2022 ICD-10-PCS Procedure Code 06V04DZ

Restriction of Inferior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:06V04DZ
Short Description:Restrict Inf Vena Cava w Intralum Dev, Perc Endo
Long Description:Restriction of Inferior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach

06V04DZ is a billable procedure code used to specify the performance of restriction of inferior vena cava with intraluminal device, percutaneous endoscopic approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 06V04DZ is in the medical and surgical section and is part of the lower veins body system, classified under the restriction operation. The applicable bodypart is inferior vena cava.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System 6 Lower Veins
3 Operation V Restriction

Involves:
Partially closing an orifice or the lumen of a tubular body part

Explanation:
The orifice can be a natural orifice or an artificially created orifice

Includes:
  • Esophagogastric fundoplication, cervical cerclage
4 BodyPart 0 Inferior Vena Cava Includes:
  • Postcava
  • Right inferior phrenic vein
  • Right ovarian vein
  • Right second lumbar vein
  • Right suprarenal vein
  • Right testicular 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 D Intraluminal 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
  • 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
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.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 06V04DZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
040PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC013.8648
041PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR012.3497
042PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC011.9012
166OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC043.7235
167OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC041.8187
168OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC041.3544
252OTHER VASCULAR PROCEDURES WITH MCC053.3257
253OTHER VASCULAR PROCEDURES WITH CC052.6536
254OTHER VASCULAR PROCEDURES WITHOUT CC/MCC051.8159
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC064.3078
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC062.2685
358OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC061.3491
423OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC074.1859
424OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC072.2841
425OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC071.5427
515OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC083.1406
516OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC081.9628
517OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC081.3982
628OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC103.6794
629OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC102.3453
630OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC101.4093
673OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC113.4683
674OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC112.3832
675OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC111.7547
715OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC122.0216
716OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC121.2758
717OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC121.8006
718OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC121.2346
749OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC132.7138
750OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC131.4638
802OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC163.7117
803OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC161.8865
804OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC161.3659
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9482
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0504
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.371
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC247.4209
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC244.2057
959OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC242.7361

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 06V04DZ 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:

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. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

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.