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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2HK includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the right ventricle. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the right ventricular chamber via a percutaneous approach for cardiac monitoring or pacing. Accurate coding within the ICD-10-PCS X2HK group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Right Ventricle Insertion Procedure Overview

This procedure group covers insertion procedures that place a nonbiological appliance into the right ventricle and target the cardiovascular system. These inpatient procedures involve percutaneous placement techniques to position monitoring or pacing devices within the right ventricular chamber. Accurate coding matters because it ensures the procedure performed is captured correctly for inpatient reimbursement and supports clinical documentation and case-mix assignment.

Code Attributes

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

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

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Right Ventricle 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
K	Body Part	Ventricle, Right

When to Use

Use a code from this group when a nonbiological cardiac appliance is inserted into the right ventricle during an inpatient encounter. This applies when the device is placed percutaneously for purposes such as intracardiac pacing or monitoring.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2HK3V9	Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, 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 82-year-old patient is admitted with symptomatic bradycardia and recurrent syncope due to sick sinus syndrome with intermittent ventricular pauses documented on telemetry. After evaluation, the cardiology team elects to place a dual‑chamber intracardiac pacemaker lead into the right ventricle via a percutaneous transvenous approach to provide reliable ventricular pacing and prevent recurrent pauses. The procedure is done during the inpatient stay to address the acute symptomatic bradyarrhythmia and reduce risk of further syncope and hemodynamic instability. Typical codes: X2HK3V9
A 68-year-old patient with known high-degree atrioventricular block is admitted for a planned inpatient pacemaker implantation after outpatient evaluation confirmed indications for pacing. The patient undergoes percutaneous placement of a dual‑chamber intracardiac pacemaker lead into the right ventricle as part of the scheduled implantation to restore appropriate AV synchrony and prevent syncope. The procedure is performed electively during the inpatient encounter to complete the device insertion and monitoring. Typical codes: X2HK3V9
A 75-year-old patient with a recently implanted dual‑chamber pacemaker presents inpatient for lead malfunction with loss of ventricular capture on monitoring and recurrent presyncope. The clinical team performs percutaneous insertion of a new dual‑chamber intracardiac pacemaker lead into the right ventricle to restore reliable ventricular pacing while preserving the atrial lead function. The inpatient procedure addresses the acute device failure and prevents further bradycardic events. Typical codes: X2HK3V9

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

X2H6-RIGHT-ATRIUM-INSERTION

ICD-10-PCS Code For Right Atrium: 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
X2HK3V9	Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, 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 82-year-old patient is admitted with symptomatic bradycardia and recurrent syncope due to sick sinus syndrome with intermittent ventricular pauses documented on telemetry. After evaluation, the cardiology team elects to place a dual‑chamber intracardiac pacemaker lead into the right ventricle via a percutaneous transvenous approach to provide reliable ventricular pacing and prevent recurrent pauses. The procedure is done during the inpatient stay to address the acute symptomatic bradyarrhythmia and reduce risk of further syncope and hemodynamic instability. Typical codes: X2HK3V9
A 68-year-old patient with known high-degree atrioventricular block is admitted for a planned inpatient pacemaker implantation after outpatient evaluation confirmed indications for pacing. The patient undergoes percutaneous placement of a dual‑chamber intracardiac pacemaker lead into the right ventricle as part of the scheduled implantation to restore appropriate AV synchrony and prevent syncope. The procedure is performed electively during the inpatient encounter to complete the device insertion and monitoring. Typical codes: X2HK3V9
A 75-year-old patient with a recently implanted dual‑chamber pacemaker presents inpatient for lead malfunction with loss of ventricular capture on monitoring and recurrent presyncope. The clinical team performs percutaneous insertion of a new dual‑chamber intracardiac pacemaker lead into the right ventricle to restore reliable ventricular pacing while preserving the atrial lead function. The inpatient procedure addresses the acute device failure and prevents further bradycardic events. Typical codes: X2HK3V9

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

X2H6-RIGHT-ATRIUM-INSERTION

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

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

Right Ventricle Insertion Procedure Overview

Code Attributes

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

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

Right Ventricle Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group X2HK represent?

Which specific code is listed in this procedure group?

What are the key code attributes for the X2HK group?

How does coding in the X2HK group affect reimbursement?

Which DRGs are related to procedures in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What does the ICD-10-PCS code group X2HK represent?

Which specific code is listed in this procedure group?

What are the key code attributes for the X2HK group?

How does coding in the X2HK group affect reimbursement?

Which DRGs are related to procedures in this group?

References