ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02TD includes procedures performed to resect papillary muscle structures in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a papillary muscle is completely removed without replacement as part of cardiac surgery. Accurate coding within the ICD-10-PCS 02TD group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Papillary Muscle Resection Procedure Overview

Procedures in ICD-10 PCS 02TD involve resection of papillary muscle tissue within the heart and great vessels, targeting structures that support the mitral and tricuspid valves. These operations remove all of a papillary muscle without replacement and are recorded under the Medical and Surgical section. Accurate coding of papillary muscle resection is important for inpatient reimbursement because it precisely captures the invasive cardiac procedure performed and supports appropriate case mix assignment. Clear documentation of the surgical details ensures correct code selection and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
T	Operation	Resection
D	Body Part	Papillary Muscle

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ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

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Papillary Muscle Resection Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
T	Operation	Resection
D	Body Part	Papillary Muscle

When to Use

Use a code from this group when the operative report documents complete resection of a papillary muscle during cardiac surgery. Do not use these codes for partial excisions, repairs, or when a replacement is implanted.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02TD0ZZ	Resection of Papillary Muscle, Open Approach
02TD3ZZ	Resection of Papillary Muscle, Percutaneous Approach
02TD4ZZ	Resection of Papillary Muscle, 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 acutely with severe mitral regurgitation due to papillary muscle rupture after an ST-elevation myocardial infarction; he is hemodynamically unstable with pulmonary edema and requires urgent open-heart surgery to remove the necrotic papillary muscle and address valve dysfunction. A resection of the entire papillary muscle via sternotomy and cardiopulmonary bypass is performed to control the source of regurgitation and allow valve repair or replacement in the same operation. Typical codes: 02TD0ZZ
A middle-aged patient with progressive congestive heart failure and severe leaflet tethering from calcified, nonviable papillary muscle tissue is scheduled electively for corrective cardiac surgery after multidisciplinary evaluation; the surgeon plans a targeted resection of the diseased papillary muscle to optimize mitral valve geometry. This planned inpatient procedure is performed using a minimally invasive percutaneous endoscopic approach to excise the entire papillary muscle without implantation of a replacement. Typical codes: 02TD4ZZ
A patient previously treated with percutaneous coronary intervention develops refractory papillary muscle ischemia with persistent dynamic obstruction and recurrent embolic events despite medical therapy; after multidisciplinary review and failed conservative measures, a percutaneous transcatheter resection is performed to remove the dysfunctional papillary muscle tissue and prevent further hemodynamic compromise. Typical codes: 02TD3ZZ

Related Codes

02T5-ATRIAL-SEPTUM-RESECTION

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

02T8-CONDUCTION-MECHANISM-RESECTION

ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview

02T9-CHORDAE-TENDINEAE-RESECTION

ICD-10-PCS Code For Chordae Tendineae: Procedure Code Group Overview

02TH-PULMONARY-VALVE-RESECTION

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

02TM-VENTRICULAR-SEPTUM-RESECTION

ICD-10-PCS Code For Ventricular Septum: Procedure Code Group Overview

02TN-PERICARDIUM-CUTTING-OUT-PERICARDIUM-RESECTION

ICD-10-PCS Code For Pericardium: 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

3 rows

ICD-10-PCS Code	Description
02TD0ZZ	Resection of Papillary Muscle, Open Approach
02TD3ZZ	Resection of Papillary Muscle, Percutaneous Approach
02TD4ZZ	Resection of Papillary Muscle, 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 acutely with severe mitral regurgitation due to papillary muscle rupture after an ST-elevation myocardial infarction; he is hemodynamically unstable with pulmonary edema and requires urgent open-heart surgery to remove the necrotic papillary muscle and address valve dysfunction. A resection of the entire papillary muscle via sternotomy and cardiopulmonary bypass is performed to control the source of regurgitation and allow valve repair or replacement in the same operation. Typical codes: 02TD0ZZ
A middle-aged patient with progressive congestive heart failure and severe leaflet tethering from calcified, nonviable papillary muscle tissue is scheduled electively for corrective cardiac surgery after multidisciplinary evaluation; the surgeon plans a targeted resection of the diseased papillary muscle to optimize mitral valve geometry. This planned inpatient procedure is performed using a minimally invasive percutaneous endoscopic approach to excise the entire papillary muscle without implantation of a replacement. Typical codes: 02TD4ZZ
A patient previously treated with percutaneous coronary intervention develops refractory papillary muscle ischemia with persistent dynamic obstruction and recurrent embolic events despite medical therapy; after multidisciplinary review and failed conservative measures, a percutaneous transcatheter resection is performed to remove the dysfunctional papillary muscle tissue and prevent further hemodynamic compromise. Typical codes: 02TD3ZZ

Related Codes

02T5-ATRIAL-SEPTUM-RESECTION

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

02T8-CONDUCTION-MECHANISM-RESECTION

ICD-10-PCS Code For Conduction Mechanism: Procedure Code Group Overview

02T9-CHORDAE-TENDINEAE-RESECTION

ICD-10-PCS Code For Chordae Tendineae: Procedure Code Group Overview

02TH-PULMONARY-VALVE-RESECTION

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

02TM-VENTRICULAR-SEPTUM-RESECTION

ICD-10-PCS Code For Ventricular Septum: Procedure Code Group Overview

02TN-PERICARDIUM-CUTTING-OUT-PERICARDIUM-RESECTION

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

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

Papillary Muscle Resection Procedure Overview

Code Attributes

ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

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

Papillary Muscle Resection 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 02TD?

Which individual ICD-10-PCS codes are in this group and what approaches do they represent?

Why is accurate coding of papillary muscle resection important for inpatient reimbursement?

Under which DRGs might a procedure from the 02TD group be classified?

What documentation details are important to ensure correct code selection for a papillary muscle resection?

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 02TD?

Which individual ICD-10-PCS codes are in this group and what approaches do they represent?

Why is accurate coding of papillary muscle resection important for inpatient reimbursement?

Under which DRGs might a procedure from the 02TD group be classified?

What documentation details are important to ensure correct code selection for a papillary muscle resection?

References