ICD-10-PCS Code For Lower GI: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XD2H includes procedures performed to monitor lower gastrointestinal function. These ICD-10-PCS codes are used for inpatient documentation when repetitive assessment of physiological or physical function of the lower gastrointestinal tract is required over a period of time. Accurate coding within the ICD-10-PCS XD2H group is essential for proper inpatient reimbursement, as it captures the monitoring services performed and supports clinical documentation accuracy.

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Lower GI Monitoring Procedure Overview

Procedures in this group involve repetitive measurement or assessment of lower gastrointestinal function over a period of time to determine the level of a physiological or physical function. These monitoring procedures target the gastrointestinal system and specifically the lower gastrointestinal tract. Accurate coding of monitoring procedures in this group supports correct inpatient reimbursement by reflecting the clinical services provided and ensuring appropriate case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
D	Body System	Gastrointestinal System
2	Operation	Monitoring
H	Body Part	Lower GI

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ICD-10-PCS Code For Lower GI: Procedure Code Group Overview

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Lower GI Monitoring Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
D	Body System	Gastrointestinal System
2	Operation	Monitoring
H	Body Part	Lower GI

When to Use

Use a code from this group when repetitive measurement or observation is performed to evaluate lower gastrointestinal physiological or physical function during an inpatient stay. Typical circumstances include ongoing assessment of bowel motility, drainage, or other functional parameters requiring serial monitoring.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
XD2H4V7	Monitoring of Lower GI Oxygen Saturation, Percutaneous Endoscopic Approach, New Technology Group 7
XD2H8V7	Monitoring of Lower GI Oxygen Saturation, Via Natural or Artificial Opening Endoscopic, New Technology Group 7

Typical Clinical Scenarios

An elderly hospitalized patient with acute lower gastrointestinal bleeding and ongoing hemodynamic monitoring is observed for changes in mucosal perfusion after resuscitation. Repetitive assessment of lower GI oxygen saturation via a percutaneous endoscopic sensor is performed over several hours to evaluate tissue oxygenation and guide ongoing management. This monitoring documents trends in lower GI perfusion during the acute episode. Typical codes: XD2H4V7
A patient admitted electively for evaluation of chronic intestinal ischemia undergoes planned serial monitoring of lower gastrointestinal oxygenation during a diagnostic endoscopic procedure series. Continuous measurements obtained via a natural or artificial opening endoscopic probe are recorded over the inpatient stay to assess baseline and post-intervention perfusion levels. The repetitive functional data support clinical decision-making regarding further therapeutic options. Typical codes: XD2H8V7
A postoperative patient following lower abdominal vascular reconstruction develops suspected impaired bowel perfusion with rising lactate and abdominal pain. Repetitive bedside endoscopic monitoring through a percutaneous access point is used to track lower GI oxygen saturation trends to detect evolving ischemia and determine need for reoperation. Serial measurements inform the assessment of complication progression and urgency of intervention. Typical codes: XD2H4V7

Related Codes

XD2G-UPPER-GI-MONITORING

ICD-10-PCS Code For Upper GI: 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

2 rows

ICD-10-PCS Code	Description
XD2H4V7	Monitoring of Lower GI Oxygen Saturation, Percutaneous Endoscopic Approach, New Technology Group 7
XD2H8V7	Monitoring of Lower GI Oxygen Saturation, Via Natural or Artificial Opening Endoscopic, New Technology Group 7

Typical Clinical Scenarios

An elderly hospitalized patient with acute lower gastrointestinal bleeding and ongoing hemodynamic monitoring is observed for changes in mucosal perfusion after resuscitation. Repetitive assessment of lower GI oxygen saturation via a percutaneous endoscopic sensor is performed over several hours to evaluate tissue oxygenation and guide ongoing management. This monitoring documents trends in lower GI perfusion during the acute episode. Typical codes: XD2H4V7
A patient admitted electively for evaluation of chronic intestinal ischemia undergoes planned serial monitoring of lower gastrointestinal oxygenation during a diagnostic endoscopic procedure series. Continuous measurements obtained via a natural or artificial opening endoscopic probe are recorded over the inpatient stay to assess baseline and post-intervention perfusion levels. The repetitive functional data support clinical decision-making regarding further therapeutic options. Typical codes: XD2H8V7
A postoperative patient following lower abdominal vascular reconstruction develops suspected impaired bowel perfusion with rising lactate and abdominal pain. Repetitive bedside endoscopic monitoring through a percutaneous access point is used to track lower GI oxygen saturation trends to detect evolving ischemia and determine need for reoperation. Serial measurements inform the assessment of complication progression and urgency of intervention. Typical codes: XD2H4V7

Related Codes

XD2G-UPPER-GI-MONITORING

ICD-10-PCS Code For Upper GI: 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 Lower GI: Procedure Code Group Overview

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

Lower GI Monitoring Procedure Overview

Code Attributes

ICD-10-PCS Code For Lower GI: Procedure Code Group Overview

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

Lower GI Monitoring Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the XD2H code group?

What is the clinical purpose of procedures coded to XD2H?

Which ICD-10-PCS attributes define the XD2H group?

How does accurate coding in the XD2H group affect inpatient reimbursement?

Are there related DRGs listed for XD2H procedures?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the XD2H code group?

What is the clinical purpose of procedures coded to XD2H?

Which ICD-10-PCS attributes define the XD2H group?

How does accurate coding in the XD2H group affect inpatient reimbursement?

Are there related DRGs listed for XD2H procedures?

References