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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2VY includes procedures performed to restrict the lumen of the thoracic aortic arch and descending thoracic aorta using intraluminal devices. These ICD-10-PCS codes are used for inpatient documentation when a surgical, open approach is performed to partially close or narrow the thoracic aortic lumen with an uncovered intraluminal device and support cuff. Accurate coding within the ICD-10-PCS X2VY group is essential for proper inpatient reimbursement, as it captures the specific root operation and device details that determine case mix and payment.

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Thoracic Aortic Arch And Descending Thoracic Aorta Restriction Procedure Overview

Procedures in this ICD-10-PCS X2VY group involve surgically restricting the lumen of the thoracic aortic arch and descending thoracic aorta using intraluminal devices with support cuffs via an open approach. These procedures target the cardiovascular system and are intended to partially close or narrow the aortic lumen to achieve a therapeutic effect. Accurate ICD-10-PCS coding is important for inpatient documentation and reimbursement because it captures the specific root operation, device type, and body part treated. Precise coding supports correct case mix assignment and payment for complex vascular interventions.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
V	Operation	Restriction
Y	Body Part	Thoracic Aortic Arch and Descending Thoracic Aorta

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

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Thoracic Aortic Arch And Descending Thoracic Aorta 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
Y	Body Part	Thoracic Aortic Arch and Descending Thoracic Aorta

When to Use

Use a code from this group when an open operative procedure is performed to partially close or narrow the thoracic aortic arch and descending thoracic aorta with an uncovered intraluminal device and support cuff. Codes in this group apply to inpatient cases where documentation confirms the root operation as Restriction and the body part as the thoracic aortic arch and descending thoracic aorta.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2VY06B	Restriction of Thoracic Aortic Arch and Descending Thoracic Aorta using Uncovered Intraluminal Device with Support Cuff, Open Approach, New Technology Group 11

DRG Codes

17 rows

DRG Code	Description
209	Complex Aortic Arch Procedures
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC

Showing 1–10 of 17

Typical Clinical Scenarios

An elderly patient presents urgently with symptomatic thoracic aortic arch aneurysmal dilation causing refractory chest pain and evidence of impending rupture on imaging; after stabilization and multidisciplinary discussion, an open surgical approach is undertaken to partially restrict the lumen of the thoracic aortic arch and descending thoracic aorta to exclude the weakened segment and reduce wall stress. This inpatient procedure is chosen because the anatomy is unsuitable for endovascular repair and requires an uncovered intraluminal device with a support cuff placed via open thoracotomy. Typical codes: X2VY06B
A middle-aged patient with progressive thoracic aortic arch and descending thoracic aorta dissection presents electively for definitive surgical management after failed or unsuitable endovascular therapy; the planned open operation aims to restrict and narrow the dissected lumen to re-establish controlled flow and prevent ongoing propagation. The procedure is performed inpatient under controlled conditions using an uncovered intraluminal device with a support cuff to achieve partial closure of the affected aortic lumen. Typical codes: X2VY06B
A patient readmitted for worsening recurrent aneurysmal dilation and device migration months after prior endovascular treatment undergoes open revision to restrict the thoracic aortic arch and descending thoracic aorta, remove failed components if present, and place a new uncovered intraluminal device with a support cuff to restore stability. This complication/revision case requires inpatient open surgery because of prior device failure and complex anatomy, necessitating a restriction root operation on the thoracic aortic arch and descending thoracic aorta. Typical codes: X2VY06B

Related Codes

X2V7-CORONARY-SINUS-RESTRICTION

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

X2VE-DESCENDING-THORACIC-AORTA-RESTRICTION-DESCENDING-THORACIC-AORTA

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

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
X2VY06B	Restriction of Thoracic Aortic Arch and Descending Thoracic Aorta using Uncovered Intraluminal Device with Support Cuff, Open Approach, New Technology Group 11

DRG Codes

17 rows

DRG Code	Description
209	Complex Aortic Arch Procedures
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
673	Other Kidney and Urinary Tract Procedures with MCC
674	Other Kidney and Urinary Tract Procedures with CC

Showing 1–10 of 17

Typical Clinical Scenarios

An elderly patient presents urgently with symptomatic thoracic aortic arch aneurysmal dilation causing refractory chest pain and evidence of impending rupture on imaging; after stabilization and multidisciplinary discussion, an open surgical approach is undertaken to partially restrict the lumen of the thoracic aortic arch and descending thoracic aorta to exclude the weakened segment and reduce wall stress. This inpatient procedure is chosen because the anatomy is unsuitable for endovascular repair and requires an uncovered intraluminal device with a support cuff placed via open thoracotomy. Typical codes: X2VY06B
A middle-aged patient with progressive thoracic aortic arch and descending thoracic aorta dissection presents electively for definitive surgical management after failed or unsuitable endovascular therapy; the planned open operation aims to restrict and narrow the dissected lumen to re-establish controlled flow and prevent ongoing propagation. The procedure is performed inpatient under controlled conditions using an uncovered intraluminal device with a support cuff to achieve partial closure of the affected aortic lumen. Typical codes: X2VY06B
A patient readmitted for worsening recurrent aneurysmal dilation and device migration months after prior endovascular treatment undergoes open revision to restrict the thoracic aortic arch and descending thoracic aorta, remove failed components if present, and place a new uncovered intraluminal device with a support cuff to restore stability. This complication/revision case requires inpatient open surgery because of prior device failure and complex anatomy, necessitating a restriction root operation on the thoracic aortic arch and descending thoracic aorta. Typical codes: X2VY06B

Related Codes

X2V7-CORONARY-SINUS-RESTRICTION

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

X2VE-DESCENDING-THORACIC-AORTA-RESTRICTION-DESCENDING-THORACIC-AORTA

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

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 Thoracic Aortic Arch And Descending Thoracic Aorta: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Thoracic Aortic Arch And Descending Thoracic Aorta: Procedure Code Group Overview policy alerts

Thoracic Aortic Arch And Descending Thoracic Aorta Restriction Procedure Overview

Code Attributes

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

Sign up for ICD-10-PCS Code For Thoracic Aortic Arch And Descending Thoracic Aorta: Procedure Code Group Overview policy alerts

Thoracic Aortic Arch And Descending Thoracic Aorta Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents restriction of the thoracic aortic arch and descending thoracic aorta using an uncovered intraluminal device with support cuff via open approach?

What is the primary clinical intent of procedures in ICD-10-PCS code group X2VY?

Why is accurate coding within the X2VY group important for inpatient documentation?

What code attributes define the X2VY code group?

Which DRGs may be related to procedures coded in the X2VY group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents restriction of the thoracic aortic arch and descending thoracic aorta using an uncovered intraluminal device with support cuff via open approach?

What is the primary clinical intent of procedures in ICD-10-PCS code group X2VY?

Why is accurate coding within the X2VY group important for inpatient documentation?

What code attributes define the X2VY code group?

Which DRGs may be related to procedures coded in the X2VY group?

References