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 X2KG includes procedures performed to bypass vascular structures in the hepatic vein. These ICD-10-PCS codes are used for inpatient documentation when an open surgical bypass of the hepatic vein is performed to reroute blood flow. Accurate coding within the ICD-10-PCS X2KG group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports accurate clinical documentation for payment determination.

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Hepatic Vein Bypass Procedure Overview

This code group covers open bypass procedures involving the hepatic vein within the cardiovascular system. These procedures involve creating an alternate route to redirect blood flow from the hepatic vein to another vascular structure using advanced graft or scaffold technology. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it captures the specific operation, body part, and approach, which affect case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
G	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 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
G	Body Part	Hepatic Vein

When to Use

Use a code from this group when an open surgical bypass of the hepatic vein is performed to alter the route of venous blood flow. These codes apply when autologous cell seeded or tissue engineered resorbable scaffolds or similar grafts are used as the bypass conduit.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2KG0FB	Bypass Hepatic Vein 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 58-year-old patient with chronic Budd-Chiari syndrome presents with progressive portal hypertension, refractory ascites, and worsening liver function despite medical management and prior endovascular interventions. The surgical team elects an open bypass procedure to reroute hepatic venous outflow to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to restore adequate venous drainage and reduce portal pressures. The patient is admitted for a planned inpatient operation and postoperative monitoring for hepatic and cardiopulmonary function. Typical codes: X2KG0FB
A 42-year-old patient presents emergently with acute hepatic vein thrombosis causing rapid hepatic congestion, severe abdominal pain, and deteriorating coagulation parameters after failure of anticoagulation and thrombolysis. An urgent open surgical bypass is performed to divert hepatic venous blood into the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to reestablish outflow and prevent fulminant hepatic failure. The patient requires immediate inpatient critical care following the operation. Typical codes: X2KG0FB
A 65-year-old patient who previously underwent hepatic vein surgery with a synthetic graft now presents with late graft stenosis and recurrent ascites despite angiographic interventions. Because prior repairs have failed and the surgical field requires biologic remodeling, the team performs an open revision bypass replacing the prior conduit with an autologous cell seeded tissue engineered resorbable scaffold to reestablish durable hepatic venous outflow to the pulmonary artery. The patient is admitted for operative revision and close postoperative surveillance. Typical codes: X2KG0FB

Related Codes

X2K0-INFERIOR-VENA-CAVA-BYPASS

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

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

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
X2KG0FB	Bypass Hepatic Vein 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 58-year-old patient with chronic Budd-Chiari syndrome presents with progressive portal hypertension, refractory ascites, and worsening liver function despite medical management and prior endovascular interventions. The surgical team elects an open bypass procedure to reroute hepatic venous outflow to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to restore adequate venous drainage and reduce portal pressures. The patient is admitted for a planned inpatient operation and postoperative monitoring for hepatic and cardiopulmonary function. Typical codes: X2KG0FB
A 42-year-old patient presents emergently with acute hepatic vein thrombosis causing rapid hepatic congestion, severe abdominal pain, and deteriorating coagulation parameters after failure of anticoagulation and thrombolysis. An urgent open surgical bypass is performed to divert hepatic venous blood into the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold to reestablish outflow and prevent fulminant hepatic failure. The patient requires immediate inpatient critical care following the operation. Typical codes: X2KG0FB
A 65-year-old patient who previously underwent hepatic vein surgery with a synthetic graft now presents with late graft stenosis and recurrent ascites despite angiographic interventions. Because prior repairs have failed and the surgical field requires biologic remodeling, the team performs an open revision bypass replacing the prior conduit with an autologous cell seeded tissue engineered resorbable scaffold to reestablish durable hepatic venous outflow to the pulmonary artery. The patient is admitted for operative revision and close postoperative surveillance. Typical codes: X2KG0FB

Related Codes

X2K0-INFERIOR-VENA-CAVA-BYPASS

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

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

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 Hepatic Vein: Procedure Code Group Overview

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

Hepatic Vein Bypass 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 Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code identifies an open hepatic vein bypass using an autologous cell seeded tissue engineered resorbable scaffold to the pulmonary artery?

What is the section and body system for the X2KG code group?

How does accurate ICD-10-PCS coding in the X2KG group affect inpatient processes?

What operation and body part attributes are associated with this code group?

Which related DRGs are linked to procedures in this code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code identifies an open hepatic vein bypass using an autologous cell seeded tissue engineered resorbable scaffold to the pulmonary artery?

What is the section and body system for the X2KG code group?

How does accurate ICD-10-PCS coding in the X2KG group affect inpatient processes?

What operation and body part attributes are associated with this code group?

Which related DRGs are linked to procedures in this code group?

References