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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2AK includes procedures performed to assist the physiological function by extracorporeal means in the internal carotid artery. These ICD-10-PCS codes are used for inpatient documentation when embolic filtration devices are deployed to provide cerebral protection during endovascular procedures on the internal carotid artery. Accurate coding within the ICD-10-PCS X2AK group is essential for proper inpatient reimbursement, as it captures the specific assistance performed and supports clinical documentation accuracy.

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Internal Carotid Artery Assistance Procedure Overview

Procedures in this ICD-10-PCS group involve taking over a portion of the physiological function of the right internal carotid artery by extracorporeal means using cerebral embolic filtration devices. These procedures target the cardiovascular system and are performed to provide embolic protection during endovascular interventions. Accurate coding of these New Technology procedures ensures inpatient records reflect the assistance provided and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
A	Operation	Assistance
K	Body Part	Internal Carotid Artery, Right

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

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Internal Carotid Artery 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
K	Body Part	Internal Carotid Artery, Right

When to Use

Use codes from this group when an extracorporeal embolic filtration device is used to assist the right internal carotid artery during an endovascular procedure. Do not use these codes for open surgical embolic protection or for procedures on other arterial locations.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2AK34B	Right Internal Carotid Artery Cerebral Embolic Filtration, Single Integrated Distal Filter, Percutaneous Approach, New Technology Group 11

Typical Clinical Scenarios

An elderly patient with symptomatic high-grade atherosclerotic stenosis of the right internal carotid artery who is admitted electively for endovascular carotid intervention after failing medical therapy; cerebral protection is planned to reduce risk of distal embolization during carotid angioplasty and stent placement, so a percutaneous single integrated distal filter is deployed in the right internal carotid artery to provide extracorporeal embolic filtration during the procedure. Typical codes: X2AK34B
A middle-aged patient presents emergently with a thromboembolic stroke originating from a right internal carotid artery lesion during an acute endovascular thrombectomy; during the inpatient endovascular intervention the team uses a percutaneous single integrated distal filter in the right internal carotid artery to capture embolic material and assist cerebral protection while restoring flow. Typical codes: X2AK34B
A patient returns to the hospital with periprocedural embolic events after a recent carotid stenting and requires a revision endovascular procedure; the interventionalist performs a percutaneous deployment of a single integrated distal filter in the right internal carotid artery to provide extracorporeal assistance and minimize further cerebral embolization during the revision. Typical codes: X2AK34B

Related Codes

X2A7-CORONARY-SINUS-ASSISTANCE

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

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

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.

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When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2AK34B	Right Internal Carotid Artery Cerebral Embolic Filtration, Single Integrated Distal Filter, Percutaneous Approach, New Technology Group 11

Typical Clinical Scenarios

An elderly patient with symptomatic high-grade atherosclerotic stenosis of the right internal carotid artery who is admitted electively for endovascular carotid intervention after failing medical therapy; cerebral protection is planned to reduce risk of distal embolization during carotid angioplasty and stent placement, so a percutaneous single integrated distal filter is deployed in the right internal carotid artery to provide extracorporeal embolic filtration during the procedure. Typical codes: X2AK34B
A middle-aged patient presents emergently with a thromboembolic stroke originating from a right internal carotid artery lesion during an acute endovascular thrombectomy; during the inpatient endovascular intervention the team uses a percutaneous single integrated distal filter in the right internal carotid artery to capture embolic material and assist cerebral protection while restoring flow. Typical codes: X2AK34B
A patient returns to the hospital with periprocedural embolic events after a recent carotid stenting and requires a revision endovascular procedure; the interventionalist performs a percutaneous deployment of a single integrated distal filter in the right internal carotid artery to provide extracorporeal assistance and minimize further cerebral embolization during the revision. Typical codes: X2AK34B

Related Codes

X2A7-CORONARY-SINUS-ASSISTANCE

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

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

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 Internal Carotid Artery: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Internal Carotid Artery: Procedure Code Group Overview policy alerts

Internal Carotid Artery Assistance Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Internal Carotid Artery: Procedure Code Group Overview policy alerts

Internal Carotid Artery Assistance Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents right internal carotid artery cerebral embolic filtration?

What is the primary clinical purpose of procedures in the X2AK code group?

Which body system and operation are specified for codes in this group?

In what clinical setting are these ICD-10-PCS codes used for documentation?

What approach and device type does `X2AK34B` describe?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents right internal carotid artery cerebral embolic filtration?

What is the primary clinical purpose of procedures in the X2AK code group?

Which body system and operation are specified for codes in this group?

In what clinical setting are these ICD-10-PCS codes used for documentation?

What approach and device type does `X2AK34B` describe?

References