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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02FP includes procedures performed to fragment solid matter in the pulmonary trunk. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs an operative fragmentation to break apart obstructing material within the pulmonary trunk. Accurate coding within the ICD-10-PCS 02FP group is essential for proper inpatient reimbursement, as it captures the procedure performed and the specific anatomical site treated.

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Pulmonary Trunk Fragmentation Procedure Overview

Procedures in this group involve fragmentation of solid material within the pulmonary trunk, targeting the heart and great vessels. These interventions break apart obstructing material in the pulmonary trunk to restore or improve blood flow through the pulmonary circulation. Accurate coding of these procedures in the Medical and Surgical section is important for inpatient reimbursement because it documents the specific root operation and anatomical site treated, 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
F	Operation	Fragmentation
P	Body Part	Pulmonary Trunk

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

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Pulmonary Trunk Fragmentation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
F	Operation	Fragmentation
P	Body Part	Pulmonary Trunk

When to Use

Use a code from this group when the clinical procedure involves fragmenting solid material located in the pulmonary trunk during an inpatient encounter. These codes apply when the fragmentation is the root operation performed to restore or improve pulmonary trunk blood flow.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
02FP3Z0	Fragmentation of Pulmonary Trunk, Percutaneous Approach, Ultrasonic
02FP3ZZ	Fragmentation of Pulmonary Trunk, Percutaneous Approach

DRG Codes

9 rows

DRG Code	Description
166	Other Respiratory System O.R. Procedures with MCC
167	Other Respiratory System O.R. Procedures with CC
168	Other Respiratory System O.R. Procedures without CC/MCC
173	Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
250	Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC
251	Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An adult patient presents to the emergency department with sudden-onset severe hypoxemia and hemodynamic instability after a massive pulmonary embolus is suspected; imaging suggests a large, organized thrombus fragment lodged at the pulmonary trunk obstructing flow. The patient is admitted to the ICU for urgent endovascular fragmentation to break the solid obstructing material and restore pulmonary blood flow when thrombolysis is contraindicated or has failed. Typical codes: 02FP3ZZ, 02FP3Z0
A middle-aged patient with chronic recurrent pulmonary emboli and persistent dyspnea is scheduled electively for an inpatient procedure to mechanically fragment an organized chronic thrombus in the pulmonary trunk that is causing right ventricular strain. The planned percutaneous fragmentation is performed to disrupt the solid lesion and improve pulmonary circulation as part of definitive management. Typical codes: 02FP3Z0, 02FP3ZZ
A patient develops acute right heart failure after prior cardiac surgery and is found on imaging to have calcified thrombotic debris within the pulmonary trunk causing obstructive physiology; prior attempts at anticoagulation were ineffective and surgical removal is high risk, so a percutaneous fragmentation is performed as a salvage intervention. Typical codes: 02FP3ZZ, 02FP3Z0

Related Codes

02F0-CORONARY-ARTERY-FRAGMENTATION

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

02F1-CORONARY-ARTERY-FRAGMENTATION

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

02F2-CORONARY-ARTERY-FRAGMENTATION

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

02F3-CORONARY-ARTERY-FRAGMENTATION

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

02FN-PERICARDIUM-FRAGMENTATION

ICD-10-PCS Code For Pericardium: Procedure Code Group Overview

02FQ-PULMONARY-ARTERY-RIGHT-FRAGMENTATION

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

02FR-PULMONARY-ARTERY-LEFT-FRAGMENTATION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02FS-PULMONARY-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Pulmonary Vein Right: Procedure Code Group Overview

02FT-PULMONARY-VEIN-LEFT-FRAGMENTATION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

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

2 rows

ICD-10-PCS Code	Description
02FP3Z0	Fragmentation of Pulmonary Trunk, Percutaneous Approach, Ultrasonic
02FP3ZZ	Fragmentation of Pulmonary Trunk, Percutaneous Approach

DRG Codes

9 rows

DRG Code	Description
166	Other Respiratory System O.R. Procedures with MCC
167	Other Respiratory System O.R. Procedures with CC
168	Other Respiratory System O.R. Procedures without CC/MCC
173	Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
250	Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC
251	Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

An adult patient presents to the emergency department with sudden-onset severe hypoxemia and hemodynamic instability after a massive pulmonary embolus is suspected; imaging suggests a large, organized thrombus fragment lodged at the pulmonary trunk obstructing flow. The patient is admitted to the ICU for urgent endovascular fragmentation to break the solid obstructing material and restore pulmonary blood flow when thrombolysis is contraindicated or has failed. Typical codes: 02FP3ZZ, 02FP3Z0
A middle-aged patient with chronic recurrent pulmonary emboli and persistent dyspnea is scheduled electively for an inpatient procedure to mechanically fragment an organized chronic thrombus in the pulmonary trunk that is causing right ventricular strain. The planned percutaneous fragmentation is performed to disrupt the solid lesion and improve pulmonary circulation as part of definitive management. Typical codes: 02FP3Z0, 02FP3ZZ
A patient develops acute right heart failure after prior cardiac surgery and is found on imaging to have calcified thrombotic debris within the pulmonary trunk causing obstructive physiology; prior attempts at anticoagulation were ineffective and surgical removal is high risk, so a percutaneous fragmentation is performed as a salvage intervention. Typical codes: 02FP3ZZ, 02FP3Z0

Related Codes

02F0-CORONARY-ARTERY-FRAGMENTATION

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

02F1-CORONARY-ARTERY-FRAGMENTATION

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

02F2-CORONARY-ARTERY-FRAGMENTATION

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

02F3-CORONARY-ARTERY-FRAGMENTATION

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

02FN-PERICARDIUM-FRAGMENTATION

ICD-10-PCS Code For Pericardium: Procedure Code Group Overview

02FQ-PULMONARY-ARTERY-RIGHT-FRAGMENTATION

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

02FR-PULMONARY-ARTERY-LEFT-FRAGMENTATION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02FS-PULMONARY-VEIN-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Pulmonary Vein Right: Procedure Code Group Overview

02FT-PULMONARY-VEIN-LEFT-FRAGMENTATION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

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 Pulmonary Trunk: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview policy alerts

Pulmonary Trunk Fragmentation Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview policy alerts

Pulmonary Trunk Fragmentation 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 Pulmonary Trunk fragmentation group?

What is the section, body system, and operation for ICD-10-PCS code group 02FP?

Why is accurate coding of 02FP procedures important for inpatient reimbursement?

Which DRG categories may be related when coding a pulmonary trunk fragmentation procedure?

What clinical intention do procedures in the 02FP group serve?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes are included in the Pulmonary Trunk fragmentation group?

What is the section, body system, and operation for ICD-10-PCS code group 02FP?

Why is accurate coding of 02FP procedures important for inpatient reimbursement?

Which DRG categories may be related when coding a pulmonary trunk fragmentation procedure?

What clinical intention do procedures in the 02FP group serve?

References