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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02C0 includes procedures performed to remove solid material from coronary artery structures in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs extirpation to extract thrombus or other obstructive matter from a single coronary artery to restore perfusion. Accurate coding within the ICD-10-PCS 02C0 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Coronary Artery, One Artery Extirpation Procedure Overview

This procedure group covers extirpation procedures performed on a single coronary artery within the heart and great vessels body system. Extirpation involves taking or cutting out solid matter, such as thrombus or other obstructive material, from the coronary artery to restore blood flow. Accurate coding of these procedures is important for inpatient reimbursement because it documents the specific body part and operation performed, 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
C	Operation	Extirpation
0	Body Part	Coronary Artery, One Artery

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

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Coronary Artery, One Artery Extirpation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
C	Operation	Extirpation
0	Body Part	Coronary Artery, One Artery

When to Use

Use a code from this group when extirpation is performed on one coronary artery to remove obstructive solid material. These codes apply when the primary operative action is removal of material rather than bypass, repair, or replacement.

ICD-10-PCS Codes

7 rows

ICD-10-PCS Code	Description
02C00Z6	Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Open Approach
02C00ZZ	Extirpation of Matter from Coronary Artery, One Artery, Open Approach
02C03Z6	Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Approach
02C03Z7	Extirpation of Matter from Coronary Artery, One Artery, Orbital Atherectomy Technique, Percutaneous Approach
02C03ZZ	Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Approach
02C04Z6	Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach
02C04ZZ	Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
231	Coronary Bypass with PTCA with MCC
232	Coronary Bypass with PTCA without MCC
318	Percutaneous Coronary Atherectomy without Intraluminal Device
321	Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices
322	Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC
359	Percutaneous Coronary Atherectomy with Intraluminal Device with MCC
360	Percutaneous Coronary Atherectomy with Intraluminal Device without MCC

Typical Clinical Scenarios

A patient presents to the emergency department with acute ST-elevation myocardial infarction (STEMI) and occlusion of a single native coronary artery due to thrombus. After diagnostic angiography confirms a thrombotic occlusion of one coronary artery, the team performs percutaneous mechanical thrombectomy to remove the obstructing clot and restore blood flow as the primary operative action. The procedure is performed via percutaneous access under fluoroscopic guidance during the same inpatient encounter. Typical codes: 02C03Z7, 02C03ZZ
An unstable angina patient with recurrent exertional chest pain is scheduled for a planned inpatient procedure after coronary imaging reveals a focal, organized embolic material obstructing a single coronary artery bifurcation. The team elects a percutaneous endoscopic extirpation technique to extract the obstructive solid material from the affected artery bifurcation to relieve ischemia and avoid bypass. The procedure is intentionally performed in a controlled inpatient setting. Typical codes: 02C04Z6, 02C04ZZ
A patient previously treated with open coronary artery surgery returns with recurrent ischemia due to residual organized thrombus at the site of prior intervention in one coronary artery. During the inpatient admission, surgeons perform an open extirpation to remove the persistent solid material from the coronary artery bifurcation to address the complication and restore perfusion. The operation is performed through an open approach because prior interventions and anatomy preclude a percutaneous approach. Typical codes: 02C00Z6, 02C00ZZ

ICD-10-PCS Code For Coronary Artery, Two Arteries: Procedure Code Group Overview

02C2-CORONARY-ARTERY-EXTIRPATION

ICD-10-PCS Code For Coronary Artery, Three Arteries: Procedure Code Group Overview

02C3-CORONARY-ARTERY-EXTIRPATION

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

02C4-CORONARY-VEIN-EXTIRPATION

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

02C5-ATRIAL-SEPTUM-EXTIRPATION

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

02C6-RIGHT-ATRIUM-EXTIRPATION

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

02C7-LEFT-ATRIUM-EXTIRPATION

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

02C8-CONDUCTION-MECHANISM-EXTIRPATION

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

02C9-CHORDAE-TENDINEAE-EXTIRPATION

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

02CD-PAPILLARY-MUSCLE-EXTIRPATION

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

Showing 1–10 of 26

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

7 rows

ICD-10-PCS Code	Description
02C00Z6	Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Open Approach
02C00ZZ	Extirpation of Matter from Coronary Artery, One Artery, Open Approach
02C03Z6	Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Approach
02C03Z7	Extirpation of Matter from Coronary Artery, One Artery, Orbital Atherectomy Technique, Percutaneous Approach
02C03ZZ	Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Approach
02C04Z6	Extirpation of Matter from Coronary Artery, One Artery, Bifurcation, Percutaneous Endoscopic Approach
02C04ZZ	Extirpation of Matter from Coronary Artery, One Artery, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
231	Coronary Bypass with PTCA with MCC
232	Coronary Bypass with PTCA without MCC
318	Percutaneous Coronary Atherectomy without Intraluminal Device
321	Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices
322	Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC
359	Percutaneous Coronary Atherectomy with Intraluminal Device with MCC
360	Percutaneous Coronary Atherectomy with Intraluminal Device without MCC

Typical Clinical Scenarios

A patient presents to the emergency department with acute ST-elevation myocardial infarction (STEMI) and occlusion of a single native coronary artery due to thrombus. After diagnostic angiography confirms a thrombotic occlusion of one coronary artery, the team performs percutaneous mechanical thrombectomy to remove the obstructing clot and restore blood flow as the primary operative action. The procedure is performed via percutaneous access under fluoroscopic guidance during the same inpatient encounter. Typical codes: 02C03Z7, 02C03ZZ
An unstable angina patient with recurrent exertional chest pain is scheduled for a planned inpatient procedure after coronary imaging reveals a focal, organized embolic material obstructing a single coronary artery bifurcation. The team elects a percutaneous endoscopic extirpation technique to extract the obstructive solid material from the affected artery bifurcation to relieve ischemia and avoid bypass. The procedure is intentionally performed in a controlled inpatient setting. Typical codes: 02C04Z6, 02C04ZZ
A patient previously treated with open coronary artery surgery returns with recurrent ischemia due to residual organized thrombus at the site of prior intervention in one coronary artery. During the inpatient admission, surgeons perform an open extirpation to remove the persistent solid material from the coronary artery bifurcation to address the complication and restore perfusion. The operation is performed through an open approach because prior interventions and anatomy preclude a percutaneous approach. Typical codes: 02C00Z6, 02C00ZZ

ICD-10-PCS Code For Coronary Artery, Two Arteries: Procedure Code Group Overview

02C2-CORONARY-ARTERY-EXTIRPATION

ICD-10-PCS Code For Coronary Artery, Three Arteries: Procedure Code Group Overview

02C3-CORONARY-ARTERY-EXTIRPATION

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

02C4-CORONARY-VEIN-EXTIRPATION

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

02C5-ATRIAL-SEPTUM-EXTIRPATION

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

02C6-RIGHT-ATRIUM-EXTIRPATION

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

02C7-LEFT-ATRIUM-EXTIRPATION

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

02C8-CONDUCTION-MECHANISM-EXTIRPATION

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

02C9-CHORDAE-TENDINEAE-EXTIRPATION

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

02CD-PAPILLARY-MUSCLE-EXTIRPATION

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

Showing 1–10 of 26

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.

OpenPayer

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

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Coronary Artery, One Artery Extirpation Procedure Overview

Code Attributes

OpenPayer

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

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Coronary Artery, One Artery Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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

Sign up for ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview policy alerts

Coronary Artery, One Artery Extirpation Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview policy alerts

Coronary Artery, One Artery Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Coronary Artery, One Artery extirpation group?

What body system and operation do these ICD-10-PCS codes describe?

How does accurate coding in the 02C0 group affect inpatient reimbursement?

Which DRG categories are related to procedures in the 02C0 code group?

What procedural distinctions are captured by the different codes in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Coronary Artery, One Artery extirpation group?

What body system and operation do these ICD-10-PCS codes describe?

How does accurate coding in the 02C0 group affect inpatient reimbursement?

Which DRG categories are related to procedures in the 02C0 code group?

What procedural distinctions are captured by the different codes in this group?

References