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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 025D includes procedures performed to destroy all or a portion of papillary muscle in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician intentionally eradicates papillary muscle tissue using energy, force, or a destructive agent. Accurate coding within the ICD-10-PCS 025D group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Papillary Muscle Destruction Procedure Overview

Procedures in this group involve the destruction of all or part of a papillary muscle in the heart and great vessels using energy, force, or a destructive agent. They target the heart and great vessels and are coded in the Medical and Surgical section of the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding ensures the procedure performed is captured for inpatient documentation 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
D	Body Part	Papillary Muscle

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

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Papillary Muscle 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
D	Body Part	Papillary Muscle

When to Use

Use a code from this group when documentation indicates intentional destruction of papillary muscle tissue during an inpatient encounter. Do not use these codes for procedures that do not involve direct destruction of papillary muscle or when a different root operation is documented.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
025D0ZZ	Destruction of Papillary Muscle, Open Approach
025D3ZZ	Destruction of Papillary Muscle, Percutaneous Approach
025D4ZZ	Destruction of Papillary Muscle, Percutaneous Endoscopic Approach

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

A 62-year-old man presents emergently with acute severe mitral regurgitation after papillary muscle rupture secondary to myocardial infarction, with hemodynamic instability and pulmonary edema. During urgent open-heart surgery the surgeon intentionally destroys the necrotic portion of the papillary muscle to control hemorrhage and remove irreparably damaged tissue before performing valve repair or replacement. An open approach destruction of the papillary muscle is documented in the operative note. Typical codes: 025D0ZZ
A 55-year-old woman with chronic severe mitral valve dysfunction and recurrent symptomatic arrhythmias is admitted electively for a minimally invasive procedure to ablate a diseased portion of a papillary muscle contributing to leaflet tethering. The interventional cardiologist accesses the heart percutaneously and uses targeted energy to eradicate the problematic papillary muscle tissue to improve valve function and reduce arrhythmogenic substrate. The procedure is performed via a percutaneous approach with intentional destruction documented. Typical codes: 025D3ZZ
A 70-year-old patient previously treated with a percutaneous intervention for papillary muscle destruction develops persistent leaflet dysfunction and a small residual portion of diseased papillary muscle is found on repeat evaluation. During a subsequent endoscopic procedure the surgeon removes the remaining targeted tissue by direct destruction using endoscopic instruments to complete the prior treatment. The operative report documents a percutaneous endoscopic approach to destroy the remaining papillary muscle tissue. Typical codes: 025D4ZZ

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

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

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
025D0ZZ	Destruction of Papillary Muscle, Open Approach
025D3ZZ	Destruction of Papillary Muscle, Percutaneous Approach
025D4ZZ	Destruction of Papillary Muscle, Percutaneous Endoscopic Approach

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

A 62-year-old man presents emergently with acute severe mitral regurgitation after papillary muscle rupture secondary to myocardial infarction, with hemodynamic instability and pulmonary edema. During urgent open-heart surgery the surgeon intentionally destroys the necrotic portion of the papillary muscle to control hemorrhage and remove irreparably damaged tissue before performing valve repair or replacement. An open approach destruction of the papillary muscle is documented in the operative note. Typical codes: 025D0ZZ
A 55-year-old woman with chronic severe mitral valve dysfunction and recurrent symptomatic arrhythmias is admitted electively for a minimally invasive procedure to ablate a diseased portion of a papillary muscle contributing to leaflet tethering. The interventional cardiologist accesses the heart percutaneously and uses targeted energy to eradicate the problematic papillary muscle tissue to improve valve function and reduce arrhythmogenic substrate. The procedure is performed via a percutaneous approach with intentional destruction documented. Typical codes: 025D3ZZ
A 70-year-old patient previously treated with a percutaneous intervention for papillary muscle destruction develops persistent leaflet dysfunction and a small residual portion of diseased papillary muscle is found on repeat evaluation. During a subsequent endoscopic procedure the surgeon removes the remaining targeted tissue by direct destruction using endoscopic instruments to complete the prior treatment. The operative report documents a percutaneous endoscopic approach to destroy the remaining papillary muscle tissue. Typical codes: 025D4ZZ

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

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

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 Papillary Muscle: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview policy alerts

Papillary Muscle Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview policy alerts

Papillary Muscle 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 025D?

What is the body system and operation described by the 025D code group?

How are the approaches differentiated within the 025D codes?

Why is accurate coding within ICD-10-PCS 025D important for inpatient documentation?

Which DRGs are related to procedures in the 025D code group?

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 025D?

What is the body system and operation described by the 025D code group?

How are the approaches differentiated within the 025D codes?

Why is accurate coding within ICD-10-PCS 025D important for inpatient documentation?

Which DRGs are related to procedures in the 025D code group?

References