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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2V7 includes procedures performed to restrict the lumen of the coronary sinus. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous reduction device is placed to partially close or narrow the coronary sinus for therapeutic effect. Accurate coding within the ICD-10-PCS X2V7 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Coronary Sinus Restriction Procedure Overview

Procedures in this ICD-10-PCS group involve restriction of the coronary sinus using a reduction device delivered percutaneously and target the cardiovascular system. These procedures partially close or narrow the lumen of the coronary sinus to reduce flow for therapeutic reasons. Accurate inpatient coding matters because it documents the specific root operation and body part, which affects case mix and reimbursement. Precise coding also supports clear clinical records and downstream quality reporting.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
V	Operation	Restriction
7	Body Part	Coronary Sinus

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

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Coronary Sinus Restriction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
V	Operation	Restriction
7	Body Part	Coronary Sinus

When to Use

Use codes in this group when a percutaneous device is intentionally placed to restrict the coronary sinus lumen as the primary procedure. Do not use these codes for other cardiac structures or for procedures that do not involve a reduction device or the restriction root operation.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2V73Q7	Restriction of Coronary Sinus with Reduction Device, Percutaneous Approach, New Technology Group 7

DRG Codes

2 rows

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

Typical Clinical Scenarios

A 68-year-old patient with long-standing ischemic cardiomyopathy and refractory angina despite optimal medical therapy and prior revascularization is admitted electively for a staged transcatheter procedure to reduce coronary sinus blood flow and augment myocardial perfusion distribution. The patient undergoes a planned percutaneous implantation of a coronary sinus reduction device to partially narrow the lumen and redirect flow; this is performed as a non-emergent inpatient therapeutic intervention to improve symptoms. Typical codes: X2V73Q7
A 55-year-old heart failure patient with severe functional mitral regurgitation and progressive dyspnea is hospitalized after outpatient evaluation determines that percutaneous coronary sinus reduction could favorably modify ventricular loading conditions; the procedure is scheduled during the same admission following pre-procedural optimization. The team performs a percutaneous placement of a reduction device in the coronary sinus to partially close the lumen as an adjunctive strategy to symptom management and hemodynamic improvement. Typical codes: X2V73Q7
A 72-year-old who previously received a coronary sinus reduction device presents with new angina and imaging suggesting device malposition causing inadequate lumen restriction; the patient is taken to the inpatient interventional suite for revision and placement of a replacement percutaneous reduction device to restore the intended degree of coronary sinus narrowing. Typical codes: X2V73Q7

ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview

X2VW-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

X2VY-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aortic Arch And Descending Thoracic Aorta: 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
X2V73Q7	Restriction of Coronary Sinus with Reduction Device, Percutaneous Approach, New Technology Group 7

DRG Codes

2 rows

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

Typical Clinical Scenarios

A 68-year-old patient with long-standing ischemic cardiomyopathy and refractory angina despite optimal medical therapy and prior revascularization is admitted electively for a staged transcatheter procedure to reduce coronary sinus blood flow and augment myocardial perfusion distribution. The patient undergoes a planned percutaneous implantation of a coronary sinus reduction device to partially narrow the lumen and redirect flow; this is performed as a non-emergent inpatient therapeutic intervention to improve symptoms. Typical codes: X2V73Q7
A 55-year-old heart failure patient with severe functional mitral regurgitation and progressive dyspnea is hospitalized after outpatient evaluation determines that percutaneous coronary sinus reduction could favorably modify ventricular loading conditions; the procedure is scheduled during the same admission following pre-procedural optimization. The team performs a percutaneous placement of a reduction device in the coronary sinus to partially close the lumen as an adjunctive strategy to symptom management and hemodynamic improvement. Typical codes: X2V73Q7
A 72-year-old who previously received a coronary sinus reduction device presents with new angina and imaging suggesting device malposition causing inadequate lumen restriction; the patient is taken to the inpatient interventional suite for revision and placement of a replacement percutaneous reduction device to restore the intended degree of coronary sinus narrowing. Typical codes: X2V73Q7

ICD-10-PCS Code For Descending Thoracic Aorta And Abdominal Aorta: Procedure Code Group Overview

X2VW-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

X2VY-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aortic Arch And Descending Thoracic Aorta: 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.

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

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Coronary Sinus Restriction Procedure Overview

Code Attributes

OpenPayer

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

Sign up for ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview policy alerts

Coronary Sinus Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

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

Sign up for ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview policy alerts

Coronary Sinus Restriction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Coronary Sinus: Procedure Code Group Overview policy alerts

Coronary Sinus Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code identifies a percutaneous coronary sinus restriction with a reduction device?

What is the clinical intent of procedures coded in ICD-10-PCS group X2V7?

Why is accurate inpatient coding for `X2V73Q7` important for hospitals?

Under which ICD-10-PCS section and body system is this procedure classified?

Which DRGs are related to procedures in this ICD-10-PCS group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code identifies a percutaneous coronary sinus restriction with a reduction device?

What is the clinical intent of procedures coded in ICD-10-PCS group X2V7?

Why is accurate inpatient coding for `X2V73Q7` important for hospitals?

Under which ICD-10-PCS section and body system is this procedure classified?

Which DRGs are related to procedures in this ICD-10-PCS group?

References