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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2R7 includes procedures performed to replace arterial structures in the right lower extremity. These ICD-10-PCS codes are used for inpatient documentation when a segment of the right lower extremity artery is surgically removed and replaced, such as with a bioengineered human acellular vessel via an open approach. Accurate coding within the ICD-10-PCS X2R7 group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and supports clinical documentation accuracy.

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Right Lower Extremity Artery Replacement Procedure Overview

This code group covers open replacement procedures on the right lower extremity artery using bioengineered conduits and targets the cardiovascular system. These procedures involve removing and replacing all or part of the arterial segment with a material that takes the place and function of the native vessel. Accurate coding matters for inpatient reimbursement because it reflects the specific operation, body part, and use of new technology that affect case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
R	Operation	Replacement
7	Body Part	Lower Extremity Artery, Right

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

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Right Lower Extremity Artery Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
R	Operation	Replacement
7	Body Part	Lower Extremity Artery, Right

When to Use

Use a code from this group when a surgeon removes and replaces all or a portion of the right lower extremity artery during an inpatient operation, and a bioengineered human acellular vessel or similar substitute is implanted via an open approach. Do not use these codes for procedures that do not involve replacement of the arterial segment or that use a different body part or approach.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2R70WA	Replacement of Right Lower Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

DRG Codes

12 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. 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 elderly patient with chronic limb-threatening ischemia presents electively after nonhealing ischemic ulcers and rest pain in the right foot. Imaging demonstrates an occlusive segment of the right femoropopliteal artery unsuitable for endovascular repair due to long-segment disease and poor conduit availability, so the vascular surgeon plans open segmental replacement using a bioengineered human acellular vessel to restore in-line flow and promote wound healing. The procedure is performed inpatient under scheduled operative conditions to allow postoperative monitoring and graft surveillance. Typical codes: X2R70WA
A middle-aged patient presents emergently with acute right lower extremity ischemia after sudden thrombosis of a surgically diseased segment of the right lower extremity artery, with an ischemic foot and loss of distal pulses. Thrombolysis is unsuccessful and the surgical team performs an urgent open arterial replacement of the affected right lower extremity arterial segment using a bioengineered human acellular vessel to re-establish perfusion and salvage the limb. The patient is admitted for close postoperative vascular and limb monitoring. Typical codes: X2R70WA
A patient with prior bypass grafting to the right lower extremity returns with graft degeneration and recurrent claudication and imaging confirms failure of the previous conduit with arterial segment loss. During an inpatient reoperative procedure, the surgeon excises the failed graft and replaces the diseased portion of the right lower extremity artery using a bioengineered human acellular vessel via an open approach to restore durable arterial continuity. Postoperative admission includes surveillance for graft patency and wound healing. Typical codes: X2R70WA

Related Codes

X2R5-RIGHT-UPPER-EXTREMITY-REPLACEMENT

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

X2R6-LEFT-UPPER-EXTREMITY-REPLACEMENT

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

X2R8-LEFT-LOWER-EXTREMITY-REPLACEMENT

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

X2RJ-TRICUSPID-VALVE-REPLACEMENT

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

X2RX-THORACIC-AORTA-ARCH-REPLACEMENT

ICD-10-PCS Code For Thoracic Aorta, Arch: 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
X2R70WA	Replacement of Right Lower Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

DRG Codes

12 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular Procedures without CC/MCC
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630	Other Endocrine, Nutritional and Metabolic O.R. 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 elderly patient with chronic limb-threatening ischemia presents electively after nonhealing ischemic ulcers and rest pain in the right foot. Imaging demonstrates an occlusive segment of the right femoropopliteal artery unsuitable for endovascular repair due to long-segment disease and poor conduit availability, so the vascular surgeon plans open segmental replacement using a bioengineered human acellular vessel to restore in-line flow and promote wound healing. The procedure is performed inpatient under scheduled operative conditions to allow postoperative monitoring and graft surveillance. Typical codes: X2R70WA
A middle-aged patient presents emergently with acute right lower extremity ischemia after sudden thrombosis of a surgically diseased segment of the right lower extremity artery, with an ischemic foot and loss of distal pulses. Thrombolysis is unsuccessful and the surgical team performs an urgent open arterial replacement of the affected right lower extremity arterial segment using a bioengineered human acellular vessel to re-establish perfusion and salvage the limb. The patient is admitted for close postoperative vascular and limb monitoring. Typical codes: X2R70WA
A patient with prior bypass grafting to the right lower extremity returns with graft degeneration and recurrent claudication and imaging confirms failure of the previous conduit with arterial segment loss. During an inpatient reoperative procedure, the surgeon excises the failed graft and replaces the diseased portion of the right lower extremity artery using a bioengineered human acellular vessel via an open approach to restore durable arterial continuity. Postoperative admission includes surveillance for graft patency and wound healing. Typical codes: X2R70WA

Related Codes

X2R5-RIGHT-UPPER-EXTREMITY-REPLACEMENT

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

X2R6-LEFT-UPPER-EXTREMITY-REPLACEMENT

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

X2R8-LEFT-LOWER-EXTREMITY-REPLACEMENT

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

X2RJ-TRICUSPID-VALVE-REPLACEMENT

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

X2RX-THORACIC-AORTA-ARCH-REPLACEMENT

ICD-10-PCS Code For Thoracic Aorta, Arch: 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 Right Lower Extremity: Procedure Code Group Overview

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

Right Lower Extremity Artery Replacement Procedure Overview

Code Attributes

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

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

Right Lower Extremity Artery Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers replacement of the right lower extremity artery with a bioengineered human acellular vessel?

What procedure attributes define the X2R7 code group?

How does accurate coding within the X2R7 group affect inpatient reimbursement?

Which specific ICD-10-PCS code represents replacement of the right lower extremity artery using a bioengineered human acellular vessel, open approach?

What related DRG categories may be associated with procedures in the X2R7 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers replacement of the right lower extremity artery with a bioengineered human acellular vessel?

What procedure attributes define the X2R7 code group?

How does accurate coding within the X2R7 group affect inpatient reimbursement?

Which specific ICD-10-PCS code represents replacement of the right lower extremity artery using a bioengineered human acellular vessel, open approach?

What related DRG categories may be associated with procedures in the X2R7 code group?

References