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 06V4 includes procedures performed to restrict venous flow in the hepatic vein within the lower veins. These ICD-10-PCS codes are used for inpatient documentation when a clinician partially closes or narrows the hepatic vein lumen to control blood flow or treat venous conditions. Accurate coding within the ICD-10-PCS 06V4 group is essential for proper inpatient reimbursement, as it captures procedure performed and supports clinical documentation accuracy.

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Hepatic Vein Restriction Procedure Overview

Procedures in this group involve partially closing or restricting the lumen of the hepatic vein within the lower venous system to reduce blood flow. These operations target the hepatic vein and other lower veins, and they are classified under the Restriction root operation. Accurate ICD-10-PCS coding of these procedures is important for proper inpatient reimbursement because it captures the specific procedure performed and supports clinical documentation and case mix assignment.

Code Attributes

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

Code Attributes

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

When to Use

Use codes from this group when a procedure intentionally partially closes or restricts the hepatic vein lumen to control venous flow. These codes apply in inpatient settings where the intervention is documented as a Restriction of the hepatic vein.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
06V40CZ	Restriction of Hepatic Vein with Extraluminal Device, Open Approach
06V40DZ	Restriction of Hepatic Vein with Intraluminal Device, Open Approach
06V40ZZ	Restriction of Hepatic Vein, Open Approach
06V43CZ	Restriction of Hepatic Vein with Extraluminal Device, Percutaneous Approach
06V43DZ	Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Approach
06V43ZZ	Restriction of Hepatic Vein, Percutaneous Approach
06V44CZ	Restriction of Hepatic Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06V44DZ	Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06V44ZZ	Restriction of 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
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular 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
673	Other Kidney and Urinary Tract Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

A patient with decompensated cirrhosis presents with refractory hepatic hydrothorax and recurrent ascites unresponsive to medical therapy; during inpatient evaluation the multidisciplinary team elects a planned, image-guided procedure to partially restrict a hepatic vein to reduce portal outflow and lower transhepatic pressures as a bridge to transplant. Typical codes: 06V43DZ, 06V43ZZ
An older patient hospitalized for acute variceal bleeding related to portal hypertension who remains hemodynamically unstable despite endoscopic therapy; interventional radiology performs an urgent percutaneous endoscopic procedure to partially narrow a hepatic vein to reduce venous inflow contributing to bleeding. Typical codes: 06V44DZ, 06V44ZZ
A patient with a prior open surgical hepatic vein narrowing performed years earlier develops symptomatic venous congestion and stenosis at the surgical site; during an inpatient admission for progressive liver dysfunction, the vascular surgery team performs an open re-restriction or revision to restore controlled venous outflow. Typical codes: 06V40CZ, 06V40ZZ

Related Codes

06V0-INFERIOR-VENA-CAVA-RESTRICTION

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

06V1-SPLENIC-VEIN-RESTRICTION

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

06V2-GASTRIC-VEIN-RESTRICTION

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

06V3-ESOPHAGEAL-VEIN-RESTRICTION

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

06V5-SUPERIOR-MESENTERIC-VEIN-RESTRICTION

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

06V6-INFERIOR-MESENTERIC-VEIN-RESTRICTION

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

06V7-COLIC-VEIN-RESTRICTION

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

06V8-PORTAL-VEIN-RESTRICTION

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

06V9-RENAL-VEIN-RIGHT-RESTRICTION

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

06VB-LEFT-RENAL-VEIN-RESTRICTION

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

9 rows

ICD-10-PCS Code	Description
06V40CZ	Restriction of Hepatic Vein with Extraluminal Device, Open Approach
06V40DZ	Restriction of Hepatic Vein with Intraluminal Device, Open Approach
06V40ZZ	Restriction of Hepatic Vein, Open Approach
06V43CZ	Restriction of Hepatic Vein with Extraluminal Device, Percutaneous Approach
06V43DZ	Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Approach
06V43ZZ	Restriction of Hepatic Vein, Percutaneous Approach
06V44CZ	Restriction of Hepatic Vein with Extraluminal Device, Percutaneous Endoscopic Approach
06V44DZ	Restriction of Hepatic Vein with Intraluminal Device, Percutaneous Endoscopic Approach
06V44ZZ	Restriction of 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
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular 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
673	Other Kidney and Urinary Tract Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

A patient with decompensated cirrhosis presents with refractory hepatic hydrothorax and recurrent ascites unresponsive to medical therapy; during inpatient evaluation the multidisciplinary team elects a planned, image-guided procedure to partially restrict a hepatic vein to reduce portal outflow and lower transhepatic pressures as a bridge to transplant. Typical codes: 06V43DZ, 06V43ZZ
An older patient hospitalized for acute variceal bleeding related to portal hypertension who remains hemodynamically unstable despite endoscopic therapy; interventional radiology performs an urgent percutaneous endoscopic procedure to partially narrow a hepatic vein to reduce venous inflow contributing to bleeding. Typical codes: 06V44DZ, 06V44ZZ
A patient with a prior open surgical hepatic vein narrowing performed years earlier develops symptomatic venous congestion and stenosis at the surgical site; during an inpatient admission for progressive liver dysfunction, the vascular surgery team performs an open re-restriction or revision to restore controlled venous outflow. Typical codes: 06V40CZ, 06V40ZZ

Related Codes

06V0-INFERIOR-VENA-CAVA-RESTRICTION

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

06V1-SPLENIC-VEIN-RESTRICTION

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

06V2-GASTRIC-VEIN-RESTRICTION

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

06V3-ESOPHAGEAL-VEIN-RESTRICTION

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

06V5-SUPERIOR-MESENTERIC-VEIN-RESTRICTION

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

06V6-INFERIOR-MESENTERIC-VEIN-RESTRICTION

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

06V7-COLIC-VEIN-RESTRICTION

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

06V8-PORTAL-VEIN-RESTRICTION

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

06V9-RENAL-VEIN-RIGHT-RESTRICTION

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

06VB-LEFT-RENAL-VEIN-RESTRICTION

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.

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 Restriction 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 Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation classify hepatic vein restriction procedures?

What are the different approaches and device options represented in the 06V4 code group?

When should a coder use a code from the 06V4 hepatic vein group?

How does accurate coding in the 06V4 group affect reimbursement and documentation?

Which DRG categories are related to procedures coded in the 06V4 hepatic vein group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and operation classify hepatic vein restriction procedures?

What are the different approaches and device options represented in the 06V4 code group?

When should a coder use a code from the 06V4 hepatic vein group?

How does accurate coding in the 06V4 group affect reimbursement and documentation?

Which DRG categories are related to procedures coded in the 06V4 hepatic vein group?

References