow due to damage, thrombosis, or loss of function.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
06R807Z	Replacement of Portal Vein with Autologous Tissue Substitute, Open Approach
06R80JZ	Replacement of Portal Vein with Synthetic Substitute, Open Approach
06R80KZ	Replacement of Portal Vein with Nonautologous Tissue Substitute, Open Approach
06R847Z	Replacement of Portal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06R84JZ	Replacement of Portal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06R84KZ	Replacement of Portal Vein with Nonautologous Tissue Substitute, 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 with cirrhosis and portal vein thrombosis presents with progressive portal hypertension and worsening variceal bleeding refractory to endoscopic and medical therapy; imaging shows occlusive thrombus with portal vein damage requiring restoration of portal flow during a planned operative reconstruction. An open surgical replacement using a graft is performed to re-establish portal venous continuity and reduce portal pressures. Typical codes: 06R807Z, 06R80JZ
A young adult sustains blunt abdominal trauma in a motor vehicle collision resulting in segmental disruption of the portal vein with active hemorrhage and hemodynamic instability; emergent operative exploration reveals nonviable portal vein segment that must be removed and immediately replaced to restore portal inflow. Because this is an urgent open repair replacing the damaged vessel with graft material, a replacement code for an open approach is used. Typical codes: 06R80JZ, 06R80KZ
A patient with a prior portal vein repair using autologous patch develops graft stenosis and recurrent portal hypertension months later; after diagnostic evaluation, a percutaneous endoscopic graft replacement is performed to remove the failing segment and implant synthetic or nonautologous conduit to restore patency without laparotomy. The less invasive percutaneous endoscopic approach for replacement is selected to address the failed prior reconstruction. Typical codes: 06R84JZ, 06R84KZ

Related Codes

06R0-INFERIOR-VENA-CAVA-REPLACEMENT

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

06R1-SPLENIC-VEIN-REPLACEMENT

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

06R2-GASTRIC-VEIN-REPLACEMENT

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

06R3-ESOPHAGEAL-VEIN-REPLACEMENT

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

06R4-HEPATIC-VEIN-REPLACEMENT

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

06R5-SUPERIOR-MESENTERIC-VEIN-REPLACEMENT

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

06R6-INFERIOR-MESENTERIC-VEIN-REPLACEMENT

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

06R7-COLIC-VEIN-REPLACEMENT

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

06R9-RENAL-VEIN-RIGHT-REPLACEMENT

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

06RB-LEFT-RENAL-VEIN-REVISION-LEFT-RENAL-VEIN-REPLACEMENT

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
06R807Z	Replacement of Portal Vein with Autologous Tissue Substitute, Open Approach
06R80JZ	Replacement of Portal Vein with Synthetic Substitute, Open Approach
06R80KZ	Replacement of Portal Vein with Nonautologous Tissue Substitute, Open Approach
06R847Z	Replacement of Portal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
06R84JZ	Replacement of Portal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06R84KZ	Replacement of Portal Vein with Nonautologous Tissue Substitute, 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 with cirrhosis and portal vein thrombosis presents with progressive portal hypertension and worsening variceal bleeding refractory to endoscopic and medical therapy; imaging shows occlusive thrombus with portal vein damage requiring restoration of portal flow during a planned operative reconstruction. An open surgical replacement using a graft is performed to re-establish portal venous continuity and reduce portal pressures. Typical codes: 06R807Z, 06R80JZ
A young adult sustains blunt abdominal trauma in a motor vehicle collision resulting in segmental disruption of the portal vein with active hemorrhage and hemodynamic instability; emergent operative exploration reveals nonviable portal vein segment that must be removed and immediately replaced to restore portal inflow. Because this is an urgent open repair replacing the damaged vessel with graft material, a replacement code for an open approach is used. Typical codes: 06R80JZ, 06R80KZ
A patient with a prior portal vein repair using autologous patch develops graft stenosis and recurrent portal hypertension months later; after diagnostic evaluation, a percutaneous endoscopic graft replacement is performed to remove the failing segment and implant synthetic or nonautologous conduit to restore patency without laparotomy. The less invasive percutaneous endoscopic approach for replacement is selected to address the failed prior reconstruction. Typical codes: 06R84JZ, 06R84KZ

Related Codes

06R0-INFERIOR-VENA-CAVA-REPLACEMENT

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

06R1-SPLENIC-VEIN-REPLACEMENT

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

06R2-GASTRIC-VEIN-REPLACEMENT

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

06R3-ESOPHAGEAL-VEIN-REPLACEMENT

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

06R4-HEPATIC-VEIN-REPLACEMENT

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

06R5-SUPERIOR-MESENTERIC-VEIN-REPLACEMENT

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

06R6-INFERIOR-MESENTERIC-VEIN-REPLACEMENT

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

06R7-COLIC-VEIN-REPLACEMENT

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

06R9-RENAL-VEIN-RIGHT-REPLACEMENT

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

06RB-LEFT-RENAL-VEIN-REVISION-LEFT-RENAL-VEIN-REPLACEMENT

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 Portal Vein: Procedure Code Group Overview

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

Portal Vein Replacement Procedure Overview

Code Attributes

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

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

Portal Vein Replacement 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 06R8 code group?

How do the codes in this group distinguish between substitute material types and surgical approach?

What clinical situations typically warrant using an ICD-10-PCS 06R8 code?

Why is accurate coding within the 06R8 group important for inpatient records?

Which DRGs are related to procedures in the 06R8 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 06R8 code group?

How do the codes in this group distinguish between substitute material types and surgical approach?

What clinical situations typically warrant using an ICD-10-PCS 06R8 code?

Why is accurate coding within the 06R8 group important for inpatient records?

Which DRGs are related to procedures in the 06R8 group?

References