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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02TH includes procedures performed to resect native cardiac valve structures in the pulmonary valve. These ICD-10-PCS codes are used for inpatient documentation when a surgeon removes all or part of the pulmonary valve without implanting a replacement. Accurate coding within the ICD-10-PCS 02TH group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Pulmonary Valve Resection Procedure Overview

Procedures in this group involve resection of all or part of the pulmonary valve within the heart and great vessels. These resection procedures remove tissue from the pulmonary valve without replacement and are classified in the Medical and Surgical section of the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding of pulmonary valve resections ensures inpatient records reflect the operative work performed and supports appropriate case mix assignment and reimbursement.

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
H	Body Part	Pulmonary Valve

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

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Pulmonary Valve 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
H	Body Part	Pulmonary Valve

When to Use

Use a code from this group when the operative report documents resection or excision of the pulmonary valve and no prosthetic valve is implanted. Do not use these codes if the pulmonary valve is replaced or if the procedure is limited to repair rather than removal.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02TH0ZZ	Resection of Pulmonary Valve, Open Approach
02TH3ZZ	Resection of Pulmonary Valve, Percutaneous Approach
02TH4ZZ	Resection of Pulmonary Valve, Percutaneous Endoscopic Approach

DRG Codes

4 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

A neonate with critical congenital pulmonary valve stenosis presenting with progressive cyanosis and right ventricular outflow obstruction is taken to the operating room after failed balloon valvuloplasty; the surgeon resects the native pulmonary valve tissue to relieve obstruction and restore right ventricular outflow during an urgent inpatient procedure. Typical codes: 02TH0ZZ
An adult patient with chronic infective endocarditis localized to the pulmonary valve develops persistent vegetations and leaflet destruction despite antibiotic therapy, requiring inpatient surgical removal of the infected valve tissue to control sepsis and prevent embolization. Typical codes: 02TH0ZZ
A patient previously treated percutaneously for pulmonary valve pathology returns electively with recurrent symptomatic obstruction where a minimally invasive percutaneous endoscopic resection of damaged valve tissue is planned to remove scar tissue without valve replacement. Typical codes: 02TH4ZZ, 02TH3ZZ

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

02TD-PAPILLARY-MUSCLE-RESECTION

ICD-10-PCS Code For Papillary Muscle: 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
02TH0ZZ	Resection of Pulmonary Valve, Open Approach
02TH3ZZ	Resection of Pulmonary Valve, Percutaneous Approach
02TH4ZZ	Resection of Pulmonary Valve, Percutaneous Endoscopic Approach

DRG Codes

4 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

A neonate with critical congenital pulmonary valve stenosis presenting with progressive cyanosis and right ventricular outflow obstruction is taken to the operating room after failed balloon valvuloplasty; the surgeon resects the native pulmonary valve tissue to relieve obstruction and restore right ventricular outflow during an urgent inpatient procedure. Typical codes: 02TH0ZZ
An adult patient with chronic infective endocarditis localized to the pulmonary valve develops persistent vegetations and leaflet destruction despite antibiotic therapy, requiring inpatient surgical removal of the infected valve tissue to control sepsis and prevent embolization. Typical codes: 02TH0ZZ
A patient previously treated percutaneously for pulmonary valve pathology returns electively with recurrent symptomatic obstruction where a minimally invasive percutaneous endoscopic resection of damaged valve tissue is planned to remove scar tissue without valve replacement. Typical codes: 02TH4ZZ, 02TH3ZZ

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

02TD-PAPILLARY-MUSCLE-RESECTION

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

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

Pulmonary Valve Resection Procedure Overview

Code Attributes

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

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

Pulmonary Valve Resection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 02TH code group?

What section and body system do 02TH procedures belong to in ICD-10-PCS?

When should a coder use `02TH0ZZ` versus `02TH3ZZ` or `02TH4ZZ`?

How does accurate coding in the 02TH group affect inpatient records and payment?

Which DRGs are related to procedures in the 02TH code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in the ICD-10-PCS 02TH code group?

What section and body system do 02TH procedures belong to in ICD-10-PCS?

When should a coder use `02TH0ZZ` versus `02TH3ZZ` or `02TH4ZZ`?

How does accurate coding in the 02TH group affect inpatient records and payment?

Which DRGs are related to procedures in the 02TH code group?

References