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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0258 includes procedures performed to destroy tissue in the conduction mechanism in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs destruction of conduction system tissue to modify cardiac electrical pathways or treat arrhythmogenic foci. Accurate coding within the ICD-10-PCS 0258 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Conduction Mechanism Destruction Procedure Overview

This procedure group includes destruction of conduction system tissue of the heart and great vessels using direct energy, force, or other destructive agents. These procedures target the cardiac conduction mechanism within the heart and great vessels and are coded in the Medical and Surgical section of ICD-10-PCS. Accurate coding ensures the inpatient record reflects the destructive operation performed on conduction tissue and supports appropriate 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
8	Body Part	Conduction Mechanism

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

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Conduction Mechanism 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
8	Body Part	Conduction Mechanism

When to Use

Use a code from this group when a procedure intentionally destroys all or part of the cardiac conduction mechanism to treat arrhythmia or other electrical conduction disorders. Assign the code only when the medical record documents destruction of conduction tissue in the heart or great vessels.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
02580ZZ	Destruction of Conduction Mechanism, Open Approach
02583ZF	Destruction of Conduction Mechanism using Irreversible Electroporation, Percutaneous Approach
02583ZZ	Destruction of Conduction Mechanism, Percutaneous Approach
02584ZZ	Destruction of Conduction Mechanism, Percutaneous Endoscopic Approach

DRG Codes

8 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
273	Percutaneous and Other Intracardiac Procedures with MCC
274	Percutaneous and Other Intracardiac Procedures without MCC
317	Concomitant Left Atrial Appendage Closure and Cardiac Ablation

Typical Clinical Scenarios

An elderly patient with recurrent, drug-refractory symptomatic supraventricular tachycardia originating from the atrioventricular node presents for an elective inpatient procedure. The electrophysiology team performs targeted destruction of a portion of the cardiac conduction tissue to interrupt the arrhythmogenic pathway under controlled conditions. The approach is percutaneous via catheter access to the heart to ablate the conduction mechanism and reduce symptomatic tachyarrhythmia episodes. Typical codes: 02583ZZ
A middle-aged patient is admitted emergently with hemodynamically unstable ventricular tachycardia not responding to antiarrhythmic medications and cardioversion. After stabilization, the cardiac electrophysiologist performs percutaneous irreversible electroporation targeting a focal conduction tissue source identified on mapping to achieve rapid destruction of the arrhythmogenic tissue. The procedure is undertaken in the inpatient setting to terminate life-threatening arrhythmia and prevent recurrence. Typical codes: 02583ZF
A patient with prior open surgical correction of congenital cardiac disease develops late-onset conduction block from scar tissue and recurrent symptomatic arrhythmias despite prior interventions. During a planned reoperation, the surgeon performs an open approach destruction of abnormal conduction tissue to eliminate arrhythmogenic foci associated with surgical scarring. The open operative setting allows direct visualization and targeted destruction of the conduction mechanism as part of the revision procedure. Typical codes: 02580ZZ

Related Codes

0254-CORONARY-VEIN-DESTRUCTION

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

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

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

4 rows

ICD-10-PCS Code	Description
02580ZZ	Destruction of Conduction Mechanism, Open Approach
02583ZF	Destruction of Conduction Mechanism using Irreversible Electroporation, Percutaneous Approach
02583ZZ	Destruction of Conduction Mechanism, Percutaneous Approach
02584ZZ	Destruction of Conduction Mechanism, Percutaneous Endoscopic Approach

DRG Codes

8 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
273	Percutaneous and Other Intracardiac Procedures with MCC
274	Percutaneous and Other Intracardiac Procedures without MCC
317	Concomitant Left Atrial Appendage Closure and Cardiac Ablation

Typical Clinical Scenarios

An elderly patient with recurrent, drug-refractory symptomatic supraventricular tachycardia originating from the atrioventricular node presents for an elective inpatient procedure. The electrophysiology team performs targeted destruction of a portion of the cardiac conduction tissue to interrupt the arrhythmogenic pathway under controlled conditions. The approach is percutaneous via catheter access to the heart to ablate the conduction mechanism and reduce symptomatic tachyarrhythmia episodes. Typical codes: 02583ZZ
A middle-aged patient is admitted emergently with hemodynamically unstable ventricular tachycardia not responding to antiarrhythmic medications and cardioversion. After stabilization, the cardiac electrophysiologist performs percutaneous irreversible electroporation targeting a focal conduction tissue source identified on mapping to achieve rapid destruction of the arrhythmogenic tissue. The procedure is undertaken in the inpatient setting to terminate life-threatening arrhythmia and prevent recurrence. Typical codes: 02583ZF
A patient with prior open surgical correction of congenital cardiac disease develops late-onset conduction block from scar tissue and recurrent symptomatic arrhythmias despite prior interventions. During a planned reoperation, the surgeon performs an open approach destruction of abnormal conduction tissue to eliminate arrhythmogenic foci associated with surgical scarring. The open operative setting allows direct visualization and targeted destruction of the conduction mechanism as part of the revision procedure. Typical codes: 02580ZZ

Related Codes

0254-CORONARY-VEIN-DESTRUCTION

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

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

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 Conduction Mechanism: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview policy alerts

Conduction Mechanism Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview policy alerts

Conduction Mechanism Destruction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are defined for ICD-10-PCS code group 0258?

What specific procedures are included in the 0258 code group?

When should ICD-10-PCS 0258 codes be used in inpatient documentation?

What is the purpose of coding destruction of conduction mechanism in the inpatient record?

Which DRGs are related to procedures in the 0258 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are defined for ICD-10-PCS code group 0258?

What specific procedures are included in the 0258 code group?

When should ICD-10-PCS 0258 codes be used in inpatient documentation?

What is the purpose of coding destruction of conduction mechanism in the inpatient record?

Which DRGs are related to procedures in the 0258 code group?

References