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 0288 includes procedures performed to divide conduction mechanism structures in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician cuts into and separates or transects conduction tissue without draining fluids or gases. Accurate coding within the ICD-10-PCS 0288 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Conduction Mechanism Division Procedure Overview

This procedure group includes division procedures performed on the conduction system within the heart and great vessels, specifically targeting conduction mechanism structures. These procedures involve cutting into the conduction tissue to separate or transect part of the conduction mechanism without draining fluids or gases. Accurate ICD-10-PCS coding of these operations is important for inpatient reimbursement because it documents the specific root operation, body part, 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
8	Operation	Division
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 Division Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
8	Operation	Division
8	Body Part	Conduction Mechanism

When to Use

Use a code from this group when an operative procedure intentionally divides conduction system tissue without draining fluids or gases. These codes are applied for inpatient reporting when the clinical record documents cutting into and separating or transecting conduction mechanism structures.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02880ZZ	Division of Conduction Mechanism, Open Approach
02883ZZ	Division of Conduction Mechanism, Percutaneous Approach
02884ZZ	Division of Conduction Mechanism, Percutaneous Endoscopic Approach

DRG Codes

3 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient with symptomatic, medically refractory atrial fibrillation is admitted for a planned surgical ablation targeting focal conduction pathways; intraoperatively the surgeon performs open transection of a segment of the atrial conduction tissue as part of a maze-like procedure to interrupt reentrant circuits, requiring inpatient monitoring for rhythm control and potential pacing needs. Typical codes: 02880ZZ
A middle-aged patient presents emergently after penetrating chest trauma with new high-degree atrioventricular block and hemodynamic instability; during the urgent operation the cardiac surgeon exposes the heart and divides damaged conduction tissue to isolate the injured segment and control arrhythmogenic conduction, with subsequent definitive pacing support and inpatient critical care. Typical codes: 02880ZZ
A patient with a previously implanted ablation catheter who has persistent symptomatic conduction from an accessory pathway undergoes a percutaneous endoscopic procedure to directly visualize and transect the residual conducting fibers within the conduction system to eliminate recurrent arrhythmia; the patient is kept inpatient for postprocedural monitoring and assessment of conduction status. Typical codes: 02884ZZ, 02883ZZ

Related Codes

0289-CHORDAE-TENDINEAE-DIVISION

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

028D-PAPILLARY-MUSCLE-DIVISION

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

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
02880ZZ	Division of Conduction Mechanism, Open Approach
02883ZZ	Division of Conduction Mechanism, Percutaneous Approach
02884ZZ	Division of Conduction Mechanism, Percutaneous Endoscopic Approach

DRG Codes

3 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient with symptomatic, medically refractory atrial fibrillation is admitted for a planned surgical ablation targeting focal conduction pathways; intraoperatively the surgeon performs open transection of a segment of the atrial conduction tissue as part of a maze-like procedure to interrupt reentrant circuits, requiring inpatient monitoring for rhythm control and potential pacing needs. Typical codes: 02880ZZ
A middle-aged patient presents emergently after penetrating chest trauma with new high-degree atrioventricular block and hemodynamic instability; during the urgent operation the cardiac surgeon exposes the heart and divides damaged conduction tissue to isolate the injured segment and control arrhythmogenic conduction, with subsequent definitive pacing support and inpatient critical care. Typical codes: 02880ZZ
A patient with a previously implanted ablation catheter who has persistent symptomatic conduction from an accessory pathway undergoes a percutaneous endoscopic procedure to directly visualize and transect the residual conducting fibers within the conduction system to eliminate recurrent arrhythmia; the patient is kept inpatient for postprocedural monitoring and assessment of conduction status. Typical codes: 02884ZZ, 02883ZZ

Related Codes

0289-CHORDAE-TENDINEAE-DIVISION

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

028D-PAPILLARY-MUSCLE-DIVISION

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

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 Division 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 Division Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover conduction mechanism division procedures?

What does the root operation 'Division' signify for these procedures?

What are the specified ICD-10-PCS codes in the 0288 group and their approaches?

Why is accurate coding within ICD-10-PCS 0288 important for inpatient care?

Which DRG groups are related to procedures in the 0288 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system cover conduction mechanism division procedures?

What does the root operation 'Division' signify for these procedures?

What are the specified ICD-10-PCS codes in the 0288 group and their approaches?

Why is accurate coding within ICD-10-PCS 0288 important for inpatient care?

Which DRG groups are related to procedures in the 0288 code group?

References