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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2KA includes procedures performed to bypass cardiac structures in the left atrium. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous bypass of the left atrium is performed using a conduit through coronary venous structures to alter blood flow. Accurate coding within the ICD-10-PCS X2KA group is essential for proper inpatient reimbursement, as it captures the bypass procedure performed and supports clinical documentation accuracy.

Customize your policy alerts

Sign up for ICD-10-PCS Code For Left Atrium: 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.

Left Atrium Bypass Procedure Overview

Procedures in this group involve creating a bypass of the left atrium using a conduit, performed percutaneously, and target the cardiovascular system. These bypass procedures alter the route of passage of blood within the left atrium and adjacent cardiac structures and are documented in the New Technology section of ICD-10-PCS. Accurate coding ensures inpatient records reflect the bypass operation and supports appropriate case mix and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
A	Body Part	Atrium, Left

Explore openpayer tools

View all tools

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

Customize your policy alerts

Sign up for ICD-10-PCS Code For Left Atrium: 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.

Left Atrium Bypass Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
K	Operation	Bypass
A	Body Part	Atrium, Left

When to Use

Use a code from this group when a percutaneous bypass of the left atrium is performed using a conduit through the coronary venous system to the right atrium. Apply these codes when the operative intent is to alter the route of blood flow in the left atrium as part of an inpatient procedure.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2KA30A	Bypass Left Atrium using Conduit through Coronary Sinus to Right Atrium, Percutaneous Approach, New Technology Group 10

DRG Codes

6 rows

DRG Code	Description
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

Typical Clinical Scenarios

An elderly patient with chronic ischemic mitral regurgitation and recurrent heart failure admissions is evaluated for a less invasive option to reduce left atrial pressure and improve forward flow; after multidisciplinary review, a planned percutaneous conduit is created from the left atrium through the coronary sinus to the right atrium to reroute blood and offload the left atrium. The patient is admitted electively for the new-technology percutaneous bypass procedure and monitoring post-implantation. Typical codes: X2KA30A
A middle-aged patient with refractory atrial arrhythmia and progressive symptoms despite medical therapy undergoes a percutaneous interventional strategy to alter left atrial hemodynamics by placing a conduit through the coronary venous system into the right atrium to modify atrial flow patterns; the patient is admitted to the hospital for the procedure and periprocedural rhythm and hemodynamic monitoring. Typical codes: X2KA30A
A patient previously treated with other left atrial interventions presents with worsening dyspnea and elevated left atrial pressures due to residual shunting and is taken to the hybrid operating suite for percutaneous placement of a new conduit through the coronary sinus to the right atrium to reestablish an alternate route of left atrial outflow; the inpatient stay includes the new-technology percutaneous bypass procedure and management of potential complications. Typical codes: X2KA30A

Related Codes

X2K0-INFERIOR-VENA-CAVA-BYPASS

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

X2KB-RIGHT-RADIAL-ARTERY-BYPASS

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

X2KC-LEFT-RADIAL-ARTERY-BYPASS

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

X2KG-HEPATIC-VEIN-BYPASS

ICD-10-PCS Code For Hepatic Vein: Procedure Code Group Overview

X2KH-FEMORAL-ARTERY-RIGHT-BYPASS

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

X2KJ-LEFT-FEMORAL-ARTERY-BYPASS

ICD-10-PCS Code For Femoral Artery, Left: 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
X2KA30A	Bypass Left Atrium using Conduit through Coronary Sinus to Right Atrium, Percutaneous Approach, New Technology Group 10

DRG Codes

6 rows

DRG Code	Description
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

Typical Clinical Scenarios

An elderly patient with chronic ischemic mitral regurgitation and recurrent heart failure admissions is evaluated for a less invasive option to reduce left atrial pressure and improve forward flow; after multidisciplinary review, a planned percutaneous conduit is created from the left atrium through the coronary sinus to the right atrium to reroute blood and offload the left atrium. The patient is admitted electively for the new-technology percutaneous bypass procedure and monitoring post-implantation. Typical codes: X2KA30A
A middle-aged patient with refractory atrial arrhythmia and progressive symptoms despite medical therapy undergoes a percutaneous interventional strategy to alter left atrial hemodynamics by placing a conduit through the coronary venous system into the right atrium to modify atrial flow patterns; the patient is admitted to the hospital for the procedure and periprocedural rhythm and hemodynamic monitoring. Typical codes: X2KA30A
A patient previously treated with other left atrial interventions presents with worsening dyspnea and elevated left atrial pressures due to residual shunting and is taken to the hybrid operating suite for percutaneous placement of a new conduit through the coronary sinus to the right atrium to reestablish an alternate route of left atrial outflow; the inpatient stay includes the new-technology percutaneous bypass procedure and management of potential complications. Typical codes: X2KA30A

Related Codes

X2K0-INFERIOR-VENA-CAVA-BYPASS

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

X2KB-RIGHT-RADIAL-ARTERY-BYPASS

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

X2KC-LEFT-RADIAL-ARTERY-BYPASS

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

X2KG-HEPATIC-VEIN-BYPASS

ICD-10-PCS Code For Hepatic Vein: Procedure Code Group Overview

X2KH-FEMORAL-ARTERY-RIGHT-BYPASS

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

X2KJ-LEFT-FEMORAL-ARTERY-BYPASS

ICD-10-PCS Code For Femoral Artery, Left: 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 Left Atrium: Procedure Code Group Overview

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

Left Atrium Bypass Procedure Overview

Code Attributes

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

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

Left Atrium Bypass Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents a percutaneous bypass of the left atrium using a conduit through the coronary sinus to the right atrium?

What is the procedure group and operation described by the X2KA code group?

In which ICD-10-PCS section and body system are these left atrium bypass procedures coded?

How does accurate coding within the X2KA group affect inpatient documentation and reimbursement?

Which DRG categories may be related to procedures coded in this X2KA group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents a percutaneous bypass of the left atrium using a conduit through the coronary sinus to the right atrium?

What is the procedure group and operation described by the X2KA code group?

In which ICD-10-PCS section and body system are these left atrium bypass procedures coded?

How does accurate coding within the X2KA group affect inpatient documentation and reimbursement?

Which DRG categories may be related to procedures coded in this X2KA group?

References