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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02VA includes procedures performed to restrict cardiac or great vessel structures in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a procedure partially closes an orifice or the lumen to reduce or control blood flow or alter hemodynamics. Accurate coding within the ICD-10-PCS 02VA group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Heart Restriction Procedure Overview

Procedures in this group involve partially closing an orifice or the lumen of the heart or great vessels to restrict blood flow or adjust hemodynamics. These operations target the heart and great vessels within the medical and surgical section and are coded using the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding is important for inpatient reimbursement because it captures the specific restriction procedure performed and supports correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
V	Operation	Restriction
A	Body Part	Heart

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

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Heart Restriction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
V	Operation	Restriction
A	Body Part	Heart

When to Use

Use a code from this group when an inpatient procedure intentionally narrows or partially occludes a cardiac or great vessel orifice or lumen to achieve a therapeutic effect. Do not use these codes for complete occlusion procedures or for procedures on noncardiac body systems.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
02VA0CZ	Restriction of Heart with Extraluminal Device, Open Approach
02VA0ZZ	Restriction of Heart, Open Approach
02VA3CZ	Restriction of Heart with Extraluminal Device, Percutaneous Approach
02VA3ZZ	Restriction of Heart, Percutaneous Approach
02VA4CZ	Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach
02VA4ZZ	Restriction of Heart, Percutaneous Endoscopic Approach

DRG Codes

6 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly patient with symptomatic hypertrophic obstructive cardiomyopathy presents electively after progressive exertional dyspnea and syncope despite medical therapy. Imaging and hemodynamic assessment show dynamic left ventricular outflow tract obstruction due to septal hypertrophy; an operative restriction is planned to partially reduce the outflow orifice and relieve obstruction while preserving valve function. Typical codes: 02VA0ZZ, 02VA3ZZ
A middle-aged patient undergoes transcatheter intervention for severe functional mitral regurgitation as an urgent inpatient after acute heart failure exacerbation with pulmonary edema; the team performs a percutaneous device-based annuloplasty to partially reduce the mitral annular orifice and improve coaptation. Typical codes: 02VA3CZ, 02VA4CZ
A postoperative cardiac surgery patient develops recurrent paravalvular leak around a prosthetic valve causing hemolysis and heart failure; during a planned reintervention the surgeon partially restricts the leaking orifice with an extraluminal patch to reduce regurgitant flow while avoiding valve replacement. Typical codes: 02VA0CZ, 02VA4CZ

Related Codes

02VG-MITRAL-VALVE-RESTRICTION

ICD-10-PCS Code for Mitral Valve: Procedure Code Group Overview

02VL-LEFT-VENTRICLE-RESTRICTION

ICD-10-PCS Code For Ventricle, Left: Procedure Code Group Overview

02VP-PULMONARY-TRUNK-RESTRICTION

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

02VQ-RIGHT-PULMONARY-ARTERY-PARTIAL-CLOSURE-PULMONARY-ARTERY-RIGHT

ICD-10-PCS Code For Pulmonary Artery Right: Procedure Code Group Overview

02VR-PULMONARY-ARTERY-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02VS-PULMONARY-VEIN-RIGHT-RESTRICTION

ICD-10-PCS Code For Pulmonary Vein, Right: Procedure Code Group Overview

02VT-PULMONARY-VEIN-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

02VV-SUPERIOR-VENA-CAVA-RESTRICTION

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

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

02VX-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Ascending/Arch: 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

6 rows

ICD-10-PCS Code	Description
02VA0CZ	Restriction of Heart with Extraluminal Device, Open Approach
02VA0ZZ	Restriction of Heart, Open Approach
02VA3CZ	Restriction of Heart with Extraluminal Device, Percutaneous Approach
02VA3ZZ	Restriction of Heart, Percutaneous Approach
02VA4CZ	Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach
02VA4ZZ	Restriction of Heart, Percutaneous Endoscopic Approach

DRG Codes

6 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly patient with symptomatic hypertrophic obstructive cardiomyopathy presents electively after progressive exertional dyspnea and syncope despite medical therapy. Imaging and hemodynamic assessment show dynamic left ventricular outflow tract obstruction due to septal hypertrophy; an operative restriction is planned to partially reduce the outflow orifice and relieve obstruction while preserving valve function. Typical codes: 02VA0ZZ, 02VA3ZZ
A middle-aged patient undergoes transcatheter intervention for severe functional mitral regurgitation as an urgent inpatient after acute heart failure exacerbation with pulmonary edema; the team performs a percutaneous device-based annuloplasty to partially reduce the mitral annular orifice and improve coaptation. Typical codes: 02VA3CZ, 02VA4CZ
A postoperative cardiac surgery patient develops recurrent paravalvular leak around a prosthetic valve causing hemolysis and heart failure; during a planned reintervention the surgeon partially restricts the leaking orifice with an extraluminal patch to reduce regurgitant flow while avoiding valve replacement. Typical codes: 02VA0CZ, 02VA4CZ

Related Codes

02VG-MITRAL-VALVE-RESTRICTION

ICD-10-PCS Code for Mitral Valve: Procedure Code Group Overview

02VL-LEFT-VENTRICLE-RESTRICTION

ICD-10-PCS Code For Ventricle, Left: Procedure Code Group Overview

02VP-PULMONARY-TRUNK-RESTRICTION

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

02VQ-RIGHT-PULMONARY-ARTERY-PARTIAL-CLOSURE-PULMONARY-ARTERY-RIGHT

ICD-10-PCS Code For Pulmonary Artery Right: Procedure Code Group Overview

02VR-PULMONARY-ARTERY-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02VS-PULMONARY-VEIN-RIGHT-RESTRICTION

ICD-10-PCS Code For Pulmonary Vein, Right: Procedure Code Group Overview

02VT-PULMONARY-VEIN-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

02VV-SUPERIOR-VENA-CAVA-RESTRICTION

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

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

02VX-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Ascending/Arch: 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 Heart: Procedure Code Group Overview

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

Heart Restriction Procedure Overview

Code Attributes

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

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

Heart Restriction 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 02VA?

What is the clinical intent of procedures coded to 02VA?

Which code attributes define the 02VA procedure group?

How does accurate coding in 02VA affect inpatient reimbursement?

Which DRGs are commonly related to procedures in the 02VA 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 02VA?

What is the clinical intent of procedures coded to 02VA?

Which code attributes define the 02VA procedure group?

How does accurate coding in 02VA affect inpatient reimbursement?

Which DRGs are commonly related to procedures in the 02VA group?

References