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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2K0 includes procedures performed to bypass vascular structures in the inferior vena cava. These ICD-10-PCS codes are used for inpatient documentation when a surgical bypass of the inferior vena cava to another vessel is performed using autologous cell seeded tissue engineered resorbable scaffolds via an open approach. Accurate coding within the ICD-10-PCS X2K0 group is essential for proper inpatient reimbursement, as it captures the specific bypass procedure performed and determines appropriate case mix and payment.

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Inferior Vena Cava Bypass Procedure Overview

Procedures in this group involve creating a new route for blood flow by bypassing the inferior vena cava to a target vessel, performed on the cardiovascular system. These operations use autologous cell seeded, tissue engineered resorbable scaffolds and are performed via an open surgical approach under the New Technology section. Accurate ICD-10-PCS coding of these bypass procedures ensures the inpatient record reflects the specific operation and supports appropriate case mix designation and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
0	Body Part	Inferior Vena Cava

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

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Inferior Vena Cava Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
0	Body Part	Inferior Vena Cava

When to Use

Use a code from this group when an open bypass of the inferior vena cava to another vascular structure is performed using an autologous cell seeded tissue engineered resorbable scaffold under the New Technology section. Do not use these codes for nonbypass procedures or for bypasses that do not involve the specified scaffold or open approach.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2K00FB	Bypass Inferior Vena Cava using Autologous Cell Seeded Tissue Engineered Resorbable Scaffold to Pulmonary Artery, Open Approach, New Technology Group 11

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

A 62-year-old patient with chronic, symptomatic thrombosis and occlusion of the suprarenal segment of the inferior vena cava causing progressive lower extremity venous hypertension and recurrent skin ulceration despite anticoagulation. After multidisciplinary evaluation, an open surgical bypass is planned to restore venous drainage by creating an alternate conduit from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to re-establish flow and promote scaffold integration. The procedure is performed electively to relieve chronic venous congestion and heal the ulceration. Typical codes: X2K00FB
A 45-year-old patient presents emergently with acute massive pulmonary embolism and extensive thrombus propagation from the lower extremities into the inferior vena cava with impending hemodynamic compromise. Endovascular options are not feasible due to IVC anatomical disruption; the surgical team performs an open bypass from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to rapidly divert thrombus-laden flow and stabilize cardiopulmonary status. The operation is undertaken urgently to restore venous return and reduce right heart strain. Typical codes: X2K00FB
A 58-year-old patient with prior venous reconstruction presents with recurrent obstruction of a synthetic IVC graft and symptomatic venous insufficiency unresponsive to angioplasty. Because the prior prosthetic conduit has failed and infection is not suspected, the surgical team performs an open revision by creating a new bypass from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to replace the failed conduit and encourage tissue incorporation. The revision aims to re-establish durable venous drainage and reduce recurrent thrombosis risk. Typical codes: X2K00FB

Related Codes

X2KA-LEFT-ATRIUM-BYPASS

ICD-10-PCS Code For Left Atrium: Procedure Code Group Overview

X2KB-RIGHT-RADIAL-ARTERY-BYPASS

ICD-10-PCS Code For Right Radial Artery: Procedure Code Group Overview

X2KC-LEFT-RADIAL-ARTERY-BYPASS

ICD-10-PCS Code For Left Radial Artery: Procedure Code Group Overview

X2KG-HEPATIC-VEIN-BYPASS

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

X2KH-FEMORAL-ARTERY-RIGHT-BYPASS

ICD-10-PCS Code For Femoral Artery Right: Procedure Code Group Overview

X2KJ-LEFT-FEMORAL-ARTERY-BYPASS

ICD-10-PCS Code For Femoral Artery, Left: Procedure Code Group Overview

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

1 rows

ICD-10-PCS Code	Description
X2K00FB	Bypass Inferior Vena Cava using Autologous Cell Seeded Tissue Engineered Resorbable Scaffold to Pulmonary Artery, Open Approach, New Technology Group 11

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

A 62-year-old patient with chronic, symptomatic thrombosis and occlusion of the suprarenal segment of the inferior vena cava causing progressive lower extremity venous hypertension and recurrent skin ulceration despite anticoagulation. After multidisciplinary evaluation, an open surgical bypass is planned to restore venous drainage by creating an alternate conduit from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to re-establish flow and promote scaffold integration. The procedure is performed electively to relieve chronic venous congestion and heal the ulceration. Typical codes: X2K00FB
A 45-year-old patient presents emergently with acute massive pulmonary embolism and extensive thrombus propagation from the lower extremities into the inferior vena cava with impending hemodynamic compromise. Endovascular options are not feasible due to IVC anatomical disruption; the surgical team performs an open bypass from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to rapidly divert thrombus-laden flow and stabilize cardiopulmonary status. The operation is undertaken urgently to restore venous return and reduce right heart strain. Typical codes: X2K00FB
A 58-year-old patient with prior venous reconstruction presents with recurrent obstruction of a synthetic IVC graft and symptomatic venous insufficiency unresponsive to angioplasty. Because the prior prosthetic conduit has failed and infection is not suspected, the surgical team performs an open revision by creating a new bypass from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to replace the failed conduit and encourage tissue incorporation. The revision aims to re-establish durable venous drainage and reduce recurrent thrombosis risk. Typical codes: X2K00FB

Related Codes

X2KA-LEFT-ATRIUM-BYPASS

ICD-10-PCS Code For Left Atrium: Procedure Code Group Overview

X2KB-RIGHT-RADIAL-ARTERY-BYPASS

ICD-10-PCS Code For Right Radial Artery: Procedure Code Group Overview

X2KC-LEFT-RADIAL-ARTERY-BYPASS

ICD-10-PCS Code For Left Radial Artery: Procedure Code Group Overview

X2KG-HEPATIC-VEIN-BYPASS

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

X2KH-FEMORAL-ARTERY-RIGHT-BYPASS

ICD-10-PCS Code For Femoral Artery Right: Procedure Code Group Overview

X2KJ-LEFT-FEMORAL-ARTERY-BYPASS

ICD-10-PCS Code For Femoral Artery, Left: Procedure Code Group Overview

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 Inferior Vena Cava: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Inferior Vena Cava: Procedure Code Group Overview policy alerts

Inferior Vena Cava Bypass Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Inferior Vena Cava: Procedure Code Group Overview policy alerts

Inferior Vena Cava Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents a bypass of the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold via open approach?

What body system and operation are captured by the X2K0 code group?

In which ICD-10-PCS section is the inferior vena cava bypass code located?

How does accurate coding within the X2K0 group affect inpatient documentation and payment?

Which related DRGs are associated with procedures in this X2K0 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents a bypass of the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold via open approach?

What body system and operation are captured by the X2K0 code group?

In which ICD-10-PCS section is the inferior vena cava bypass code located?

How does accurate coding within the X2K0 group affect inpatient documentation and payment?

Which related DRGs are associated with procedures in this X2K0 code group?

References