2025 ICD-10-CM Procedure Code 061849B

Bypass Portal Vein to Left Renal Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach

ICD-10-PCS Code:: 061849B
ICD-10-PCS Code for:: Bypass Portal Vein to L Renal Vein w Autol Vn, Perc Endo
Is Billable?: Yes - Valid for Submission
Code Navigator:

061849B is a billable procedure code used to specify the performance of bypass portal vein to left renal vein with autologous venous tissue, percutaneous endoscopic approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves altering the route of passage of the contents of a tubular body part. Procedure code explanation: rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. includes one or more anastomoses, with or without the use of a device coronary artery bypass, colostomy formation

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

061849B PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the lower veins body system, classified under bypass operation. The applicable bodypart for this procedure code is portal vein.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	6	Lower Veins
3	Operation	1	Bypass	Involves: Altering the route of passage of the contents of a tubular body part Explanation: Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device Includes: Coronary artery bypass, colostomy formation
4	BodyPart	8	Portal Vein	Includes: Hepatic portal vein
5	Approach	4	Percutaneous Endoscopic	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
6	Device	9	Autologous Venous Tissue
7	Qualifier	B	Renal Vein, Left

Clinical Classification

Clinical Category is Portal and other venous bypass procedures
CCSR Category Code: CAR016
Clinical Domain is Cardiovascular Procedures - CAR contains 29 categories that include cardiovascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), and aneurysm repair procedures.

061849B is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 061849B is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
270	Other Major Cardiovascular Procedures with MCC	05
271	Other Major Cardiovascular Procedures with CC	05
272	Other Major Cardiovascular Procedures without CC/MCC	05

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 391 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Bypass Portal Vein

Filter related codes list:

0618079 Bypass Portal Vein to Right Renal Vein with Autologous Tissue Substitute, Open Approach
061807B Bypass Portal Vein to Left Renal Vein with Autologous Tissue Substitute, Open Approach
061807Y Bypass Portal Vein to Lower Vein with Autologous Tissue Substitute, Open Approach
0618099 Bypass Portal Vein to Right Renal Vein with Autologous Venous Tissue, Open Approach
061809B Bypass Portal Vein to Left Renal Vein with Autologous Venous Tissue, Open Approach
061809Y Bypass Portal Vein to Lower Vein with Autologous Venous Tissue, Open Approach
06180A9 Bypass Portal Vein to Right Renal Vein with Autologous Arterial Tissue, Open Approach
06180AB Bypass Portal Vein to Left Renal Vein with Autologous Arterial Tissue, Open Approach
06180AY Bypass Portal Vein to Lower Vein with Autologous Arterial Tissue, Open Approach
06180J9 Bypass Portal Vein to Right Renal Vein with Synthetic Substitute, Open Approach
06180JB Bypass Portal Vein to Left Renal Vein with Synthetic Substitute, Open Approach
06180JY Bypass Portal Vein to Lower Vein with Synthetic Substitute, Open Approach
06180K9 Bypass Portal Vein to Right Renal Vein with Nonautologous Tissue Substitute, Open Approach
06180KB Bypass Portal Vein to Left Renal Vein with Nonautologous Tissue Substitute, Open Approach
06180KY Bypass Portal Vein to Lower Vein with Nonautologous Tissue Substitute, Open Approach
06180Z9 Bypass Portal Vein to Right Renal Vein, Open Approach
06180ZB Bypass Portal Vein to Left Renal Vein, Open Approach
06180ZY Bypass Portal Vein to Lower Vein, Open Approach
06183J4 Bypass Portal Vein to Hepatic Vein with Synthetic Substitute, Percutaneous Approach
06183JY Bypass Portal Vein to Lower Vein with Synthetic Substitute, Percutaneous Approach
0618479 Bypass Portal Vein to Right Renal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061847B Bypass Portal Vein to Left Renal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
061847Y Bypass Portal Vein to Lower Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0618499 Bypass Portal Vein to Right Renal Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
061849Y Bypass Portal Vein to Lower Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
06184A9 Bypass Portal Vein to Right Renal Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06184AB Bypass Portal Vein to Left Renal Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06184AY Bypass Portal Vein to Lower Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
06184J4 Bypass Portal Vein to Hepatic Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184J9 Bypass Portal Vein to Right Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184JB Bypass Portal Vein to Left Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184JY Bypass Portal Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184K9 Bypass Portal Vein to Right Renal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
06184KB Bypass Portal Vein to Left Renal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
06184KY Bypass Portal Vein to Lower Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
06184Z9 Bypass Portal Vein to Right Renal Vein, Percutaneous Endoscopic Approach
06184ZB Bypass Portal Vein to Left Renal Vein, Percutaneous Endoscopic Approach
06184ZY Bypass Portal Vein to Lower Vein, Percutaneous Endoscopic Approach

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.