ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X28F includes procedures performed to divide structures of the aortic valve in the cardiovascular system. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a division or transection of aortic valve tissue to treat obstruction or other structural issues. Accurate coding within the ICD-10-PCS X28F group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Aortic Valve Division Procedure Overview

This procedure group includes division of the aortic valve and other cutting actions on the aortic valve within the cardiovascular system. Procedures involve separating or transecting valve tissue to alter flow or remove obstructive tissue without draining fluids or gases. Accurate coding of these procedures supports correct inpatient documentation and reimbursement by reflecting the specific operation and targeted body part.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
8	Operation	Division
F	Body Part	Aortic Valve

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ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

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Aortic Valve Division Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
8	Operation	Division
F	Body Part	Aortic Valve

When to Use

Use a code from this group when the operative intent is to divide or transect aortic valve tissue as the primary procedure. These codes apply when no drainage of fluids or gases is performed and the aortic valve is the targeted body part.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
X28F3VA	Division of Aortic Valve using Intraluminal Bioprosthetic Valve Leaflet Splitting Technology in Existing Valve, Percutaneous Approach, New Technology Group 10
X28F3WB	Division of Aortic Valve using Leaflet Laceration, Radiofrequency Energy, Percutaneous Approach, New Technology Group 11

DRG Codes

2 rows

DRG Code	Description
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

An elderly patient with symptomatic severe aortic stenosis and prohibitive surgical risk undergoes a transcatheter valve-in-valve procedure for a failing bioprosthetic aortic valve; during the percutaneous intervention the operator performs intraluminal leaflet splitting of the existing bioprosthetic valve to improve effective orifice area and reduce gradient, prompting selection of a division procedure code in the inpatient record. Typical codes: X28F3VA
A middle-aged patient presents electively for percutaneous treatment of a native aortic valve with eccentric leaflet fusion causing obstruction identified on preoperative imaging; the team plans a controlled percutaneous leaflet laceration using radiofrequency energy to divide fused leaflet tissue and restore valvular opening as the primary operative intent. Typical codes: X28F3WB
A patient admitted urgently for acute heart failure symptoms after a prior transcatheter aortic valve implantation demonstrates obstructive leaflet tissue impinging flow; during the same hospitalization an emergent percutaneous leaflet laceration is performed to transect obstructing leaflet tissue of the aortic valve to relieve the obstruction and improve hemodynamics. Typical codes: X28F3WB

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

2 rows

ICD-10-PCS Code	Description
X28F3VA	Division of Aortic Valve using Intraluminal Bioprosthetic Valve Leaflet Splitting Technology in Existing Valve, Percutaneous Approach, New Technology Group 10
X28F3WB	Division of Aortic Valve using Leaflet Laceration, Radiofrequency Energy, Percutaneous Approach, New Technology Group 11

DRG Codes

2 rows

DRG Code	Description
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

An elderly patient with symptomatic severe aortic stenosis and prohibitive surgical risk undergoes a transcatheter valve-in-valve procedure for a failing bioprosthetic aortic valve; during the percutaneous intervention the operator performs intraluminal leaflet splitting of the existing bioprosthetic valve to improve effective orifice area and reduce gradient, prompting selection of a division procedure code in the inpatient record. Typical codes: X28F3VA
A middle-aged patient presents electively for percutaneous treatment of a native aortic valve with eccentric leaflet fusion causing obstruction identified on preoperative imaging; the team plans a controlled percutaneous leaflet laceration using radiofrequency energy to divide fused leaflet tissue and restore valvular opening as the primary operative intent. Typical codes: X28F3WB
A patient admitted urgently for acute heart failure symptoms after a prior transcatheter aortic valve implantation demonstrates obstructive leaflet tissue impinging flow; during the same hospitalization an emergent percutaneous leaflet laceration is performed to transect obstructing leaflet tissue of the aortic valve to relieve the obstruction and improve hemodynamics. Typical codes: X28F3WB

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 Aortic Valve: Procedure Code Group Overview

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Aortic Valve Division Procedure Overview

Code Attributes

ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

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

Aortic Valve Division Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which ICD-10-PCS code group covers division procedures on the aortic valve?

What specific body system and operation are represented in the X28F code attributes?

What are the individual codes listed in the X28F group and how must they be presented in documentation?

How does accurate coding within the X28F group affect inpatient billing and reimbursement?

Which DRGs are related to procedures in the X28F code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Which ICD-10-PCS code group covers division procedures on the aortic valve?

What specific body system and operation are represented in the X28F code attributes?

What are the individual codes listed in the X28F group and how must they be presented in documentation?

How does accurate coding within the X28F group affect inpatient billing and reimbursement?

Which DRGs are related to procedures in the X28F code group?

References