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 02C8 includes procedures performed to remove solid matter from conduction mechanism structures in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs extirpation of material obstructing or involving the cardiac conduction system. Accurate coding within the ICD-10-PCS 02C8 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Conduction Mechanism Extirpation Procedure Overview

Procedures in this ICD-10-PCS group involve the extirpation, or taking out, of solid matter from conduction mechanism structures within the heart and great vessels. These procedures target the cardiac conduction system and related specialized tissues. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it captures the specific removal of material from conduction tissues and supports correct 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
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 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
8	Body Part	Conduction Mechanism

When to Use

Use a code from this group when an inpatient procedure involves removal of solid material from the cardiac conduction system or associated conduction tissues. Do not use these codes for nonextirpation procedures or for removal from other cardiac structures that are not conduction mechanism tissues.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02C80ZZ	Extirpation of Matter from Conduction Mechanism, Open Approach
02C83ZZ	Extirpation of Matter from Conduction Mechanism, Percutaneous Approach
02C84ZZ	Extirpation of Matter from Conduction Mechanism, 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 to the emergency department with new-onset syncope and documented high-grade atrioventricular block. Transvenous pacemaker lead placement reveals fibrous or calcified material adherent to the conduction tissue that is obstructing proper electrical conduction; the cardiothoracic team performs an open surgical extirpation to directly remove the obstructing material from the conduction mechanism to restore conduction and allow appropriate device function. This is performed in the inpatient setting due to the acute presentation and the need for surgical exposure and hemodynamic monitoring. Typical codes: 02C80ZZ
A middle-aged patient with recurrent episodes of symptomatic bradycardia secondary to localized thrombus or calcific debris involving specialized conduction tissue is admitted electively for a planned percutaneous procedure. Using fluoroscopic and intracardiac guidance, the interventional cardiology team performs a targeted percutaneous extirpation of the material from the conduction mechanism to relieve obstruction and improve intrinsic conduction without open surgery. The patient is admitted for monitoring and device interrogation post-procedure. Typical codes: 02C83ZZ
A patient with a prior catheter-based ablation and device implantation develops recurrent conduction disturbances caused by residual or entrapped material within conduction tissues, and initial percutaneous attempts to clear the lesion were incomplete. The team performs a percutaneous endoscopic extirpation to directly visualize and remove the remaining obstructing material from the conduction mechanism as a revision procedure to address persistent dysfunction. The case is done inpatient due to procedural complexity and close postprocedural rhythm monitoring. Typical codes: 02C84ZZ

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

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

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

3 rows

ICD-10-PCS Code	Description
02C80ZZ	Extirpation of Matter from Conduction Mechanism, Open Approach
02C83ZZ	Extirpation of Matter from Conduction Mechanism, Percutaneous Approach
02C84ZZ	Extirpation of Matter from Conduction Mechanism, 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 to the emergency department with new-onset syncope and documented high-grade atrioventricular block. Transvenous pacemaker lead placement reveals fibrous or calcified material adherent to the conduction tissue that is obstructing proper electrical conduction; the cardiothoracic team performs an open surgical extirpation to directly remove the obstructing material from the conduction mechanism to restore conduction and allow appropriate device function. This is performed in the inpatient setting due to the acute presentation and the need for surgical exposure and hemodynamic monitoring. Typical codes: 02C80ZZ
A middle-aged patient with recurrent episodes of symptomatic bradycardia secondary to localized thrombus or calcific debris involving specialized conduction tissue is admitted electively for a planned percutaneous procedure. Using fluoroscopic and intracardiac guidance, the interventional cardiology team performs a targeted percutaneous extirpation of the material from the conduction mechanism to relieve obstruction and improve intrinsic conduction without open surgery. The patient is admitted for monitoring and device interrogation post-procedure. Typical codes: 02C83ZZ
A patient with a prior catheter-based ablation and device implantation develops recurrent conduction disturbances caused by residual or entrapped material within conduction tissues, and initial percutaneous attempts to clear the lesion were incomplete. The team performs a percutaneous endoscopic extirpation to directly visualize and remove the remaining obstructing material from the conduction mechanism as a revision procedure to address persistent dysfunction. The case is done inpatient due to procedural complexity and close postprocedural rhythm monitoring. Typical codes: 02C84ZZ

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

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

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 Conduction Mechanism: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview policy alerts

Conduction Mechanism Extirpation 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 Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 02C8?

What are the specific ICD-10-PCS codes within this group and their approaches?

Why is accurate coding in the 02C8 group important for inpatient care?

Under which ICD-10-PCS section and body system does 02C8 fall?

What related DRGs may be associated with procedures coded in 02C8?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 02C8?

What are the specific ICD-10-PCS codes within this group and their approaches?

Why is accurate coding in the 02C8 group important for inpatient care?

Under which ICD-10-PCS section and body system does 02C8 fall?

What related DRGs may be associated with procedures coded in 02C8?

References