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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02TM includes procedures performed to resect cardiac structures in the ventricular septum. These ICD-10-PCS codes are used for inpatient documentation when surgical removal of all of a portion of the ventricular septum is performed without replacement. Accurate coding within the ICD-10-PCS 02TM group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Ventricular Septum Resection Procedure Overview

Procedures in this group involve resection of tissue from the ventricular septum and target the heart and great vessels. These operations remove all of a portion of the ventricular septum without replacement. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific resection performed and supports appropriate 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
T	Operation	Resection
M	Body Part	Ventricular Septum

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Ventricular Septum 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
M	Body Part	Ventricular Septum

When to Use

Use a code from this group when a surgeon removes all of a portion of the ventricular septum during an inpatient procedure without replacing it. These codes apply when the operation is classified as a resection targeting the ventricular septum in the heart and great vessels.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02TM0ZZ	Resection of Ventricular Septum, Open Approach
02TM3ZZ	Resection of Ventricular Septum, Percutaneous Approach
02TM4ZZ	Resection of Ventricular Septum, 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 adult patient presents urgently with hemodynamically significant ventricular septal defect (VSD) identified after myocardial infarction with evidence of free-wall septal disruption causing acute left-to-right shunt and refractory heart failure. The cardiac surgeon performs an open resection of the necrotic portion of the ventricular septum to remove nonviable tissue and stabilize the septum as part of the acute surgical repair strategy. This inpatient operative intervention targets the ventricular septum and involves removal of tissue without placement of a replacement structure. Typical codes: 02TM0ZZ
A middle-aged patient with symptomatic hypertrophic obstructive cardiomyopathy experiences exertional syncope and severe outflow obstruction linked to septal hypertrophy not controlled by medical therapy. During a planned inpatient surgical procedure, the cardiac surgeon performs a targeted resection of a portion of the ventricular septum via an open approach to relieve obstruction and improve ventricular outflow. The operation removes hypertrophied septal tissue without implanting any replacement device. Typical codes: 02TM0ZZ
An elderly patient returns to the hospital with recurrent symptoms and imaging evidence of residual septal tissue causing persistent obstruction after a prior percutaneous intervention. The interventional cardiology team performs a percutaneous endoscopic-guided resection to remove the remaining obstructive segment of the ventricular septum during the same inpatient stay, avoiding conversion to an open procedure. The procedure involves cutting out the septal tissue percutaneously with endoscopic assistance and does not include placement of a replacement. Typical codes: 02TM4ZZ

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

02TH-PULMONARY-VALVE-RESECTION

ICD-10-PCS Code For Pulmonary Valve: 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02TM0ZZ	Resection of Ventricular Septum, Open Approach
02TM3ZZ	Resection of Ventricular Septum, Percutaneous Approach
02TM4ZZ	Resection of Ventricular Septum, 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 adult patient presents urgently with hemodynamically significant ventricular septal defect (VSD) identified after myocardial infarction with evidence of free-wall septal disruption causing acute left-to-right shunt and refractory heart failure. The cardiac surgeon performs an open resection of the necrotic portion of the ventricular septum to remove nonviable tissue and stabilize the septum as part of the acute surgical repair strategy. This inpatient operative intervention targets the ventricular septum and involves removal of tissue without placement of a replacement structure. Typical codes: 02TM0ZZ
A middle-aged patient with symptomatic hypertrophic obstructive cardiomyopathy experiences exertional syncope and severe outflow obstruction linked to septal hypertrophy not controlled by medical therapy. During a planned inpatient surgical procedure, the cardiac surgeon performs a targeted resection of a portion of the ventricular septum via an open approach to relieve obstruction and improve ventricular outflow. The operation removes hypertrophied septal tissue without implanting any replacement device. Typical codes: 02TM0ZZ
An elderly patient returns to the hospital with recurrent symptoms and imaging evidence of residual septal tissue causing persistent obstruction after a prior percutaneous intervention. The interventional cardiology team performs a percutaneous endoscopic-guided resection to remove the remaining obstructive segment of the ventricular septum during the same inpatient stay, avoiding conversion to an open procedure. The procedure involves cutting out the septal tissue percutaneously with endoscopic assistance and does not include placement of a replacement. Typical codes: 02TM4ZZ

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

02TH-PULMONARY-VALVE-RESECTION

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

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

Ventricular Septum Resection Procedure Overview

Code Attributes

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

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

Ventricular Septum Resection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers resection of the ventricular septum?

What procedures are represented within the 02TM code group?

Why is accurate coding of 02TM procedures important for inpatient records?

What ICD-10-PCS section and body system apply to these codes?

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

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers resection of the ventricular septum?

What procedures are represented within the 02TM code group?

Why is accurate coding of 02TM procedures important for inpatient records?

What ICD-10-PCS section and body system apply to these codes?

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

References