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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02VX includes procedures performed to restrict vessels or lumens in the thoracic aorta, ascending and arch. These ICD-10-PCS codes are used for inpatient documentation when a partial closure or narrowing of the ascending thoracic aorta or aortic arch is performed to alter blood flow or hemodynamics. Accurate coding within the ICD-10-PCS 02VX group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Thoracic Aorta, Ascending/Arch Restriction Procedure Overview

Procedures in this group involve partially closing or restricting the lumen of the ascending thoracic aorta and aortic arch to decrease blood flow or alter hemodynamics. These operations target the heart and great vessels within the thoracic aorta and use devices or techniques to create a partial occlusion or narrowing. Accurate ICD-10-PCS coding of these restriction procedures supports correct inpatient documentation and reimbursement by reflecting the specific body part and operation performed.

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
X	Body Part	Thoracic Aorta, Ascending/Arch

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

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Thoracic Aorta, Ascending/Arch 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
X	Body Part	Thoracic Aorta, Ascending/Arch

When to Use

Use a code from this group when an inpatient procedure intentionally reduces the lumen diameter of the thoracic ascending aorta or arch without complete occlusion. Select the specific ICD-10-PCS code that reflects the body part and restriction operation performed.

ICD-10-PCS Codes

15 rows

ICD-10-PCS Code	Description
02VX0CZ	Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Open Approach
02VX0DZ	Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Open Approach
02VX0EZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
02VX0FZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
02VX0ZZ	Restriction of Thoracic Aorta, Ascending/Arch, Open Approach
02VX3CZ	Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Percutaneous Approach
02VX3DZ	Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Percutaneous Approach
02VX3EZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
02VX3FZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
02VX3ZZ	Restriction of Thoracic Aorta, Ascending/Arch, 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 symptomatic, fusiform dilation of the ascending thoracic aorta causing progressive aortic root enlargement and exertional chest pain is admitted for planned surgical management to reduce wall stress and modulate distal flow; the operation involves creating a partial constriction of the ascending aortic lumen using an externally applied band during open sternotomy to decrease shear and prepare for subsequent definitive repair. Typical codes: 02VX0CZ, 02VX0ZZ
A middle-aged patient with a traumatic aortic arch injury after a high-speed motor vehicle collision is hemodynamically stabilized and taken emergently to the hybrid operating room where percutaneous endovascular techniques are used to place a stent-graft that intentionally narrows the arch lumen to control bleeding and restore perfusion patterns. Typical codes: 02VX3DZ, 02VX3EZ
A patient previously treated with an endovascular branched arch device presents with persistent type Ia endoleak and malperfusion of arch branches; during a staged inpatient revision, the team performs a percutaneous endovascular placement of a branched or fenestrated intraluminal device to partially restrict flow and seal the proximal aortic lumen while preserving branch perfusion. Typical codes: 02VX3EZ, 02VX3FZ

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

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: 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
02VX0CZ	Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Open Approach
02VX0DZ	Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Open Approach
02VX0EZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
02VX0FZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
02VX0ZZ	Restriction of Thoracic Aorta, Ascending/Arch, Open Approach
02VX3CZ	Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Percutaneous Approach
02VX3DZ	Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Percutaneous Approach
02VX3EZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
02VX3FZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach
02VX3ZZ	Restriction of Thoracic Aorta, Ascending/Arch, 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 symptomatic, fusiform dilation of the ascending thoracic aorta causing progressive aortic root enlargement and exertional chest pain is admitted for planned surgical management to reduce wall stress and modulate distal flow; the operation involves creating a partial constriction of the ascending aortic lumen using an externally applied band during open sternotomy to decrease shear and prepare for subsequent definitive repair. Typical codes: 02VX0CZ, 02VX0ZZ
A middle-aged patient with a traumatic aortic arch injury after a high-speed motor vehicle collision is hemodynamically stabilized and taken emergently to the hybrid operating room where percutaneous endovascular techniques are used to place a stent-graft that intentionally narrows the arch lumen to control bleeding and restore perfusion patterns. Typical codes: 02VX3DZ, 02VX3EZ
A patient previously treated with an endovascular branched arch device presents with persistent type Ia endoleak and malperfusion of arch branches; during a staged inpatient revision, the team performs a percutaneous endovascular placement of a branched or fenestrated intraluminal device to partially restrict flow and seal the proximal aortic lumen while preserving branch perfusion. Typical codes: 02VX3EZ, 02VX3FZ

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

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

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

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

Thoracic Aorta, Ascending/Arch Restriction Procedure Overview

Code Attributes

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

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

Thoracic Aorta, Ascending/Arch Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation are described by ICD-10-PCS code group 02VX?

What approach options are represented in the 02VX code group codes?

How do device types factor into specific 02VX codes?

Why is accurate coding within the 02VX group important for inpatient documentation?

Which DRG categories might be related to procedures coded from the 02VX group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body part and operation are described by ICD-10-PCS code group 02VX?

What approach options are represented in the 02VX code group codes?

How do device types factor into specific 02VX codes?

Why is accurate coding within the 02VX group important for inpatient documentation?

Which DRG categories might be related to procedures coded from the 02VX group?

References