ICD-10-PCS Code For Right Atrium: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2H6 includes procedures performed to insert nonbiological appliances into the right atrium. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the right atrium to monitor, assist, or perform a physiological cardiac function. Accurate coding within the ICD-10-PCS X2H6 group is essential for proper inpatient reimbursement, as it captures the specific insertion procedure performed and determines appropriate case mix and payment.

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Right Atrium Insertion Procedure Overview

This procedure group includes insertion of nonbiological appliances into the right atrium and targets the cardiovascular system. These procedures involve placing monitoring or pacing devices into the right atrial chamber by percutaneous approaches and may include new technology devices. Accurate coding ensures inpatient records reflect the specific insertion procedure performed and supports appropriate reimbursement for case mix and resource use.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
H	Operation	Insertion
6	Body Part	Atrium, Right

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ICD-10-PCS Code For Right Atrium: Procedure Code Group Overview

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Right Atrium Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
H	Operation	Insertion
6	Body Part	Atrium, Right

When to Use

Use a code from this group when a device is inserted into the right atrium to monitor or assist cardiac activity during an inpatient encounter. These codes apply when the primary operation performed is the insertion of the appliance rather than replacement, removal, or revision.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2H63V9	Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

An older adult hospitalized after episodes of symptomatic sinus node dysfunction with recurrent syncope and documented pauses on telemetry. The cardiology team plans percutaneous placement of a dual‑chamber intracardiac pacemaker lead into the right atrium to restore atrioventricular synchrony and prevent further bradycardic events. The primary operation is the insertion of the device into the right atrial chamber during the inpatient stay. Typical codes: X2H63V9
A patient presents emergently with high‑grade atrioventricular block causing hemodynamic instability and hypotension requiring urgent pacing support. In the inpatient setting, a percutaneous dual‑chamber intracardiac pacemaker is inserted with a lead positioned in the right atrium to provide atrial sensing/pacing as part of temporary-to-permanent pacing strategy. The procedure performed is insertion of the appliance into the right atrium to manage the acute conduction abnormality. Typical codes: X2H63V9
A patient admitted for evaluation of recurrent device-related syncope after initial single‑chamber pacing; clinical decision is made to upgrade to a dual‑chamber system. During the inpatient upgrade, a new atrial lead and dual‑chamber intracardiac pacemaker component are percutaneously inserted into the right atrium to provide coordinated atrial pacing. The documented operation is insertion of the dual‑chamber pacemaker component into the right atrial body part. Typical codes: X2H63V9

Related Codes

X2H0-INFERIOR-VENA-CAVA-INSERTION

ICD-10-PCS Code For Inferior Vena Cava: Procedure Code Group Overview

X2H1-SUPERIOR-VENA-CAVA-INSERTION

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

X2H2-RIGHT-FEMORAL-VEIN-INSERTION

ICD-10-PCS Code For Right Femoral Vein: Procedure Code Group Overview

X2H3-LEFT-FEMORAL-VEIN-INSERTION

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

X2HK-RIGHT-VENTRICLE-INSERTION

ICD-10-PCS Code For Right Ventricle: Procedure Code Group Overview

X2HL-RIGHT-AXILLARY-ARTERY-INSERTION

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

X2HM-LEFT-AXILLARY-ARTERY-INSERTION

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

X2HN-LEFT-VENTRICLE-INSERTION

ICD-10-PCS Code For Left Ventricle: Procedure Code Group Overview

X2HP-RIGHT-ANTERIOR-TIBIAL-INSERTION

ICD-10-PCS Code For Right Anterior Tibial Artery: Procedure Code Group Overview

X2HQ-LEFT-ANTERIOR-TIBIAL-INSERTION

ICD-10-PCS Code For Left Anterior Tibial Artery: Procedure Code Group Overview

Showing 1–10 of 16

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
X2H63V9	Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

An older adult hospitalized after episodes of symptomatic sinus node dysfunction with recurrent syncope and documented pauses on telemetry. The cardiology team plans percutaneous placement of a dual‑chamber intracardiac pacemaker lead into the right atrium to restore atrioventricular synchrony and prevent further bradycardic events. The primary operation is the insertion of the device into the right atrial chamber during the inpatient stay. Typical codes: X2H63V9
A patient presents emergently with high‑grade atrioventricular block causing hemodynamic instability and hypotension requiring urgent pacing support. In the inpatient setting, a percutaneous dual‑chamber intracardiac pacemaker is inserted with a lead positioned in the right atrium to provide atrial sensing/pacing as part of temporary-to-permanent pacing strategy. The procedure performed is insertion of the appliance into the right atrium to manage the acute conduction abnormality. Typical codes: X2H63V9
A patient admitted for evaluation of recurrent device-related syncope after initial single‑chamber pacing; clinical decision is made to upgrade to a dual‑chamber system. During the inpatient upgrade, a new atrial lead and dual‑chamber intracardiac pacemaker component are percutaneously inserted into the right atrium to provide coordinated atrial pacing. The documented operation is insertion of the dual‑chamber pacemaker component into the right atrial body part. Typical codes: X2H63V9

Related Codes

X2H0-INFERIOR-VENA-CAVA-INSERTION

ICD-10-PCS Code For Inferior Vena Cava: Procedure Code Group Overview

X2H1-SUPERIOR-VENA-CAVA-INSERTION

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

X2H2-RIGHT-FEMORAL-VEIN-INSERTION

ICD-10-PCS Code For Right Femoral Vein: Procedure Code Group Overview

X2H3-LEFT-FEMORAL-VEIN-INSERTION

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

X2HK-RIGHT-VENTRICLE-INSERTION

ICD-10-PCS Code For Right Ventricle: Procedure Code Group Overview

X2HL-RIGHT-AXILLARY-ARTERY-INSERTION

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

X2HM-LEFT-AXILLARY-ARTERY-INSERTION

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

X2HN-LEFT-VENTRICLE-INSERTION

ICD-10-PCS Code For Left Ventricle: Procedure Code Group Overview

X2HP-RIGHT-ANTERIOR-TIBIAL-INSERTION

ICD-10-PCS Code For Right Anterior Tibial Artery: Procedure Code Group Overview

X2HQ-LEFT-ANTERIOR-TIBIAL-INSERTION

ICD-10-PCS Code For Left Anterior Tibial Artery: Procedure Code Group Overview

Showing 1–10 of 16

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 Right Atrium: Procedure Code Group Overview

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

Right Atrium Insertion Procedure Overview

Code Attributes

ICD-10-PCS Code For Right Atrium: Procedure Code Group Overview

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

Right Atrium Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group X2H6?

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

What section, body system, operation, and body part attributes describe this code group?

How does accurate coding within X2H6 affect inpatient records and reimbursement?

Which related DRGs are associated with procedures in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group X2H6?

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

What section, body system, operation, and body part attributes describe this code group?

How does accurate coding within X2H6 affect inpatient records and reimbursement?

Which related DRGs are associated with procedures in this group?

References