ICD-10-PCS Code For Great Vessel: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2CY includes procedures performed to remove solid matter from vessels in the cardiovascular system. These ICD-10-PCS codes are used for inpatient documentation when computer-aided mechanical aspiration is performed percutaneously to extract obstructive or embolic material from a great vessel. Accurate coding within the ICD-10-PCS X2CY group is essential for proper inpatient reimbursement, as it captures the procedure performed and the technology and approach used, which determine appropriate case mix and payment.

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Great Vessel Extirpation Procedure Overview

Procedures in this group involve the extirpation, or removal, of solid matter from great vessels within the cardiovascular system using computer-aided mechanical aspiration via a percutaneous approach. These procedures target the great vessels and are performed to remove obstructive or embolic material that impairs blood flow. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it captures the specific operation, approach, and technology used, which affects case mix and payment. Precise documentation supports clinical clarity and proper claim adjudication.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
C	Operation	Extirpation
Y	Body Part	Great Vessel

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ICD-10-PCS Code For Great Vessel: Procedure Code Group Overview

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Great Vessel Extirpation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
C	Operation	Extirpation
Y	Body Part	Great Vessel

When to Use

Use a code from this group when extirpation of obstructive or embolic material from a great vessel is performed using computer-aided mechanical aspiration percutaneously. Select the specific code when documentation confirms the operation, the targeted great vessel, the percutaneous approach, and the new technology group attributes.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2CY3T7	Extirpation of Matter from Great Vessel using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7

DRG Codes

12 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents to the emergency department with acute onset left-sided weakness and aphasia; imaging reveals a large embolic occlusion of the left common carotid artery (a great vessel) causing cerebral ischemia. Due to the high clot burden and ongoing neurological deficits, the team proceeds with urgent percutaneous computer-aided mechanical aspiration to remove solid embolic material and restore flow. Typical codes: X2CY3T7
An elderly patient with progressive upper-extremity claudication and imaging-confirmed atherosclerotic plaque causing symptomatic high-grade stenosis of the innominate (brachiocephalic) artery is admitted electively for endovascular intervention. Because the obstructing lesion contains organized solid material not amenable to simple angioplasty alone, percutaneous computer-aided mechanical aspiration is used to extirpate the solid plaque before adjunctive therapy. Typical codes: X2CY3T7
A hospitalized patient develops acute limb ischemia after thromboembolism originating from a proximal aortic arch atherosclerotic lesion; initial thrombolysis was insufficient and repeat intervention is required for persistent solid embolic debris in the ascending aorta (great vessel). The patient undergoes percutaneous computer-aided mechanical aspiration to remove the residual solid material and reduce risk of recurrent embolization. Typical codes: X2CY3T7

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

X2CQ-RIGHT-UPPER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

X2CR-LEFT-UPPER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Left Upper Extremity Vein: Procedure Code Group Overview

X2CS-RIGHT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Right Lower Extremity Artery: Procedure Code Group Overview

X2CT-LEFT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

X2CU-RIGHT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

X2CV-LEFT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Left Lower Extremity Vein: 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
X2CY3T7	Extirpation of Matter from Great Vessel using Computer-aided Mechanical Aspiration, Percutaneous Approach, New Technology Group 7

DRG Codes

12 rows

DRG Code	Description
163	Major Chest Procedures with MCC
164	Major Chest Procedures with CC
165	Major Chest Procedures without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
271	Other Major Cardiovascular Procedures with CC
272	Other Major Cardiovascular Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An adult patient presents to the emergency department with acute onset left-sided weakness and aphasia; imaging reveals a large embolic occlusion of the left common carotid artery (a great vessel) causing cerebral ischemia. Due to the high clot burden and ongoing neurological deficits, the team proceeds with urgent percutaneous computer-aided mechanical aspiration to remove solid embolic material and restore flow. Typical codes: X2CY3T7
An elderly patient with progressive upper-extremity claudication and imaging-confirmed atherosclerotic plaque causing symptomatic high-grade stenosis of the innominate (brachiocephalic) artery is admitted electively for endovascular intervention. Because the obstructing lesion contains organized solid material not amenable to simple angioplasty alone, percutaneous computer-aided mechanical aspiration is used to extirpate the solid plaque before adjunctive therapy. Typical codes: X2CY3T7
A hospitalized patient develops acute limb ischemia after thromboembolism originating from a proximal aortic arch atherosclerotic lesion; initial thrombolysis was insufficient and repeat intervention is required for persistent solid embolic debris in the ascending aorta (great vessel). The patient undergoes percutaneous computer-aided mechanical aspiration to remove the residual solid material and reduce risk of recurrent embolization. Typical codes: X2CY3T7

ICD-10-PCS Code For Abdominal Aorta: Procedure Code Group Overview

X2CQ-RIGHT-UPPER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

X2CR-LEFT-UPPER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Left Upper Extremity Vein: Procedure Code Group Overview

X2CS-RIGHT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Right Lower Extremity Artery: Procedure Code Group Overview

X2CT-LEFT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

X2CU-RIGHT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

X2CV-LEFT-LOWER-EXTREMITY-EXTIRPATION

ICD-10-PCS Code For Left Lower Extremity Vein: 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.

OpenPayer

ICD-10-PCS Code For Great Vessel: Procedure Code Group Overview

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Great Vessel Extirpation Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Great Vessel: Procedure Code Group Overview

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

Great Vessel Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Great Vessel: Procedure Code Group Overview

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

Great Vessel Extirpation Procedure Overview

Code Attributes

ICD-10-PCS Code For Great Vessel: Procedure Code Group Overview

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

Great Vessel Extirpation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents extirpation from a great vessel using computer-aided mechanical aspiration percutaneously?

What body system and operation are captured by the X2CY code group?

Why is accurate coding within the X2CY group important for inpatient cases?

What approach and technology characteristics define the procedures in this group?

Which DRG categories may be related to procedures coded in the X2CY group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents extirpation from a great vessel using computer-aided mechanical aspiration percutaneously?

What body system and operation are captured by the X2CY code group?

Why is accurate coding within the X2CY group important for inpatient cases?

What approach and technology characteristics define the procedures in this group?

Which DRG categories may be related to procedures coded in the X2CY group?

References