06R40KZ
Replacement of Hepatic Vein with Nonautologous Tissue Substitute, Open Approach
Replacement of Hepatic Vein with Nonaut Sub, 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 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 Part4 | Hepatic Vein |
| 5 | Approach0 | Open |
| 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 06R40KZ 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]
- 06R10KZ — Replacement of Splenic Vein with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 06R20KZ — Replacement of Gastric Vein with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 06R30KZ — Replacement of Esophageal Vein with Nonautologous Tissue Substitute, Open Approach [One axis away]
- 06R407Z — Replacement of Hepatic Vein with Autologous Tissue Substitute, Open Approach [One axis away]
- 06R40JZ — Replacement of Hepatic Vein with Synthetic Substitute, Open Approach [One axis away]
- 06R44KZ — Replacement of Hepatic Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
- 06R50KZ — Replacement of Superior Mesenteric Vein with Nonautologous Tissue Substitute, Open Approach [One axis away]
Change history
No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.