Skip to main content
Inpatient Procedure Code

06RB4KZ

Replacement of Left Renal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Replace of L Renal Vein 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 PartB

Renal Vein, Left

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.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

06R64KZ — Replacement of Inferior Mesenteric Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06R74KZ — Replacement of Colic Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06R84KZ — Replacement of Portal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06R94KZ — Replacement of Right Renal Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RC4KZ — Replacement of Right Common Iliac Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RD4KZ — Replacement of Left Common Iliac Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RF4KZ — Replacement of Right External Iliac Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RG4KZ — Replacement of Left External Iliac Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, +15 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

06RB0KZ — Replacement of Left Renal Vein with Nonautologous Tissue Substitute, Open Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

06RB47Z — Replacement of Left Renal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RB4JZ — Replacement of Left Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 06RB4KZ 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

  • 06R04KZ — Replacement of Inferior Vena Cava with Nonautologous Tissue 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]
  • 06R64KZ — Replacement of Inferior Mesenteric Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
  • 06R74KZ — Replacement of Colic 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.