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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2UR includes procedures performed to supplement and reinforce veins with synthetic substitutes in the left upper extremity. These ICD-10-PCS codes are used for inpatient documentation when a synthetic extraluminal support device is placed via an open approach to augment the function or structure of a left upper extremity vein. Accurate coding within the ICD-10-PCS X2UR group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Left Upper Extremity Vein Supplement Procedure Overview

Procedures in the ICD-10 PCS X2UR group involve supplementing left upper extremity veins with a synthetic substitute using an extraluminal support device via an open approach and are categorized in the New Technology section for the Cardiovascular System. These procedures physically reinforce and augment the function of the targeted vein to improve venous flow or structural integrity. Accurate coding is important for inpatient reimbursement because it documents the specific reinforcement procedure performed and supports correct case mix and payment determination.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
U	Operation	Supplement
R	Body Part	Upper Extremity Vein, Left

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

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Left Upper Extremity Vein Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
U	Operation	Supplement
R	Body Part	Upper Extremity Vein, Left

When to Use

Use a code from this group when an open surgical approach is used to place an extraluminal synthetic support device on a left upper extremity vein to supplement its function. These codes apply when the primary intent is reinforcement or augmentation of the vein rather than removal, bypass, or other vascular operations.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2UR0P9	Supplement Left Upper Extremity Vein with Synthetic Substitute, Extraluminal Support Device, Open Approach, New Technology Group 9

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular 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

A 62-year-old woman with long-standing dialysis-dependent end-stage renal disease and a failing left upper extremity arteriovenous fistula presents for inpatient surgical salvage after progressive venous dilation and aneurysmal degeneration around the outflow vein. During open surgery the team places an extraluminal synthetic support device around the left upper extremity vein to reinforce the vessel wall and restore durable access function. The procedure is performed to supplement and mechanically support the vein rather than to bypass or replace it. Typical codes: X2UR0P9
A 48-year-old man presents emergently with rapid enlargement and threatened rupture of a left upper extremity venous aneurysm with overlying skin ischemia after blunt trauma to the arm. In the operating room an open approach is used to place an extraluminal synthetic support device around the affected left upper extremity vein to reinforce the weakened vessel wall and prevent rupture while preserving venous continuity. The intent is acute mechanical reinforcement of the vein to control the compromised structure. Typical codes: X2UR0P9
A 55-year-old patient with chronic venous insufficiency and recurrent symptomatic varicosities in the left upper extremity returns for inpatient reintervention after prior conservative repair failed and persistent symptomatic venous reflux and focal wall collapse recur. Surgeons perform an open revision procedure placing an extraluminal synthetic support device around the targeted left upper extremity vein to augment and reinforce the previous repair and improve vessel integrity. This is a revision procedure aimed at durable supplementation of the vein. Typical codes: X2UR0P9

Related Codes

X2U4-CORONARY-ARTERY-SUPPLEMENT

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

X2U9-RIGHT-ATRIUM-SUPPLEMENT

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

X2UQ-RIGHT-UPPER-EXTREMITY-VEIN-SUPPLEMENT

ICD-10-PCS Code For Right Upper 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
X2UR0P9	Supplement Left Upper Extremity Vein with Synthetic Substitute, Extraluminal Support Device, Open Approach, New Technology Group 9

DRG Codes

6 rows

DRG Code	Description
252	Other Vascular Procedures with MCC
253	Other Vascular Procedures with CC
254	Other Vascular 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

A 62-year-old woman with long-standing dialysis-dependent end-stage renal disease and a failing left upper extremity arteriovenous fistula presents for inpatient surgical salvage after progressive venous dilation and aneurysmal degeneration around the outflow vein. During open surgery the team places an extraluminal synthetic support device around the left upper extremity vein to reinforce the vessel wall and restore durable access function. The procedure is performed to supplement and mechanically support the vein rather than to bypass or replace it. Typical codes: X2UR0P9
A 48-year-old man presents emergently with rapid enlargement and threatened rupture of a left upper extremity venous aneurysm with overlying skin ischemia after blunt trauma to the arm. In the operating room an open approach is used to place an extraluminal synthetic support device around the affected left upper extremity vein to reinforce the weakened vessel wall and prevent rupture while preserving venous continuity. The intent is acute mechanical reinforcement of the vein to control the compromised structure. Typical codes: X2UR0P9
A 55-year-old patient with chronic venous insufficiency and recurrent symptomatic varicosities in the left upper extremity returns for inpatient reintervention after prior conservative repair failed and persistent symptomatic venous reflux and focal wall collapse recur. Surgeons perform an open revision procedure placing an extraluminal synthetic support device around the targeted left upper extremity vein to augment and reinforce the previous repair and improve vessel integrity. This is a revision procedure aimed at durable supplementation of the vein. Typical codes: X2UR0P9

Related Codes

X2U4-CORONARY-ARTERY-SUPPLEMENT

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

X2U9-RIGHT-ATRIUM-SUPPLEMENT

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

X2UQ-RIGHT-UPPER-EXTREMITY-VEIN-SUPPLEMENT

ICD-10-PCS Code For Right Upper 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.

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

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

Left Upper Extremity Vein Supplement Procedure Overview

Code Attributes

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

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

Left Upper Extremity Vein Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are captured by the ICD-10-PCS X2UR code group?

Which specific ICD-10-PCS code represents this procedure in the group?

How does accurate coding in the X2UR group affect inpatient reimbursement?

What are the code attributes associated with the X2UR group?

Which DRGs may relate to procedures coded to `X2UR0P9`?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are captured by the ICD-10-PCS X2UR code group?

Which specific ICD-10-PCS code represents this procedure in the group?

How does accurate coding in the X2UR group affect inpatient reimbursement?

What are the code attributes associated with the X2UR group?

Which DRGs may relate to procedures coded to `X2UR0P9`?

References