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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02VW includes procedures performed to restrict the lumen of the descending thoracic aorta. These ICD-10-PCS codes are used for inpatient documentation when a surgeon intentionally partially closes or narrows the lumen of the thoracic aorta, descending to reduce blood flow or correct anatomic issues. Accurate coding within the ICD-10-PCS 02VW group is essential for proper inpatient reimbursement, as it captures the specific restriction procedure performed and supports clinical documentation accuracy.

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Thoracic Aorta, Descending Restriction Procedure Overview

Procedures in this ICD-10-PCS code group involve restricting the lumen of the descending thoracic aorta to partially close an orifice or reduce blood flow. These operations target the heart and great vessels within the thoracic aorta, descending segment. Accurate coding of these restriction procedures supports correct inpatient reimbursement by reflecting the specific operative intent and resource use.

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
W	Body Part	Thoracic Aorta, Descending

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

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Thoracic Aorta, Descending 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
W	Body Part	Thoracic Aorta, Descending

When to Use

Use a code from this group when the operative intent is to partially close or narrow the lumen of the thoracic aorta, descending. These codes apply when the procedure specifically targets the descending thoracic aorta to restrict blood flow rather than excise, replace, or bypass tissue.

ICD-10-PCS Codes

15 rows

ICD-10-PCS Code	Description
02VW0CZ	Restriction of Thoracic Aorta, Descending with Extraluminal Device, Open Approach
02VW0DZ	Restriction of Thoracic Aorta, Descending with Intraluminal Device, Open Approach
02VW0EZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
02VW0FZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
02VW0ZZ	Restriction of Thoracic Aorta, Descending, Open Approach
02VW3CZ	Restriction of Thoracic Aorta, Descending with Extraluminal Device, Percutaneous Approach
02VW3DZ	Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Approach
02VW3EZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
02VW3FZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
02VW3ZZ	Restriction of Thoracic Aorta, Descending, Percutaneous Approach

Showing 1–10 of 15

DRG Codes

23 rows

DRG Code	Description
209	Complex Aortic Arch Procedures
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC

Showing 1–10 of 23

Typical Clinical Scenarios

An elderly patient with severe aortic atherosclerotic disease presents with progressive claudication and imaging shows a large descending thoracic aortic aneurysmal segment with focal flow-limiting ulceration; the team plans an urgent endovascular procedure to partially exclude and reduce lumen flow into the diseased segment to prevent rupture while preserving distal perfusion. A percutaneous approach using an intraluminal stent-graft or branched/fenestrated device may be chosen depending on branch involvement. Typical codes: 02VW3DZ, 02VW3EZ
A middle-aged patient with chronic traumatic dissection of the descending thoracic aorta is scheduled electively to reduce false lumen flow and promote remodeling; the planned operation places an extraluminal band or partial external restriction at the descending aortic segment to decrease lumen diameter and redirect flow into the true lumen. This is a planned inpatient surgical case using an open approach to apply an extraluminal device to the descending thoracic aorta. Typical codes: 02VW0CZ, 02VW0ZZ
A patient who previously underwent thoracic endovascular repair returns with endoleak causing continued pressurization of the excluded descending aortic lumen and expansion on surveillance; during the inpatient corrective procedure the team performs a percutaneous endovascular intervention placing a branched or fenestrated intraluminal device to further restrict flow into the leaking segment and seal the endoleak. Typical codes: 02VW3EZ, 02VW3FZ

Related Codes

02VA-HEART-RESTRICTION

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

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

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

15 rows

ICD-10-PCS Code	Description
02VW0CZ	Restriction of Thoracic Aorta, Descending with Extraluminal Device, Open Approach
02VW0DZ	Restriction of Thoracic Aorta, Descending with Intraluminal Device, Open Approach
02VW0EZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
02VW0FZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
02VW0ZZ	Restriction of Thoracic Aorta, Descending, Open Approach
02VW3CZ	Restriction of Thoracic Aorta, Descending with Extraluminal Device, Percutaneous Approach
02VW3DZ	Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Approach
02VW3EZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
02VW3FZ	Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
02VW3ZZ	Restriction of Thoracic Aorta, Descending, Percutaneous Approach

Showing 1–10 of 15

DRG Codes

23 rows

DRG Code	Description
209	Complex Aortic Arch Procedures
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC

Showing 1–10 of 23

Typical Clinical Scenarios

An elderly patient with severe aortic atherosclerotic disease presents with progressive claudication and imaging shows a large descending thoracic aortic aneurysmal segment with focal flow-limiting ulceration; the team plans an urgent endovascular procedure to partially exclude and reduce lumen flow into the diseased segment to prevent rupture while preserving distal perfusion. A percutaneous approach using an intraluminal stent-graft or branched/fenestrated device may be chosen depending on branch involvement. Typical codes: 02VW3DZ, 02VW3EZ
A middle-aged patient with chronic traumatic dissection of the descending thoracic aorta is scheduled electively to reduce false lumen flow and promote remodeling; the planned operation places an extraluminal band or partial external restriction at the descending aortic segment to decrease lumen diameter and redirect flow into the true lumen. This is a planned inpatient surgical case using an open approach to apply an extraluminal device to the descending thoracic aorta. Typical codes: 02VW0CZ, 02VW0ZZ
A patient who previously underwent thoracic endovascular repair returns with endoleak causing continued pressurization of the excluded descending aortic lumen and expansion on surveillance; during the inpatient corrective procedure the team performs a percutaneous endovascular intervention placing a branched or fenestrated intraluminal device to further restrict flow into the leaking segment and seal the endoleak. Typical codes: 02VW3EZ, 02VW3FZ

Related Codes

02VA-HEART-RESTRICTION

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

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

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 Thoracic Aorta, Descending: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview policy alerts

Thoracic Aorta, Descending Restriction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview policy alerts

Thoracic Aorta, Descending Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described by ICD-10-PCS code group 02VW?

What clinical intent do procedures in the 02VW group represent?

How are approach and device characteristics represented in the individual codes?

Which related DRG groups may be associated with procedures coded from 02VW?

How should coders use these codes for inpatient documentation and reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are described by ICD-10-PCS code group 02VW?

What clinical intent do procedures in the 02VW group represent?

How are approach and device characteristics represented in the individual codes?

Which related DRG groups may be associated with procedures coded from 02VW?

How should coders use these codes for inpatient documentation and reimbursement?

References