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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02C1 includes procedures performed to remove or extirpate solid matter from coronary arteries in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs removal of thrombus, embolus, or similar obstructive material from two coronary arteries. Accurate coding within the ICD-10-PCS 02C1 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and supports clinical documentation accuracy.

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Coronary Artery, Two Arteries Extirpation Procedure Overview

This procedure group includes extirpation procedures performed on two coronary arteries within the heart and great vessels body system. These procedures involve taking or cutting out solid matter, such as thrombus or embolus, from the affected coronary arteries to restore blood flow. Accurate ICD-10-PCS coding of these extirpation procedures is important for inpatient reimbursement because it documents the specific intervention performed and supports appropriate case mix assignment.

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
1	Body Part	Coronary Artery, Two Arteries

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

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Coronary Artery, Two Arteries 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
1	Body Part	Coronary Artery, Two Arteries

When to Use

Use a code from this group when documentation indicates extirpation of solid material from two distinct coronary arteries during an inpatient encounter. Do not use these codes for procedures that remove material from only one coronary artery or from noncoronary vascular locations.

ICD-10-PCS Codes

7 rows

ICD-10-PCS Code	Description
02C10Z6	Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Open Approach
02C10ZZ	Extirpation of Matter from Coronary Artery, Two Arteries, Open Approach
02C13Z6	Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach
02C13Z7	Extirpation of Matter from Coronary Artery, Two Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C13ZZ	Extirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Approach
02C14Z6	Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C14ZZ	Extirpation of Matter from Coronary Artery, Two Arteries, 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

An adult presents to the emergency department with acute ST-elevation myocardial infarction due to thrombotic occlusion affecting two major coronary arteries. After failed medical thrombolysis and angiographic evidence of organized thrombus in two separate coronary arteries, an open surgical procedure is performed to remove the obstructing solid material from both arteries to restore perfusion. The procedure targets two coronary arterial branches and uses an open approach due to hemodynamic instability and the need for direct visualization. Typical codes: 02C10Z6, 02C10ZZ
A patient with stable angina undergoes a planned inpatient coronary procedure after diagnostic angiography demonstrates chronic thromboembolic material in two coronary arteries involving a bifurcation. Because the obstructive material is focal and accessible, a percutaneous endoscopic extirpation is performed electively to clear both arteries and improve symptomatic ischemia. Typical codes: 02C14Z6, 02C14ZZ
A patient with prior percutaneous coronary intervention develops recurrent symptomatic obstruction from organized embolic material involving two coronary arteries after initial thrombectomy. During a repeat percutaneous intervention, an orbital atherectomy technique is used to remove the remaining solid material from both arteries to relieve recurrent ischemia. Typical codes: 02C13Z7, 02C13ZZ

Related Codes

02C0-CORONARY-ARTERY-EXTIRPATION

ICD-10-PCS Code For Coronary Artery: 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
02C10Z6	Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Open Approach
02C10ZZ	Extirpation of Matter from Coronary Artery, Two Arteries, Open Approach
02C13Z6	Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Approach
02C13Z7	Extirpation of Matter from Coronary Artery, Two Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C13ZZ	Extirpation of Matter from Coronary Artery, Two Arteries, Percutaneous Approach
02C14Z6	Extirpation of Matter from Coronary Artery, Two Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C14ZZ	Extirpation of Matter from Coronary Artery, Two Arteries, 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

An adult presents to the emergency department with acute ST-elevation myocardial infarction due to thrombotic occlusion affecting two major coronary arteries. After failed medical thrombolysis and angiographic evidence of organized thrombus in two separate coronary arteries, an open surgical procedure is performed to remove the obstructing solid material from both arteries to restore perfusion. The procedure targets two coronary arterial branches and uses an open approach due to hemodynamic instability and the need for direct visualization. Typical codes: 02C10Z6, 02C10ZZ
A patient with stable angina undergoes a planned inpatient coronary procedure after diagnostic angiography demonstrates chronic thromboembolic material in two coronary arteries involving a bifurcation. Because the obstructive material is focal and accessible, a percutaneous endoscopic extirpation is performed electively to clear both arteries and improve symptomatic ischemia. Typical codes: 02C14Z6, 02C14ZZ
A patient with prior percutaneous coronary intervention develops recurrent symptomatic obstruction from organized embolic material involving two coronary arteries after initial thrombectomy. During a repeat percutaneous intervention, an orbital atherectomy technique is used to remove the remaining solid material from both arteries to relieve recurrent ischemia. Typical codes: 02C13Z7, 02C13ZZ

Related Codes

02C0-CORONARY-ARTERY-EXTIRPATION

ICD-10-PCS Code For Coronary Artery: 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.

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

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

Coronary Artery, Two Arteries Extirpation Procedure Overview

Code Attributes

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

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

Coronary Artery, Two Arteries Extirpation 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 02C1?

What is the main clinical intent captured by the 02C1 code group?

What ICD-10-PCS attributes define the 02C1 group?

How do codes in 02C1 relate to inpatient reimbursement?

Which approaches and technique variants are specified among the 02C1 codes?

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 02C1?

What is the main clinical intent captured by the 02C1 code group?

What ICD-10-PCS attributes define the 02C1 group?

How do codes in 02C1 relate to inpatient reimbursement?

Which approaches and technique variants are specified among the 02C1 codes?

References