ICD-10-PCS Code For Circulatory: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group XXA5 includes procedures performed to assist circulatory function by extracorporeal means in the circulatory system. These ICD-10-PCS codes are used for inpatient documentation when extracorporeal mechanical or device support is provided to take over a portion of the circulatory function. Accurate coding within the ICD-10-PCS XXA5 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Circulatory Assistance Procedure Overview

Procedures in this group involve taking over or supporting a portion of the circulatory system's physiological function by extracorporeal means, such as mechanical circulatory support or extracorporeal blood processing. They target the circulatory body system and temporarily assume or assist circulation outside the patient’s native physiology. Accurate coding of these procedures is important for inpatient reimbursement because it documents the level of technological support provided and supports appropriate case mix and payment determination.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
X	Body System	Physiological Systems
A	Operation	Assistance
5	Body Part	Circulatory

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ICD-10-PCS Code For Circulatory: Procedure Code Group Overview

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Circulatory Assistance Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
X	Body System	Physiological Systems
A	Operation	Assistance
5	Body Part	Circulatory

When to Use

Use a code from this group when a patient receives extracorporeal circulatory support that temporarily takes over or assists blood flow or cardiac output. These codes apply when documented interventions involve devices or extracorporeal systems performing part of the circulatory function.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
XXA536A	Circulatory Filtration, Blood Pathogens, Percutaneous Approach, New Technology Group 10
XXA539B	Circulatory Filtration, Ticagrelor, Percutaneous Approach, New Technology Group 11

Typical Clinical Scenarios

An adult patient with severe sepsis secondary to bloodstream infection develops refractory bacteremia despite appropriate antibiotics and hemodynamic support. Inpatient care includes extracorporeal blood filtration targeted to remove blood pathogens to reduce circulating microbial load and assist circulatory stability while antimicrobial therapy takes effect. The intervention is performed percutaneously using a new technology blood-filtration device to take over part of the circulatory processing of pathogens. Typical codes: XXA536A
A middle-aged patient on dual antiplatelet therapy presents for a scheduled extracorporeal blood filtration procedure aimed at removing ticagrelor prior to urgent surgery to reduce bleeding risk. The elective inpatient admission is for percutaneous device-assisted removal of the antiplatelet agent from the circulation to temporarily assist circulatory clearance of the drug and optimize hemostasis before operative intervention. Typical codes: XXA539B
An inpatient with worsening hemodynamics after initial circulatory support develops persistent high circulating levels of a platelet P2Y12 inhibitor that impede recovery; prior filtration treatment was inadequate. A repeat percutaneous extracorporeal filtration procedure is performed using the specific technology indicated for ticagrelor removal to assist circulation by lowering drug concentration and allowing stabilization, representing a revision/repeat therapy for an incomplete prior extracorporeal intervention. Typical codes: XXA539B

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
XXA536A	Circulatory Filtration, Blood Pathogens, Percutaneous Approach, New Technology Group 10
XXA539B	Circulatory Filtration, Ticagrelor, Percutaneous Approach, New Technology Group 11

Typical Clinical Scenarios

An adult patient with severe sepsis secondary to bloodstream infection develops refractory bacteremia despite appropriate antibiotics and hemodynamic support. Inpatient care includes extracorporeal blood filtration targeted to remove blood pathogens to reduce circulating microbial load and assist circulatory stability while antimicrobial therapy takes effect. The intervention is performed percutaneously using a new technology blood-filtration device to take over part of the circulatory processing of pathogens. Typical codes: XXA536A
A middle-aged patient on dual antiplatelet therapy presents for a scheduled extracorporeal blood filtration procedure aimed at removing ticagrelor prior to urgent surgery to reduce bleeding risk. The elective inpatient admission is for percutaneous device-assisted removal of the antiplatelet agent from the circulation to temporarily assist circulatory clearance of the drug and optimize hemostasis before operative intervention. Typical codes: XXA539B
An inpatient with worsening hemodynamics after initial circulatory support develops persistent high circulating levels of a platelet P2Y12 inhibitor that impede recovery; prior filtration treatment was inadequate. A repeat percutaneous extracorporeal filtration procedure is performed using the specific technology indicated for ticagrelor removal to assist circulation by lowering drug concentration and allowing stabilization, representing a revision/repeat therapy for an incomplete prior extracorporeal intervention. Typical codes: XXA539B

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 Circulatory: Procedure Code Group Overview

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Circulatory Assistance Procedure Overview

Code Attributes

ICD-10-PCS Code For Circulatory: Procedure Code Group Overview

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

Circulatory Assistance Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Which procedures are included in the ICD-10-PCS XXA5 group?

What is the primary purpose of procedures coded in the XXA5 group?

How does accurate coding within the XXA5 group affect inpatient reimbursement?

What are the code attributes for the XXA5 procedure group?

Are there related DRGs listed for the XXA5 code group?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Which procedures are included in the ICD-10-PCS XXA5 group?

What is the primary purpose of procedures coded in the XXA5 group?

How does accurate coding within the XXA5 group affect inpatient reimbursement?

What are the code attributes for the XXA5 procedure group?

Are there related DRGs listed for the XXA5 code group?

References