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 02BD includes procedures performed to excise portions of the papillary muscle in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a portion of a papillary muscle is surgically removed to treat structural cardiac disease or injury. Accurate coding within the ICD-10-PCS 02BD 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 Excision Procedure Overview

Procedures in this group involve excision of a portion of the papillary muscle within the heart and great vessels system. These operations remove diseased or damaged papillary muscle tissue to address structural problems affecting valve function or myocardial integrity. Accurate coding of these excisions is important for inpatient reimbursement because it captures the specific cardiac tissue removal performed 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
B	Operation	Excision
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 Excision Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
B	Operation	Excision
D	Body Part	Papillary Muscle

When to Use

Use a code from this group when a surgeon excises part of a papillary muscle to manage papillary muscle rupture, ischemic damage, or other structural pathology affecting valve competence. Do not use these codes for procedures that include replacement or repair with prosthetic material, which are coded in different ICD-10-PCS groups.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
02BD0ZX	Excision of Papillary Muscle, Open Approach, Diagnostic
02BD0ZZ	Excision of Papillary Muscle, Open Approach
02BD3ZX	Excision of Papillary Muscle, Percutaneous Approach, Diagnostic
02BD3ZZ	Excision of Papillary Muscle, Percutaneous Approach
02BD4ZX	Excision of Papillary Muscle, Percutaneous Endoscopic Approach, Diagnostic
02BD4ZZ	Excision 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

An elderly patient presents emergently after an acute myocardial infarction with sudden onset of severe pulmonary edema and hypotension; echocardiography demonstrates papillary muscle rupture with flail mitral leaflet leading to acute severe mitral regurgitation. The patient is taken to the operating room for urgent open surgical excision of the damaged papillary muscle tissue to control the structural source of valvular incompetence and stabilize hemodynamics. Typical codes: 02BD0ZZ
A middle-aged patient with ischemic cardiomyopathy and chronic severe mitral regurgitation is scheduled electively for a planned surgical procedure to remove a focally scarred portion of a papillary muscle that is tethering the mitral valve leaflet and contributing to symptomatic heart failure. The inpatient admission is for the planned open excision of the diseased papillary muscle as part of definitive surgical management to improve valve function. Typical codes: 02BD0ZZ, 02BD0ZX
A patient who previously underwent percutaneous mitral intervention develops residual leaflet dysfunction and ongoing symptoms; during a subsequent minimally invasive transcatheter attempt to remove obstructive papillary muscle tissue, a percutaneous endoscopic excision is performed to address persistent leaflet tethering and relieve regurgitation. The procedure is done in the inpatient setting for complication management after earlier interventions. Typical codes: 02BD4ZZ, 02BD3ZZ

Related Codes

02B4-CORONARY-VEIN-EXCISION

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

02B5-ATRIAL-SEPTUM-EXCISION

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

02B6-ATRIUM-RIGHT-EXCISION

ICD-10-PCS Code For Atrium, Right: Procedure Code Group Overview

02B7-LEFT-ATRIUM-EXCISION

ICD-10-PCS Code For Atrium Left: Procedure Code Group Overview

02B8-CONDUCTION-MECHANISM-EXCISION

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

02B9-CHORDAE-TENDINEAE-EXCISION

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

02BF-AORTIC-VALVE-EXCISION

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

02BG-MITRAL-VALVE-EXCISION

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

02BH-PULMONARY-VALVE-EXCISION

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

02BJ-TRICUSPID-VALVE-EXCISION

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

6 rows

ICD-10-PCS Code	Description
02BD0ZX	Excision of Papillary Muscle, Open Approach, Diagnostic
02BD0ZZ	Excision of Papillary Muscle, Open Approach
02BD3ZX	Excision of Papillary Muscle, Percutaneous Approach, Diagnostic
02BD3ZZ	Excision of Papillary Muscle, Percutaneous Approach
02BD4ZX	Excision of Papillary Muscle, Percutaneous Endoscopic Approach, Diagnostic
02BD4ZZ	Excision 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

An elderly patient presents emergently after an acute myocardial infarction with sudden onset of severe pulmonary edema and hypotension; echocardiography demonstrates papillary muscle rupture with flail mitral leaflet leading to acute severe mitral regurgitation. The patient is taken to the operating room for urgent open surgical excision of the damaged papillary muscle tissue to control the structural source of valvular incompetence and stabilize hemodynamics. Typical codes: 02BD0ZZ
A middle-aged patient with ischemic cardiomyopathy and chronic severe mitral regurgitation is scheduled electively for a planned surgical procedure to remove a focally scarred portion of a papillary muscle that is tethering the mitral valve leaflet and contributing to symptomatic heart failure. The inpatient admission is for the planned open excision of the diseased papillary muscle as part of definitive surgical management to improve valve function. Typical codes: 02BD0ZZ, 02BD0ZX
A patient who previously underwent percutaneous mitral intervention develops residual leaflet dysfunction and ongoing symptoms; during a subsequent minimally invasive transcatheter attempt to remove obstructive papillary muscle tissue, a percutaneous endoscopic excision is performed to address persistent leaflet tethering and relieve regurgitation. The procedure is done in the inpatient setting for complication management after earlier interventions. Typical codes: 02BD4ZZ, 02BD3ZZ

Related Codes

02B4-CORONARY-VEIN-EXCISION

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

02B5-ATRIAL-SEPTUM-EXCISION

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

02B6-ATRIUM-RIGHT-EXCISION

ICD-10-PCS Code For Atrium, Right: Procedure Code Group Overview

02B7-LEFT-ATRIUM-EXCISION

ICD-10-PCS Code For Atrium Left: Procedure Code Group Overview

02B8-CONDUCTION-MECHANISM-EXCISION

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

02B9-CHORDAE-TENDINEAE-EXCISION

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

02BF-AORTIC-VALVE-EXCISION

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

02BG-MITRAL-VALVE-EXCISION

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

02BH-PULMONARY-VALVE-EXCISION

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

02BJ-TRICUSPID-VALVE-EXCISION

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 Excision 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 Excision Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers papillary muscle excision procedures?

What are the approach and diagnostic variations included in the 02BD code group?

Why is accurate coding within ICD-10-PCS 02BD important for inpatient reimbursement?

What code attributes are associated with the 02BD papillary muscle excision group?

Which DRGs are related to procedures in the 02BD group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers papillary muscle excision procedures?

What are the approach and diagnostic variations included in the 02BD code group?

Why is accurate coding within ICD-10-PCS 02BD important for inpatient reimbursement?

What code attributes are associated with the 02BD papillary muscle excision group?

Which DRGs are related to procedures in the 02BD group?

References