2025 ICD-10-CM Procedure Code 06590ZZ

Destruction of Right Renal Vein, Open Approach

ICD-10-PCS Code:: 06590ZZ
ICD-10-PCS Code for:: Destruction of Right Renal Vein, Open Approach
Is Billable?: Yes - Valid for Submission
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06590ZZ is a billable procedure code used to specify the performance of destruction of right renal vein, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent. Procedure code explanation: none of the body part is physically taken out fulguration of rectal polyp, cautery of skin lesion

Table of Contents

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

06590ZZ 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 destruction operation. The applicable bodypart for this procedure code is renal vein, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	6	Lower Veins
3	Operation	5	Destruction	Involves: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent Explanation: None of the body part is physically taken out Includes: Fulguration of rectal polyp, cautery of skin lesion
4	BodyPart	9	Renal Vein, Right
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	Z	No Device	Explanation: The value Z is used for the sixth character to indicate that a specific device does not apply to the procedure.
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Clinical Classification

Clinical Category is Saphenous vein harvest and other therapeutic vessel removal
CCSR Category Code: CAR020
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.

06590ZZ 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 06590ZZ 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: 3867 (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 Destruction Renal Vein, Right

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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.