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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 5A22 includes procedures performed to restore cardiac rhythm in the cardiac system. These ICD-10-PCS codes are used for inpatient documentation when extracorporeal or systemic assistance is provided to return or attempt to return cardiac rhythm to its original state. Accurate coding within the ICD-10-PCS 5A22 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Cardiac Restoration Procedure Overview

Procedures in this group involve using extracorporeal or systemic means to restore a physiological function of the heart and target the cardiac system. These interventions support or return cardiac rhythm to its original state by external circulation or systemic devices and techniques. Accurate coding of these procedures matters for inpatient reimbursement because it documents the level of support provided and informs case mix and payment assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
5	Section	Extracorporeal or Systemic Assistance and Performance
A	Body System	Physiological Systems
2	Operation	Restoration
2	Body Part	Cardiac

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

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Cardiac Restoration Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
5	Section	Extracorporeal or Systemic Assistance and Performance
A	Body System	Physiological Systems
2	Operation	Restoration
2	Body Part	Cardiac

When to Use

Use a code from this group when extracorporeal or systemic assistance is used to restore or attempt to restore cardiac rhythm. These codes apply when the intervention specifically targets the cardiac system to return its physiological function to the original state.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
5A2204Z	Restoration of Cardiac Rhythm, Single

Typical Clinical Scenarios

An adult patient is admitted to the inpatient unit after an out-of-hospital ventricular fibrillation arrest with successful initial resuscitation but persistent unstable cardiac rhythm despite pharmacologic therapy. Extracorporeal or systemic means are used to attempt to restore and stabilize the heart’s electrical activity when less invasive measures are insufficient. The procedure is performed to return the cardiac rhythm toward its original physiological state as part of ongoing acute management. Typical codes: 5A2204Z
A patient with recurrent, refractory arrhythmias undergoes a planned inpatient procedure using extracorporeal or systemic support to restore and assess cardiac rhythm prior to further definitive therapy. The intervention is scheduled electively when noninvasive rhythm control has failed and controlled restoration of rhythm under monitored conditions is required. The goal is to return cardiac rhythm to its original state to facilitate recovery and guide subsequent treatment. Typical codes: 5A2204Z
A patient admitted after postprocedure cardiogenic shock following complex cardiac surgery develops sustained arrhythmia not responsive to medications or pacing. Extracorporeal or systemic techniques are used as a rescue effort to restore cardiac rhythm while addressing the underlying hemodynamic instability. This intervention seeks to return the heart’s electrical activity toward baseline as part of management of the complication. Typical codes: 5A2204Z

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

1 rows

ICD-10-PCS Code	Description
5A2204Z	Restoration of Cardiac Rhythm, Single

Typical Clinical Scenarios

An adult patient is admitted to the inpatient unit after an out-of-hospital ventricular fibrillation arrest with successful initial resuscitation but persistent unstable cardiac rhythm despite pharmacologic therapy. Extracorporeal or systemic means are used to attempt to restore and stabilize the heart’s electrical activity when less invasive measures are insufficient. The procedure is performed to return the cardiac rhythm toward its original physiological state as part of ongoing acute management. Typical codes: 5A2204Z
A patient with recurrent, refractory arrhythmias undergoes a planned inpatient procedure using extracorporeal or systemic support to restore and assess cardiac rhythm prior to further definitive therapy. The intervention is scheduled electively when noninvasive rhythm control has failed and controlled restoration of rhythm under monitored conditions is required. The goal is to return cardiac rhythm to its original state to facilitate recovery and guide subsequent treatment. Typical codes: 5A2204Z
A patient admitted after postprocedure cardiogenic shock following complex cardiac surgery develops sustained arrhythmia not responsive to medications or pacing. Extracorporeal or systemic techniques are used as a rescue effort to restore cardiac rhythm while addressing the underlying hemodynamic instability. This intervention seeks to return the heart’s electrical activity toward baseline as part of management of the complication. Typical codes: 5A2204Z

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 Cardiac: Procedure Code Group Overview

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Cardiac Restoration Procedure Overview

Code Attributes

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

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

Cardiac Restoration Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

What does the ICD-10-PCS code group 5A22 represent?

Which specific ICD-10-PCS code is included in this group?

What are the key code attributes for the 5A22 group?

How does accurate coding within the 5A22 group affect inpatient reimbursement?

Are there related DRGs listed for the 5A22 code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

What does the ICD-10-PCS code group 5A22 represent?

Which specific ICD-10-PCS code is included in this group?

What are the key code attributes for the 5A22 group?

How does accurate coding within the 5A22 group affect inpatient reimbursement?

Are there related DRGs listed for the 5A22 code group?

References