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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02C2 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 surgical removal of obstructive material from three coronary arteries to restore blood flow. Accurate coding within the ICD-10-PCS 02C2 group is essential for proper inpatient reimbursement, as it captures the specific extirpation procedure performed and supports clinical documentation accuracy.

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Coronary Artery, Extirpation Procedure Overview

The procedures in this group involve extirpation — taking or cutting out solid matter — from coronary arteries and target the heart and great vessels. These inpatient procedures remove obstructive material from three coronary arteries to restore myocardial blood flow. Accurate ICD-10-PCS coding for these extirpation procedures is important for clinical documentation and ensures appropriate inpatient reimbursement and 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
2	Body Part	Coronary Artery, Three Arteries

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

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Coronary 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
2	Body Part	Coronary Artery, Three Arteries

When to Use

Use a code from this group when an extirpation procedure is performed to remove solid obstructive material from three coronary arteries during an inpatient encounter. Select the specific code when documentation confirms the operation was extirpation and that three coronary arteries were treated.

ICD-10-PCS Codes

7 rows

ICD-10-PCS Code	Description
02C20Z6	Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Open Approach
02C20ZZ	Extirpation of Matter from Coronary Artery, Three Arteries, Open Approach
02C23Z6	Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach
02C23Z7	Extirpation of Matter from Coronary Artery, Three Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C23ZZ	Extirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Approach
02C24Z6	Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C24ZZ	Extirpation of Matter from Coronary Artery, Three 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 elderly patient presents to the emergency department with acute ST-elevation myocardial infarction involving multiple vascular territories and cardiogenic shock after failed thrombolysis; coronary angiography demonstrates obstructive thrombotic and atherosclerotic material occluding three major coronary arteries requiring urgent surgical removal to restore flow. An open extirpation procedure is performed during the same inpatient admission to remove organized thrombus and plaque from multiple vessels. Typical codes: 02C20ZZ, 02C20Z6
A middle-aged patient with progressive exertional angina and multivessel coronary artery disease is admitted electively for surgical management after noninvasive testing and coronary imaging show severe three-vessel atherosclerotic obstruction; the surgical team plans targeted removal of atheromatous material from bifurcation lesions to improve perfusion. A percutaneous endoscopic extirpation is performed during the planned inpatient procedure to clear obstructive solid material from three coronary arteries. Typical codes: 02C24ZZ, 02C24Z6
A patient previously treated with percutaneous coronary interventions develops recurrent restenosis and complex orbital calcified plaque involving three coronary arteries, causing unstable angina and necessitating inpatient reintervention; the team performs percutaneous orbital atherectomy to extirpate calcified solid material and restore luminal patency. Typical codes: 02C23Z7, 02C23ZZ

Related Codes

02C0-CORONARY-ARTERY-EXTIRPATION

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

02C1-CORONARY-ARTERY-TWO-ARTERIES-EXTIRPATION

ICD-10-PCS Code For Coronary Artery, Two 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
02C20Z6	Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Open Approach
02C20ZZ	Extirpation of Matter from Coronary Artery, Three Arteries, Open Approach
02C23Z6	Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Approach
02C23Z7	Extirpation of Matter from Coronary Artery, Three Arteries, Orbital Atherectomy Technique, Percutaneous Approach
02C23ZZ	Extirpation of Matter from Coronary Artery, Three Arteries, Percutaneous Approach
02C24Z6	Extirpation of Matter from Coronary Artery, Three Arteries, Bifurcation, Percutaneous Endoscopic Approach
02C24ZZ	Extirpation of Matter from Coronary Artery, Three 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 elderly patient presents to the emergency department with acute ST-elevation myocardial infarction involving multiple vascular territories and cardiogenic shock after failed thrombolysis; coronary angiography demonstrates obstructive thrombotic and atherosclerotic material occluding three major coronary arteries requiring urgent surgical removal to restore flow. An open extirpation procedure is performed during the same inpatient admission to remove organized thrombus and plaque from multiple vessels. Typical codes: 02C20ZZ, 02C20Z6
A middle-aged patient with progressive exertional angina and multivessel coronary artery disease is admitted electively for surgical management after noninvasive testing and coronary imaging show severe three-vessel atherosclerotic obstruction; the surgical team plans targeted removal of atheromatous material from bifurcation lesions to improve perfusion. A percutaneous endoscopic extirpation is performed during the planned inpatient procedure to clear obstructive solid material from three coronary arteries. Typical codes: 02C24ZZ, 02C24Z6
A patient previously treated with percutaneous coronary interventions develops recurrent restenosis and complex orbital calcified plaque involving three coronary arteries, causing unstable angina and necessitating inpatient reintervention; the team performs percutaneous orbital atherectomy to extirpate calcified solid material and restore luminal patency. Typical codes: 02C23Z7, 02C23ZZ

Related Codes

02C0-CORONARY-ARTERY-EXTIRPATION

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

02C1-CORONARY-ARTERY-TWO-ARTERIES-EXTIRPATION

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

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

Coronary Artery, Extirpation Procedure Overview

Code Attributes

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

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

Coronary Artery, Extirpation 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 02C2 code group?

What are the code attributes for this procedure group?

How does accurate coding in 02C2 affect inpatient reimbursement?

Which ICD-10-PCS codes in this group specify bifurcation or orbital atherectomy techniques?

What DRGs are related to procedures in the 02C2 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 02C2 code group?

What are the code attributes for this procedure group?

How does accurate coding in 02C2 affect inpatient reimbursement?

Which ICD-10-PCS codes in this group specify bifurcation or orbital atherectomy techniques?

What DRGs are related to procedures in the 02C2 group?

References