Inpatient Procedure Code

06RN47ZICD-10-PCS Code: Replacement of Left Femoral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Replace of L Femor Vein with Autol 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.

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 PartN	Femoral Vein, Left
5	Approach4	Percutaneous Endoscopic
6	Device7	Autologous Tissue Substitute
7	QualifierZ	No Qualifier

View all codes in this table

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 7 MS-DRGs:

MDC 05 — Vein Ligation and Stripping: DRG 263
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.

06RG47Z — Replacement of Left External Iliac Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RH47Z — Replacement of Right Hypogastric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RJ47Z — Replacement of Left Hypogastric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RM47Z — Replacement of Right Femoral Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RP47Z — Replacement of Right Saphenous Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RQ47Z — Replacement of Left Saphenous Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RT47Z — Replacement of Right Foot Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 06RV47Z — Replacement of Left Foot Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, +15 more

Same operation — other Approach

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

06RN07Z — Replacement of Left Femoral Vein with Autologous Tissue Substitute, Open Approach

Same operation — other Device

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

06RN4JZ — Replacement of Left Femoral Vein with Synthetic Substitute, Percutaneous Endoscopic Approach, 06RN4KZ — Replacement of Left Femoral Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Contextual Map

Every relationship of 06RN47Z 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]
Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
Lower Veins — Body System: Lower Veins [Body System]: “Lower Veins”
Replacement — Operation: Replacement [Operation]: “Replacement”

MS-DRG participation

DRG 263 — VEIN LIGATION AND STRIPPING [MS-DRG]: “VEIN LIGATION AND STRIPPING — Vein Ligation and Stripping (MDC 05)”
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)”
DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”
DRG 957 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
DRG 958 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”
DRG 959 — OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC [MS-DRG]: “OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — Other O.R. Procedures for Multiple Significant Trauma (MDC 24)”

MDC crossing · diagnoses (16966)

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 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — 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 16961 more

Nearest codes

06R047Z — Replacement of Inferior Vena Cava with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R147Z — Replacement of Splenic Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R247Z — Replacement of Gastric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R347Z — Replacement of Esophageal Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R447Z — Replacement of Hepatic Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R547Z — Replacement of Superior Mesenteric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R647Z — Replacement of Inferior Mesenteric Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach [One axis away]
06R747Z — Replacement of Colic Vein with Autologous Tissue Substitute, 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.