06L40ZZ ICD-10-PCS Code: Occlusion of Hepatic Vein, Open Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System6 | Lower Veins |
| 3 | Root OperationL | Occlusion Completely closing an orifice or the lumen of a tubular body part |
| 4 | Body Part4 | Hepatic Vein |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 12 MS-DRGs:
- MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
- MDC 06 — Other Digestive System O.R. Procedures: DRG 356, DRG 357, DRG 358
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
06L00ZZ — Occlusion of Inferior Vena Cava, Open Approach, 06L10ZZ — Occlusion of Splenic Vein, Open Approach, 06L20ZZ — Occlusion of Gastric Vein, Open Approach, 06L30ZZ — Occlusion of Esophageal Vein, Open Approach, 06L50ZZ — Occlusion of Superior Mesenteric Vein, Open Approach, 06L60ZZ — Occlusion of Inferior Mesenteric Vein, Open Approach, 06L70ZZ — Occlusion of Colic Vein, Open Approach, 06L80ZZ — Occlusion of Portal Vein, Open Approach, +15 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
06L43ZZ — Occlusion of Hepatic Vein, Percutaneous Approach, 06L44ZZ — Occlusion of Hepatic Vein, Percutaneous Endoscopic Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
06L40CZ — Occlusion of Hepatic Vein with Extraluminal Device, Open Approach, 06L40DZ — Occlusion of Hepatic Vein with Intraluminal Device, Open Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Ligation and embolization of vessels (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
05LT4DZ — Occlusion of Right Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach, 05LT4ZZ — Occlusion of Right Face Vein, Percutaneous Endoscopic Approach, 05LV0CZ — Occlusion of Left Face Vein with Extraluminal Device, Open Approach, 05LV0DZ — Occlusion of Left Face Vein with Intraluminal Device, Open Approach, 05LV0ZZ — Occlusion of Left Face Vein, Open Approach, 05LV3CZ — Occlusion of Left Face Vein with Extraluminal Device, Percutaneous Approach, 05LV3DZ — Occlusion of Left Face Vein with Intraluminal Device, Percutaneous Approach, 05LV3ZZ — Occlusion of Left Face Vein, Percutaneous Approach, 05LV4CZ — Occlusion of Left Face Vein with Extraluminal Device, Percutaneous Endoscopic Approach, 05LV4DZ — Occlusion of Left Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach, 05LV4ZZ — Occlusion of Left Face Vein, Percutaneous Endoscopic Approach, 05LY0CZ — Occlusion of Upper Vein with Extraluminal Device, Open Approach, 05LY0DZ — Occlusion of Upper Vein with Intraluminal Device, Open Approach, 05LY0ZZ — Occlusion of Upper Vein, Open Approach, 05LY3CZ — Occlusion of Upper Vein with Extraluminal Device, Percutaneous Approach, 05LY3DZ — Occlusion of Upper Vein with Intraluminal Device, Percutaneous Approach, 05LY3ZZ — Occlusion of Upper Vein, Percutaneous Approach, 05LY4CZ — Occlusion of Upper Vein with Extraluminal Device, Percutaneous Endoscopic Approach, 05LY4DZ — Occlusion of Upper Vein with Intraluminal Device, Percutaneous Endoscopic Approach, 05LY4ZZ — Occlusion of Upper Vein, Percutaneous Endoscopic Approach, +893 more
Contextual Map
Every relationship of 06L40ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
PCS table
- 06L[PCS table]
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”
- Lower Veins — Body System: Lower Veins[Body System]: “Lower Veins”
- Occlusion — Operation: Occlusion[Operation]: “Occlusion”
MS-DRG participation (12)
- DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”
- DRG 356 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — Other Digestive System O.R. Procedures (MDC 06)”
- DRG 357 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — Other Digestive System O.R. Procedures (MDC 06)”
- DRG 358 — OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC — Other Digestive System O.R. Procedures (MDC 06)”
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”
- and 4 more
Clinical classification (CCSR)
- CAR010 — Ligation and embolization of vessels[CCSR category]: “Ligation and embolization of vessels — Cardiovascular Procedures”
MDC crossing · diagnoses (9433)
- MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 06L40ZZ + A36.81 together
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 06L40ZZ + A39.50 together
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 06L40ZZ + A39.51 together
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 06L40ZZ + A39.52 together
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · Check 06L40ZZ + A39.53 together
- and 9428 more
Nearest codes
- 06L00ZZ — Occlusion of Inferior Vena Cava, Open Approach[One axis away]
- 06L10ZZ — Occlusion of Splenic Vein, Open Approach[One axis away]
- 06L20ZZ — Occlusion of Gastric Vein, Open Approach[One axis away]
- 06L30ZZ — Occlusion of Esophageal Vein, Open Approach[One axis away]
- 06L40CZ — Occlusion of Hepatic Vein with Extraluminal Device, Open Approach[One axis away]
- 06L40DZ — Occlusion of Hepatic Vein with Intraluminal Device, Open Approach[One axis away]
- 06L43ZZ — Occlusion of Hepatic Vein, Percutaneous Approach[One axis away]
- 06L44ZZ — Occlusion of Hepatic Vein, Percutaneous Endoscopic Approach[One axis away]
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.