ICD-10-PCS Code For Coronary Vein: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0254 includes procedures performed to destroy tissues or structures in the coronary vein. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs physical eradication of all or a portion of the coronary vein using energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 0254 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Coronary Vein Destruction Procedure Overview

This procedure group includes destruction procedures performed on the coronary vein within the heart and great vessels. These procedures involve physically eradicating all or part of the coronary vein using energy, force, or a destructive agent and target the cardiovascular structures of the heart. Accurate ICD-10-PCS assignment is important for inpatient reimbursement because it captures the specific operation, anatomic site, and clinical intent, which affect coding, case mix, and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
5	Operation	Destruction
4	Body Part	Coronary Vein

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ICD-10-PCS Code For Coronary Vein: Procedure Code Group Overview

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Coronary Vein Destruction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
5	Operation	Destruction
4	Body Part	Coronary Vein

When to Use

Use a code from this group when the clinical procedure intentionally eradicates tissue in the coronary vein by energy, force, or a destructive agent. Do not use these codes for unrelated coronary procedures such as angioplasty, bypass grafting, or diagnostic interventions.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02540ZZ	Destruction of Coronary Vein, Open Approach
02543ZZ	Destruction of Coronary Vein, Percutaneous Approach
02544ZZ	Destruction of Coronary Vein, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
317	Concomitant Left Atrial Appendage Closure and Cardiac Ablation

Typical Clinical Scenarios

An adult patient presents urgently with refractory ventricular tachycardia originating from an epicardial focus supplied by a coronary vein. After electrophysiology mapping fails to ablate the focus via endocardial routes, the team performs an open surgical exposure to directly apply destructive energy to the involved segment of the coronary vein to eliminate the arrhythmogenic substrate. The procedure is done during the same inpatient admission because of ongoing arrhythmia and hemodynamic instability. Typical codes: 02540ZZ
A patient with recurrent, symptomatic ventricular arrhythmias refractory to medications is scheduled electively for a percutaneous catheter-based ablation targeting a branch of the coronary venous system identified on pre-procedural mapping. Via a transvenous catheter approach, destructive energy is applied directly to the coronary vein segment to eradicate the abnormal conduction tissue. The procedure is planned during an inpatient admission for monitoring and periprocedural testing. Typical codes: 02543ZZ
A patient developed persistent ventricular arrhythmia after a prior percutaneous endoscopic venous ablation; imaging shows incomplete destruction of the targeted coronary vein segment with recurrent arrhythmogenic activity. During the inpatient stay, the cardiology team performs a repeat percutaneous endoscopic procedure to reapply destructive energy to the remaining coronary vein tissue to address the failed initial ablation. Typical codes: 02544ZZ

Related Codes

0255-ATRIAL-SEPTUM-DESTRUCTION

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

0256-ATRIUM-RIGHT-DESTRUCTION

ICD-10-PCS Code For Atrium Right: Procedure Code Group Overview

0257-LEFT-ATRIUM-ERADICATION-LEFT-ATRIUM-DESTRUCTION

ICD-10-PCS Code For Atrium Left: Procedure Code Group Overview

0258-CONDUCTION-MECHANISM-DESTRUCTION

ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview

0259-CHORDAE-TENDINEAE-DESTRUCTION

ICD-10-PCS Code For Chordae Tendineae: Procedure Code Group Overview

025D-PAPILLARY-MUSCLE-DESTRUCTION

ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

025F-AORTIC-VALVE-DESTRUCTION

ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

025G-MITRAL-VALVE-DESTRUCTION

ICD-10-PCS Code For Mitral Valve: Procedure Code Group Overview

025H-PULMONARY-VALVE-DESTRUCTION

ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

025J-TRICUSPID-VALVE-DESTRUCTION

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

Showing 1–10 of 22

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02540ZZ	Destruction of Coronary Vein, Open Approach
02543ZZ	Destruction of Coronary Vein, Percutaneous Approach
02544ZZ	Destruction of Coronary Vein, Percutaneous Endoscopic Approach

DRG Codes

6 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
317	Concomitant Left Atrial Appendage Closure and Cardiac Ablation

Typical Clinical Scenarios

An adult patient presents urgently with refractory ventricular tachycardia originating from an epicardial focus supplied by a coronary vein. After electrophysiology mapping fails to ablate the focus via endocardial routes, the team performs an open surgical exposure to directly apply destructive energy to the involved segment of the coronary vein to eliminate the arrhythmogenic substrate. The procedure is done during the same inpatient admission because of ongoing arrhythmia and hemodynamic instability. Typical codes: 02540ZZ
A patient with recurrent, symptomatic ventricular arrhythmias refractory to medications is scheduled electively for a percutaneous catheter-based ablation targeting a branch of the coronary venous system identified on pre-procedural mapping. Via a transvenous catheter approach, destructive energy is applied directly to the coronary vein segment to eradicate the abnormal conduction tissue. The procedure is planned during an inpatient admission for monitoring and periprocedural testing. Typical codes: 02543ZZ
A patient developed persistent ventricular arrhythmia after a prior percutaneous endoscopic venous ablation; imaging shows incomplete destruction of the targeted coronary vein segment with recurrent arrhythmogenic activity. During the inpatient stay, the cardiology team performs a repeat percutaneous endoscopic procedure to reapply destructive energy to the remaining coronary vein tissue to address the failed initial ablation. Typical codes: 02544ZZ

Related Codes

0255-ATRIAL-SEPTUM-DESTRUCTION

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

0256-ATRIUM-RIGHT-DESTRUCTION

ICD-10-PCS Code For Atrium Right: Procedure Code Group Overview

0257-LEFT-ATRIUM-ERADICATION-LEFT-ATRIUM-DESTRUCTION

ICD-10-PCS Code For Atrium Left: Procedure Code Group Overview

0258-CONDUCTION-MECHANISM-DESTRUCTION

ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview

0259-CHORDAE-TENDINEAE-DESTRUCTION

ICD-10-PCS Code For Chordae Tendineae: Procedure Code Group Overview

025D-PAPILLARY-MUSCLE-DESTRUCTION

ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

025F-AORTIC-VALVE-DESTRUCTION

ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

025G-MITRAL-VALVE-DESTRUCTION

ICD-10-PCS Code For Mitral Valve: Procedure Code Group Overview

025H-PULMONARY-VALVE-DESTRUCTION

ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

025J-TRICUSPID-VALVE-DESTRUCTION

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

Showing 1–10 of 22

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Coronary Vein: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Coronary Vein: Procedure Code Group Overview policy alerts

Coronary Vein Destruction Procedure Overview

Code Attributes

ICD-10-PCS Code For Coronary Vein: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Coronary Vein: Procedure Code Group Overview policy alerts

Coronary Vein Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0254?

What section and body system are assigned to ICD-10-PCS 0254 codes?

How does accurate assignment of a 0254 code affect inpatient reimbursement?

Which DRGs are related to procedures in the 0254 group?

When should a coder select `02543ZZ` versus `02544ZZ` or `02540ZZ`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0254?

What section and body system are assigned to ICD-10-PCS 0254 codes?

How does accurate assignment of a 0254 code affect inpatient reimbursement?

Which DRGs are related to procedures in the 0254 group?

When should a coder select `02543ZZ` versus `02544ZZ` or `02540ZZ`?

References