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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02PA includes procedures performed to remove devices or objects in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a device or foreign object is extracted from the heart or adjacent great vessels. Accurate coding within the ICD-10-PCS 02PA group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Heart Removal Procedure Overview

This procedure group includes inpatient operations that remove devices or objects from the heart and great vessels. These procedures target the heart and great vessels within the cardiovascular system and involve explantation or extraction of implanted devices or foreign objects. Accurate coding matters because it ensures the inpatient record reflects the removal performed and supports appropriate reimbursement and clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
P	Operation	Removal
A	Body Part	Heart

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

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Heart Removal Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
P	Operation	Removal
A	Body Part	Heart

When to Use

Use a code from this group when an implanted device, lead, or foreign object is removed from the heart or great vessels during an inpatient encounter. These codes apply regardless of the approach when the principal action is removal of the device from the heart.

ICD-10-PCS Codes

46 rows

ICD-10-PCS Code	Description
02PA02Z	Removal of Monitoring Device from Heart, Open Approach
02PA03Z	Removal of Infusion Device from Heart, Open Approach
02PA07Z	Removal of Autologous Tissue Substitute from Heart, Open Approach
02PA08Z	Removal of Zooplastic Tissue from Heart, Open Approach
02PA0CZ	Removal of Extraluminal Device from Heart, Open Approach
02PA0DZ	Removal of Intraluminal Device from Heart, Open Approach
02PA0JZ	Removal of Synthetic Substitute from Heart, Open Approach
02PA0KZ	Removal of Nonautologous Tissue Substitute from Heart, Open Approach
02PA0MZ	Removal of Cardiac Lead from Heart, Open Approach
02PA0NZ	Removal of Intracardiac Pacemaker from Heart, Open Approach

Showing 1–10 of 46

DRG Codes

21 rows

DRG Code	Description
001	Heart Transplant or Implant of Heart Assist System with MCC
002	Heart Transplant or Implant of Heart Assist System without MCC
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
242	Permanent Cardiac Pacemaker Implant with MCC
243	Permanent Cardiac Pacemaker Implant with CC
244	Permanent Cardiac Pacemaker Implant without CC/MCC

Showing 1–10 of 21

Typical Clinical Scenarios

An elderly patient with a previously implanted transvenous pacemaker presents with pocket infection and signs of lead endocarditis (fever, positive blood cultures, and vegetations on echocardiography). The patient is admitted for intravenous antibiotics and inpatient extraction of the infected intracardiac hardware to control the source of infection and prevent septic emboli. Typical codes: 02PA3MZ, 02PA3NZ
A middle-aged patient with a mechanical complication after recent cardiac resynchronization therapy experiences device malfunction and recurrent syncope; imaging confirms lead displacement and nonfunctioning biventricular pacing leads. The patient is scheduled for an inpatient lead and device removal with plan for revision or replacement once stabilized. Typical codes: 02PA0MZ, 02PA0NZ
A younger patient arrives emergently after penetrating chest trauma with an intracardiac foreign object identified on imaging causing pericardial irritation and hemodynamic instability; the object requires operative removal from the heart during an open procedure. Typical codes: 02PA02Z, 02PA0YZ

Related Codes

02PW-THORACIC-AORTA-REMOVAL

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

02PY-OTHER-DEVICE-REMOVAL-GREAT-VESSEL-REMOVAL

ICD-10-PCS Code For Great Vessel: 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

46 rows

ICD-10-PCS Code	Description
02PA02Z	Removal of Monitoring Device from Heart, Open Approach
02PA03Z	Removal of Infusion Device from Heart, Open Approach
02PA07Z	Removal of Autologous Tissue Substitute from Heart, Open Approach
02PA08Z	Removal of Zooplastic Tissue from Heart, Open Approach
02PA0CZ	Removal of Extraluminal Device from Heart, Open Approach
02PA0DZ	Removal of Intraluminal Device from Heart, Open Approach
02PA0JZ	Removal of Synthetic Substitute from Heart, Open Approach
02PA0KZ	Removal of Nonautologous Tissue Substitute from Heart, Open Approach
02PA0MZ	Removal of Cardiac Lead from Heart, Open Approach
02PA0NZ	Removal of Intracardiac Pacemaker from Heart, Open Approach

Showing 1–10 of 46

DRG Codes

21 rows

DRG Code	Description
001	Heart Transplant or Implant of Heart Assist System with MCC
002	Heart Transplant or Implant of Heart Assist System without MCC
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
242	Permanent Cardiac Pacemaker Implant with MCC
243	Permanent Cardiac Pacemaker Implant with CC
244	Permanent Cardiac Pacemaker Implant without CC/MCC

Showing 1–10 of 21

Typical Clinical Scenarios

An elderly patient with a previously implanted transvenous pacemaker presents with pocket infection and signs of lead endocarditis (fever, positive blood cultures, and vegetations on echocardiography). The patient is admitted for intravenous antibiotics and inpatient extraction of the infected intracardiac hardware to control the source of infection and prevent septic emboli. Typical codes: 02PA3MZ, 02PA3NZ
A middle-aged patient with a mechanical complication after recent cardiac resynchronization therapy experiences device malfunction and recurrent syncope; imaging confirms lead displacement and nonfunctioning biventricular pacing leads. The patient is scheduled for an inpatient lead and device removal with plan for revision or replacement once stabilized. Typical codes: 02PA0MZ, 02PA0NZ
A younger patient arrives emergently after penetrating chest trauma with an intracardiac foreign object identified on imaging causing pericardial irritation and hemodynamic instability; the object requires operative removal from the heart during an open procedure. Typical codes: 02PA02Z, 02PA0YZ

Related Codes

02PW-THORACIC-AORTA-REMOVAL

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

02PY-OTHER-DEVICE-REMOVAL-GREAT-VESSEL-REMOVAL

ICD-10-PCS Code For Great Vessel: 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 Heart: Procedure Code Group Overview

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

Heart Removal Procedure Overview

Code Attributes

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

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

Heart Removal Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 02PA represent?

When should codes from the 02PA group be used in inpatient documentation?

How do approach values vary among codes in the 02PA group?

What types of devices or materials are specified in the 02PA code set?

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

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 02PA represent?

When should codes from the 02PA group be used in inpatient documentation?

How do approach values vary among codes in the 02PA group?

What types of devices or materials are specified in the 02PA code set?

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

References