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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02PY includes procedures performed to remove devices in the great vessel of the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when an implanted or temporary device in the great vessel is taken out due to planned removal, malfunction, infection, or other clinical indications. Accurate coding within the ICD-10-PCS 02PY group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy and appropriate case mix and payment.

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Great Vessel Removal Procedure Overview

This procedure group includes removal of devices from the heart and great vessels and involves procedures on the great vessel within the heart and great vessels body system. These procedures remove implanted or temporary devices that are no longer needed, malfunctioning, or causing complications. Accurate coding matters for inpatient reimbursement because it documents the specific removal procedure performed and supports correct assignment of 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
P	Operation	Removal
Y	Body Part	Great Vessel

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

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Great Vessel 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
Y	Body Part	Great Vessel

When to Use

Use a code from this group when an implanted or temporary device in the great vessel is intentionally removed during an inpatient encounter. Situations include planned explantation, device malfunction, infection, or other clinical reasons necessitating device removal.

ICD-10-PCS Codes

30 rows

ICD-10-PCS Code	Description
02PY02Z	Removal of Monitoring Device from Great Vessel, Open Approach
02PY03Z	Removal of Infusion Device from Great Vessel, Open Approach
02PY07Z	Removal of Autologous Tissue Substitute from Great Vessel, Open Approach
02PY08Z	Removal of Zooplastic Tissue from Great Vessel, Open Approach
02PY0CZ	Removal of Extraluminal Device from Great Vessel, Open Approach
02PY0DZ	Removal of Intraluminal Device from Great Vessel, Open Approach
02PY0JZ	Removal of Synthetic Substitute from Great Vessel, Open Approach
02PY0KZ	Removal of Nonautologous Tissue Substitute from Great Vessel, Open Approach
02PY0YZ	Removal of Other Device from Great Vessel, Open Approach
02PY32Z	Removal of Monitoring Device from Great Vessel, Percutaneous Approach

Showing 1–10 of 30

DRG Codes

3 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient with a long-standing tunneled central venous catheter placed for chronic inotropic therapy presents electively for device removal after transition to oral therapy and clinical stability. Inpatient admission is for scheduled removal under monitored anesthesia due to comorbid cardiac disease and need for vascular control; a device located in the great vessel is taken out via an open exposure of the vessel to ensure hemostasis. Typical codes: 02PY02Z, 02PY0DZ
A middle-aged patient with an infected peripherally inserted central catheter (PICC) tracking to the great vessel develops bacteremia and is admitted urgently for removal of the infected intraluminal device to control sepsis; the procedure may be performed percutaneously when feasible to extract the device from the great vessel. Typical codes: 02PY3DZ, 02PY33Z
A young adult who previously had an endovascular port catheter placed experiences device fracture with an extraluminal fragment adherent to the great vessel wall, causing embolic symptoms; the patient is taken to the operating room for removal of the extraluminal device fragment via a percutaneous endoscopic or open approach depending on fragment location and adhesions. Typical codes: 02PY4CZ, 02PY0CZ

Related Codes

02PA-HEART-REMOVAL

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

02PW-THORACIC-AORTA-REMOVAL

ICD-10-PCS Code For Thoracic Aorta, Descending: 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

30 rows

ICD-10-PCS Code	Description
02PY02Z	Removal of Monitoring Device from Great Vessel, Open Approach
02PY03Z	Removal of Infusion Device from Great Vessel, Open Approach
02PY07Z	Removal of Autologous Tissue Substitute from Great Vessel, Open Approach
02PY08Z	Removal of Zooplastic Tissue from Great Vessel, Open Approach
02PY0CZ	Removal of Extraluminal Device from Great Vessel, Open Approach
02PY0DZ	Removal of Intraluminal Device from Great Vessel, Open Approach
02PY0JZ	Removal of Synthetic Substitute from Great Vessel, Open Approach
02PY0KZ	Removal of Nonautologous Tissue Substitute from Great Vessel, Open Approach
02PY0YZ	Removal of Other Device from Great Vessel, Open Approach
02PY32Z	Removal of Monitoring Device from Great Vessel, Percutaneous Approach

Showing 1–10 of 30

DRG Codes

3 rows

DRG Code	Description
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC

Typical Clinical Scenarios

An elderly patient with a long-standing tunneled central venous catheter placed for chronic inotropic therapy presents electively for device removal after transition to oral therapy and clinical stability. Inpatient admission is for scheduled removal under monitored anesthesia due to comorbid cardiac disease and need for vascular control; a device located in the great vessel is taken out via an open exposure of the vessel to ensure hemostasis. Typical codes: 02PY02Z, 02PY0DZ
A middle-aged patient with an infected peripherally inserted central catheter (PICC) tracking to the great vessel develops bacteremia and is admitted urgently for removal of the infected intraluminal device to control sepsis; the procedure may be performed percutaneously when feasible to extract the device from the great vessel. Typical codes: 02PY3DZ, 02PY33Z
A young adult who previously had an endovascular port catheter placed experiences device fracture with an extraluminal fragment adherent to the great vessel wall, causing embolic symptoms; the patient is taken to the operating room for removal of the extraluminal device fragment via a percutaneous endoscopic or open approach depending on fragment location and adhesions. Typical codes: 02PY4CZ, 02PY0CZ

Related Codes

02PA-HEART-REMOVAL

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

02PW-THORACIC-AORTA-REMOVAL

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

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

Great Vessel Removal Procedure Overview

Code Attributes

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

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

Great Vessel 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 the 02PY code group describe?

What types of devices are represented within the 02PY code set?

How do approach values vary across codes in 02PY?

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

Which DRGs are related to procedures coded in the 02PY group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does the 02PY code group describe?

What types of devices are represented within the 02PY code set?

How do approach values vary across codes in 02PY?

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

Which DRGs are related to procedures coded in the 02PY group?

References