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Inpatient Procedure Code

06R04KZ

Replacement of Inferior Vena Cava with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Replace of Inf Vena Cava with Nonaut Sub, Perc Endo 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body System6

Lower Veins

3
Root OperationR

Replacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

4
Body Part0

Inferior Vena Cava

5
Approach4

Percutaneous Endoscopic

6
DeviceK

Nonautologous Tissue Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 06R04KZ 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

  • 06R[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

  • 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)”

MDC crossing · diagnoses (1844)

  • 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.”
  • A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check 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 together
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • and 1839 more

Nearest codes

  • 06R00KZ — Replacement of Inferior Vena Cava with Nonautologous Tissue Substitute, Open Approach [One axis away]
  • 06R047Z — Replacement of Inferior Vena Cava with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R04JZ — Replacement of Inferior Vena Cava with Synthetic Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R14KZ — Replacement of Splenic Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R24KZ — Replacement of Gastric Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R34KZ — Replacement of Esophageal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R44KZ — Replacement of Hepatic Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R54KZ — Replacement of Superior Mesenteric Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.