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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02TN includes procedures performed to resect pericardial tissue in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a surgeon performs removal of all or part of the pericardium for therapeutic or diagnostic reasons. Accurate coding within the ICD-10-PCS 02TN group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Pericardium Resection Procedure Overview

Procedures in the ICD-10 PCS 02TN group involve surgical removal of all or a portion of the pericardium, the membranous sac surrounding the heart, and are classified under the Heart and Great Vessels body system. These resection procedures remove diseased, damaged, or constricting pericardial tissue and may be performed to relieve cardiac compression or treat pericardial disease. Accurate ICD-10-PCS coding ensures inpatient records reflect the specific operative action and supports appropriate reimbursement and case mix assignment.

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
N	Body Part	Pericardium

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

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Pericardium 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
N	Body Part	Pericardium

When to Use

Use a code from this group when the operative note documents removal of all or a portion of the pericardium (resection) without replacement. Select the code when the procedure is performed on an inpatient basis and the documentation supports resection as the root operation.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02TN0ZZ	Resection of Pericardium, Open Approach
02TN3ZZ	Resection of Pericardium, Percutaneous Approach
02TN4ZZ	Resection of Pericardium, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An elderly patient presents to the emergency department with acute cardiac tamponade after a large hemorrhagic pericardial effusion related to anticoagulation therapy; the patient is hemodynamically unstable and is taken to the operating room for urgent removal of the pericardial sac to relieve compression of the heart. A full-thickness resection of pericardial tissue via an open thoracotomy is performed to evacuate blood and prevent recurrence. Typical codes: 02TN0ZZ
A middle-aged patient with chronic constrictive pericarditis causing progressive exertional dyspnea and right heart failure is admitted electively for definitive surgical management after failure of medical therapy; the goal is removal of the diseased pericardium to restore cardiac filling. The surgeon performs a planned subtotal pericardiectomy through an open approach to resect constricting pericardial tissue. Typical codes: 02TN0ZZ
A patient with recurrent pericardial effusion after prior percutaneous pericardiocentesis is admitted for a minimally invasive attempt at pericardial resection to address persistent symptomatic effusion; the team performs a percutaneous endoscopic pericardial resection to remove diseased pericardium and facilitate drainage. Typical codes: 02TN4ZZ, 02TN3ZZ

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

02TM-VENTRICULAR-SEPTUM-RESECTION

ICD-10-PCS Code For Ventricular Septum: 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
02TN0ZZ	Resection of Pericardium, Open Approach
02TN3ZZ	Resection of Pericardium, Percutaneous Approach
02TN4ZZ	Resection of Pericardium, Percutaneous Endoscopic Approach

DRG Codes

18 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC

Showing 1–10 of 18

Typical Clinical Scenarios

An elderly patient presents to the emergency department with acute cardiac tamponade after a large hemorrhagic pericardial effusion related to anticoagulation therapy; the patient is hemodynamically unstable and is taken to the operating room for urgent removal of the pericardial sac to relieve compression of the heart. A full-thickness resection of pericardial tissue via an open thoracotomy is performed to evacuate blood and prevent recurrence. Typical codes: 02TN0ZZ
A middle-aged patient with chronic constrictive pericarditis causing progressive exertional dyspnea and right heart failure is admitted electively for definitive surgical management after failure of medical therapy; the goal is removal of the diseased pericardium to restore cardiac filling. The surgeon performs a planned subtotal pericardiectomy through an open approach to resect constricting pericardial tissue. Typical codes: 02TN0ZZ
A patient with recurrent pericardial effusion after prior percutaneous pericardiocentesis is admitted for a minimally invasive attempt at pericardial resection to address persistent symptomatic effusion; the team performs a percutaneous endoscopic pericardial resection to remove diseased pericardium and facilitate drainage. Typical codes: 02TN4ZZ, 02TN3ZZ

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

02TM-VENTRICULAR-SEPTUM-RESECTION

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

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

Pericardium Resection Procedure Overview

Code Attributes

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

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

Pericardium Resection Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

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

What are the specific ICD-10-PCS codes in the 02TN group and their approaches?

Why is accurate coding within ICD-10-PCS 02TN important for inpatient reimbursement?

Which DRG categories may be related to procedures coded in the 02TN group?

What are the documented indications for performing resection procedures in the 02TN group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

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

What are the specific ICD-10-PCS codes in the 02TN group and their approaches?

Why is accurate coding within ICD-10-PCS 02TN important for inpatient reimbursement?

Which DRG categories may be related to procedures coded in the 02TN group?

What are the documented indications for performing resection procedures in the 02TN group?

References