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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 025H includes procedures performed to destroy valve tissue in the pulmonary valve. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs ablation, chemical destruction, or other destructive procedures on the pulmonary valve. Accurate coding within the ICD-10-PCS 025H group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Pulmonary Valve Destruction Procedure Overview

This procedure group includes destruction of all or part of the pulmonary valve within the heart and great vessels. Procedures involve using energy, force, or destructive agents to remove or ablate valve tissue and are performed on the cardiovascular system. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the precise operation, supports clinical records, and affects case mix group assignment.

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
H	Body Part	Pulmonary Valve

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

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Pulmonary 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
H	Body Part	Pulmonary Valve

When to Use

Use a code from this group when a procedure intentionally destroys all or a portion of the pulmonary valve tissue. Typical clinical scenarios include ablation or other destructive treatment performed to eliminate diseased or malfunctioning valve tissue.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
025H0ZZ	Destruction of Pulmonary Valve, Open Approach
025H3ZZ	Destruction of Pulmonary Valve, Percutaneous Approach
025H4ZZ	Destruction of Pulmonary 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 adult patient with severe infective endocarditis of the pulmonary valve causing refractory sepsis and destruction of valve leaflets is taken to the operating room after inadequate response to antibiotics; intraoperative inspection confirms extensively damaged valve tissue not amenable to repair, and the surgeon performs direct destructive ablation of the pulmonary valve via an open sternotomy to remove infected tissue and control the source of sepsis. Typical codes: 025H0ZZ
A patient with congenital pulmonary valve stenosis who previously underwent percutaneous balloon valvuloplasty but presents with focal, calcified, obstructive tissue causing recurrent right ventricular outflow obstruction; during a planned inpatient catheterization the interventional cardiologist performs a percutaneous energy-based destruction of the stenotic valve tissue to relieve obstruction. Typical codes: 025H3ZZ
A hospitalized patient with symptomatic prosthetic pulmonary valve failure where imaging shows localized pannus and scar tissue growth causing dysfunction; during a percutaneous endoscopic-assisted procedure, the team uses direct destructive techniques to ablate the obstructive tissue while preserving the prosthetic structure, performed under endoscopic visualization. Typical codes: 025H4ZZ

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

025G-MITRAL-VALVE-DESTRUCTION

ICD-10-PCS Code For Mitral 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
025H0ZZ	Destruction of Pulmonary Valve, Open Approach
025H3ZZ	Destruction of Pulmonary Valve, Percutaneous Approach
025H4ZZ	Destruction of Pulmonary 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 adult patient with severe infective endocarditis of the pulmonary valve causing refractory sepsis and destruction of valve leaflets is taken to the operating room after inadequate response to antibiotics; intraoperative inspection confirms extensively damaged valve tissue not amenable to repair, and the surgeon performs direct destructive ablation of the pulmonary valve via an open sternotomy to remove infected tissue and control the source of sepsis. Typical codes: 025H0ZZ
A patient with congenital pulmonary valve stenosis who previously underwent percutaneous balloon valvuloplasty but presents with focal, calcified, obstructive tissue causing recurrent right ventricular outflow obstruction; during a planned inpatient catheterization the interventional cardiologist performs a percutaneous energy-based destruction of the stenotic valve tissue to relieve obstruction. Typical codes: 025H3ZZ
A hospitalized patient with symptomatic prosthetic pulmonary valve failure where imaging shows localized pannus and scar tissue growth causing dysfunction; during a percutaneous endoscopic-assisted procedure, the team uses direct destructive techniques to ablate the obstructive tissue while preserving the prosthetic structure, performed under endoscopic visualization. Typical codes: 025H4ZZ

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

025G-MITRAL-VALVE-DESTRUCTION

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

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

Pulmonary Valve Destruction Procedure Overview

Code Attributes

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

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

Pulmonary 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 the ICD-10-PCS 025H code group?

What are the individual ICD-10-PCS codes in this group?

What section, body system, and operation attributes define this code group?

How does accurate coding in 025H affect reimbursement and records?

Which related DRGs are associated with pulmonary valve destruction procedures?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 025H code group?

What are the individual ICD-10-PCS codes in this group?

What section, body system, and operation attributes define this code group?

How does accurate coding in 025H affect reimbursement and records?

Which related DRGs are associated with pulmonary valve destruction procedures?

References