ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2A7 includes procedures performed to assist physiological function of the coronary sinus by extracorporeal means. These ICD-10-PCS codes are used for inpatient documentation when extracorporeal assistance to coronary sinus function is provided via a percutaneous approach. Accurate coding within the ICD-10-PCS X2A7 group is essential for proper inpatient reimbursement, as it captures the specific extracorporeal assistance performed and supports clinical documentation accuracy.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Coronary Sinus Assistance Procedure Overview

Procedures in this group involve taking over a portion of coronary sinus function by extracorporeal means through a percutaneous approach and target the cardiovascular system. These interventions assist blood flow or hemodynamic function related to the coronary sinus rather than performing excision or repair. Accurate ICD-10-PCS coding of these assistance procedures ensures inpatient documentation reflects the extracorporeal support provided and supports appropriate reimbursement and case-mix assignment. Precise coding also helps clarify the clinical intent and resources used during the inpatient stay.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
A	Operation	Assistance
7	Body Part	Coronary Sinus

Explore openpayer tools

View all tools

ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Coronary Sinus Assistance Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
A	Operation	Assistance
7	Body Part	Coronary Sinus

When to Use

Use a code from this group when extracorporeal assistance to coronary sinus function is initiated via a percutaneous approach during an inpatient encounter. These codes apply when the documented procedure specifically indicates taking over a portion of coronary sinus physiological function by extracorporeal means.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2A7358	Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8

DRG Codes

2 rows

DRG Code	Description
250	Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC
251	Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC

Typical Clinical Scenarios

A 68-year-old patient is admitted to the cardiac ICU with cardiogenic shock after a large anterior myocardial infarction causing refractory ischemia to the coronary venous circulation and hemodynamic instability. Inpatient teams perform percutaneous extracorporeal assistance targeting the coronary sinus to intermittently occlude flow and redistribute coronary perfusion as part of advanced hemodynamic support while other therapies are optimized. Typical codes: X2A7358
An elective, monitored admission for a 55-year-old with chronic refractory angina despite maximal medical therapy and prior failed revascularization, being evaluated for a percutaneous, device-based coronary sinus intervention to augment myocardial perfusion during staged therapy. The percutaneous extracorporeal assistance procedure is undertaken to take over a portion of coronary sinus function intermittently to improve symptomatic ischemia under controlled inpatient observation. Typical codes: X2A7358
A 72-year-old post–coronary artery bypass graft patient develops persistent low cardiac output and poor coronary venous drainage; after multidisciplinary review, a percutaneous extracorporeal coronary sinus assistance procedure is performed acutely to provide intermittent coronary sinus occlusion and support myocardial perfusion while addressing graft complications. Typical codes: X2A7358

Related Codes

X2AH-COMMON-CAROTID-ARTERY-ASSISTANCE

ICD-10-PCS Code For Common Carotid Artery: Procedure Code Group Overview

X2AJ-LEFT-COMMON-CAROTID-ASSISTANCE

ICD-10-PCS Code For Left Common Carotid Artery: Procedure Code Group Overview

X2AK-INTERNAL-CAROTID-ARTERY-ASSISTANCE

ICD-10-PCS Code For Internal Carotid Artery: Procedure Code Group Overview

X2AL-LEFT-INTERNAL-CAROTID-TAKING-OVER-LEFT-INTERNAL-CAROTID-ARTERY

ICD-10-PCS Code For Left Internal Carotid Artery: 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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2A7358	Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8

DRG Codes

2 rows

DRG Code	Description
250	Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC
251	Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC

Typical Clinical Scenarios

A 68-year-old patient is admitted to the cardiac ICU with cardiogenic shock after a large anterior myocardial infarction causing refractory ischemia to the coronary venous circulation and hemodynamic instability. Inpatient teams perform percutaneous extracorporeal assistance targeting the coronary sinus to intermittently occlude flow and redistribute coronary perfusion as part of advanced hemodynamic support while other therapies are optimized. Typical codes: X2A7358
An elective, monitored admission for a 55-year-old with chronic refractory angina despite maximal medical therapy and prior failed revascularization, being evaluated for a percutaneous, device-based coronary sinus intervention to augment myocardial perfusion during staged therapy. The percutaneous extracorporeal assistance procedure is undertaken to take over a portion of coronary sinus function intermittently to improve symptomatic ischemia under controlled inpatient observation. Typical codes: X2A7358
A 72-year-old post–coronary artery bypass graft patient develops persistent low cardiac output and poor coronary venous drainage; after multidisciplinary review, a percutaneous extracorporeal coronary sinus assistance procedure is performed acutely to provide intermittent coronary sinus occlusion and support myocardial perfusion while addressing graft complications. Typical codes: X2A7358

Related Codes

X2AH-COMMON-CAROTID-ARTERY-ASSISTANCE

ICD-10-PCS Code For Common Carotid Artery: Procedure Code Group Overview

X2AJ-LEFT-COMMON-CAROTID-ASSISTANCE

ICD-10-PCS Code For Left Common Carotid Artery: Procedure Code Group Overview

X2AK-INTERNAL-CAROTID-ARTERY-ASSISTANCE

ICD-10-PCS Code For Internal Carotid Artery: Procedure Code Group Overview

X2AL-LEFT-INTERNAL-CAROTID-TAKING-OVER-LEFT-INTERNAL-CAROTID-ARTERY

ICD-10-PCS Code For Left Internal Carotid Artery: 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 Coronary Sinus: Procedure Code Group Overview

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

Coronary Sinus Assistance Procedure Overview

Code Attributes

ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview

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

Coronary Sinus Assistance Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS code group X2A7?

Which specific ICD-10-PCS code represents intermittent coronary sinus occlusion in this group?

What are the key ICD-10-PCS attributes for procedures in this group?

How does accurate coding in X2A7 affect inpatient documentation and reimbursement?

Which DRGs are related to procedures coded in X2A7?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS code group X2A7?

Which specific ICD-10-PCS code represents intermittent coronary sinus occlusion in this group?

What are the key ICD-10-PCS attributes for procedures in this group?

How does accurate coding in X2A7 affect inpatient documentation and reimbursement?

Which DRGs are related to procedures coded in X2A7?

References