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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 025G includes procedures performed to destroy tissue of the mitral valve in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a destructive procedure on all or part of the mitral valve to treat diseased valve tissue or remove pathological lesions. Accurate coding within the ICD-10-PCS 025G group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Mitral Valve Destruction Procedure Overview

Procedures in this group involve destruction of all or part of the mitral valve within the heart and great vessels using energy, force, or a destructive agent. These operations target the heart and great vessels body system and remove or obliterate tissue to treat pathological valve tissue. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific destructive action and anatomical site, which affects 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
G	Body Part	Mitral Valve

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

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Mitral Valve 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
G	Body Part	Mitral Valve

When to Use

Use a code from this group when a destructive procedure is performed on the mitral valve to eliminate diseased or pathologic valve tissue. Do not use these codes for repair, replacement, or other non-destructive mitral valve procedures.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
025G0ZZ	Destruction of Mitral Valve, Open Approach
025G3ZZ	Destruction of Mitral Valve, Percutaneous Approach
025G4ZZ	Destruction of Mitral Valve, Percutaneous Endoscopic Approach

DRG Codes

4 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

An elderly patient with severe, symptomatic mitral valve stenosis refractory to medical therapy presents with progressive dyspnea and recurrent pulmonary edema. The cardiothoracic team elects an open surgical procedure to directly ablate calcified and fibrotic valve tissue that is causing obstruction when less invasive options are unsuitable. Destruction of native mitral valve tissue is performed via a sternotomy to relieve the outflow obstruction and improve hemodynamics. Typical codes: 025G0ZZ
A middle-aged patient with recurrent mitral valve vegetations from infective endocarditis develops focal, nonrepairable infected tissue on the mitral leaflet and is taken to the cath lab for a minimally invasive, catheter-based destruction of the diseased tissue to control sepsis and reduce embolic risk. The team performs a percutaneous destructive procedure targeting the involved mitral leaflet to remove the pathological tissue when immediate full valve replacement is deferred. Typical codes: 025G3ZZ
A patient who previously underwent transcatheter mitral intervention presents with symptomatic recurrent regurgitation due to localized pannus and fibrotic tissue on the native mitral valve. In a hybrid operative setting, a percutaneous endoscopic approach is used to directly destroy the localized pathological tissue while avoiding a full valve explant, aiming to restore coaptation and reduce regurgitation as a corrective measure. Typical codes: 025G4ZZ

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

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

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
025G0ZZ	Destruction of Mitral Valve, Open Approach
025G3ZZ	Destruction of Mitral Valve, Percutaneous Approach
025G4ZZ	Destruction of Mitral Valve, Percutaneous Endoscopic Approach

DRG Codes

4 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

An elderly patient with severe, symptomatic mitral valve stenosis refractory to medical therapy presents with progressive dyspnea and recurrent pulmonary edema. The cardiothoracic team elects an open surgical procedure to directly ablate calcified and fibrotic valve tissue that is causing obstruction when less invasive options are unsuitable. Destruction of native mitral valve tissue is performed via a sternotomy to relieve the outflow obstruction and improve hemodynamics. Typical codes: 025G0ZZ
A middle-aged patient with recurrent mitral valve vegetations from infective endocarditis develops focal, nonrepairable infected tissue on the mitral leaflet and is taken to the cath lab for a minimally invasive, catheter-based destruction of the diseased tissue to control sepsis and reduce embolic risk. The team performs a percutaneous destructive procedure targeting the involved mitral leaflet to remove the pathological tissue when immediate full valve replacement is deferred. Typical codes: 025G3ZZ
A patient who previously underwent transcatheter mitral intervention presents with symptomatic recurrent regurgitation due to localized pannus and fibrotic tissue on the native mitral valve. In a hybrid operative setting, a percutaneous endoscopic approach is used to directly destroy the localized pathological tissue while avoiding a full valve explant, aiming to restore coaptation and reduce regurgitation as a corrective measure. Typical codes: 025G4ZZ

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

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

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 Mitral Valve: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Mitral Valve: Procedure Code Group Overview policy alerts

Mitral Valve Destruction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Mitral Valve: Procedure Code Group Overview policy alerts

Mitral Valve 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 025G for the mitral valve?

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

How does accurate coding in the 025G group affect inpatient reimbursement?

Which DRGs are related to procedures in the 025G mitral valve destruction group?

What approach options are specified by the individual ICD-10-PCS codes in 025G?

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 025G for the mitral valve?

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

How does accurate coding in the 025G group affect inpatient reimbursement?

Which DRGs are related to procedures in the 025G mitral valve destruction group?

What approach options are specified by the individual ICD-10-PCS codes in 025G?

References