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ICD 10 Code 06L04DZ

Occlusion of Inferior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
“Occlusion Inf Vena Cava w Intralum Dev, Perc Endo” for short

06L04DZ is a valid billable ICD-10 procedure code for Occlusion of Inferior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Occlusion involves:
Completely closing an orifice or the lumen of a tubular body part. The orifice can be a natural orifice or an artificially created orifice

Percutaneous Endoscopic approach involves:
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

Occlusion includes:

  • Fallopian tube ligation, ligation of inferior vena cava

Inferior Vena Cava body part includes:

  • Postcava
  • Right inferior phrenic vein
  • Right ovarian vein
  • Right second lumbar vein
  • Right suprarenal vein
  • Right testicular vein

Intraluminal Device device includes:

  • Absolute Pro Vascular (OTW) Self-Expanding Stent System
  • Acculink (RX) Carotid Stent System
  • AFX(R) Endovascular AAA System
  • AneuRx(R) AAA Advantage(R)
  • Assurant (Cobalt) stent
  • Carotid WALLSTENT(R) Monorail(R) Endoprosthesis
  • CoAxia NeuroFlo catheter
  • Colonic Z-Stent(R)
  • Complete (SE) stent
  • Cook Zenith AAA Endovascular Graft
  • Driver stent (RX) (OTW)
  • E-Luminexx(tm) (Biliary)(Vascular) Stent
  • Embolization coil(s)
  • Endologix AFX(R) Endovascular AAA System
  • Endurant(R) Endovascular Stent Graft
  • Endurant(R) II AAA stent graft system
  • EXCLUDER(R) AAA Endoprosthesis
  • Express(R) (LD) Premounted Stent System
  • Express(R) Biliary SD Monorail(R) Premounted Stent System
  • Express(R) SD Renal Monorail(R) Premounted Stent System
  • FLAIR(R) Endovascular Stent Graft
  • Formula(tm) Balloon-Expandable Renal Stent System
  • GORE EXCLUDER(R) AAA Endoprosthesis
  • GORE TAG(R) Thoracic Endoprosthesis
  • Herculink (RX) Elite Renal Stent System
  • Innova(tm) stent
  • LifeStent(R) (Flexstar)(XL) Vascular Stent System
  • Medtronic Endurant(R) II AAA stent graft system
  • Micro-Driver stent (RX) (OTW)
  • MULTI-LINK (VISION)(MINI-VISION)(ULTRA) Coronary Stent System
  • Omnilink Elite Vascular Balloon Expandable Stent System
  • Protege(R) RX Carotid Stent System
  • Stent, intraluminal (cardiovascular)(gastrointestinal)(hepatobiliary)(urinary)
  • Talent(R) Converter
  • Talent(R) Occluder
  • Talent(R) Stent Graft (abdominal)(thoracic)
  • Therapeutic occlusion coil(s)
  • Ultraflex(tm) Precision Colonic Stent System
  • Valiant Thoracic Stent Graft
  • WALLSTENT(R) Endoprosthesis
  • Xact Carotid Stent System
  • Zenith AAA Endovascular Graft
  • Zenith Flex(R) AAA Endovascular Graft
  • Zenith TX2(R) TAA Endovascular Graft
  • Zenith(R) Renu(tm) AAA Ancillary Graft
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 01 Diseases & Disorders of the Nervous System
    Peripheral and Cranial Nerve and Other Nervous System Procedures
    • DRG 040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
    • DRG 041 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
    • DRG 042 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
  • MDC 04 Diseases & Disorders of the Respiratory System
    Other Respiratory System O.R. Procedures
    • DRG 166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
    • DRG 167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
    • DRG 168 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 05 Diseases & Disorders of the Circulatory System
    Other Vascular Procedures
    • DRG 252 - OTHER VASCULAR PROCEDURES WITH MCC
    • DRG 253 - OTHER VASCULAR PROCEDURES WITH CC
    • DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
  • MDC 06 Diseases & Disorders of the Digestive System
    Other Digestive System O.R. Procedures
    • DRG 356 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
    • DRG 357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
    • DRG 358 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 07 Diseases & Disorders of the Hepatobiliary System & Pancreas
    Other Hepatobiliary or Pancreas Procedures
    • DRG 423 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
    • DRG 424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
    • DRG 425 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
    Other Musculoskeletal System and Connective Tissue O.R. Procedures
    • DRG 515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
    • DRG 516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
    • DRG 517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 10 Endocrine, Nutritional & Metabolic Diseases & Disorders
    Other Endocrine, Nutritional and Metabolic Procedures
    • DRG 628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
    • DRG 629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
    • DRG 630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 11 Diseases & Disorders of the Kidney & Urinary Tract
    Other Kidney and Urinary Tract Procedures
    • DRG 673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
    • DRG 674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
    • DRG 675 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
  • MDC 12 Diseases & Disorders of the Male Reproductive System
    Other Male Reproductive System Procedures
    • DRG 715 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
    • DRG 716 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
    • DRG 717 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
    • DRG 718 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT MALIGNANCY WITHOUT CC/MCC
  • MDC 13 Diseases & Disorders of the Female Reproductive System
    Other Female Reproductive System Procedures
    • DRG 749 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
    • DRG 750 - OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
  • MDC 16 Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders
    Other O.R. Procedures of the Blood and Blood Forming Organs
    • DRG 802 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
    • DRG 803 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
    • DRG 804 - OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 06L04DZ — See Table View

1: Section 0 Medical and Surgical
2: Body System 6 Lower Veins
3: Root Operation L Occlusion
4: Body Part 0 Inferior Vena Cava
5: Approach 4 Percutaneous Endoscopic
6: Device D Intraluminal Device
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.