Summary & Overview
ICD-10-PCS Code For Pulmonary Artery: Procedure Code Group Overview
The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2K0 includes procedures performed to alter the route of passage of blood flow using tissue engineered scaffolds between the inferior vena cava and the pulmonary artery. These ICD-10-PCS codes are used for inpatient documentation when a bypass is created from the inferior vena cava to the pulmonary artery using an autologous cell seeded tissue engineered resorbable scaffold via an open approach. Accurate coding within the ICD-10-PCS X2K0 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy and determination of appropriate case mix and payment.
Bypass Inferior Vena Cava To Pulmonary ArteryICD-10-PCSICD-10-PCS X2K0Inpatient ProcedureProcedure CodingAutologous Cell Seeded ScaffoldTissue Engineered ScaffoldCardiovascular System
| Character | ICD-10-PCS Category | Code Group Details |
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Typical Clinical Scenarios
- A 58-year-old patient with chronic thrombotic occlusion of the infrahepatic inferior vena cava causing progressive lower extremity edema, venous stasis ulcers, and renal venous hypertension is admitted electively after multimodal imaging demonstrates unsuitable native conduit for standard IVC reconstruction. The treatment plan is a planned open surgical bypass from the patent segment of the inferior vena cava to the pulmonary artery using an autologous cell‑seeded tissue‑engineered resorbable scaffold to restore venous outflow and reduce venous hypertension. Typical codes:
X2K00FB. - A 42-year-old trauma patient with complex central venous injury from a motor vehicle collision presents emergently with massive venous hemorrhage and disrupted inferior vena cava near the hepatic confluence; after initial hemorrhage control and stabilization, definitive open reconstruction is required but native repair is not feasible. An open bypass to the pulmonary artery using an autologous cell‑seeded tissue‑engineered resorbable scaffold is performed emergently to reestablish central venous continuity and prevent ongoing hemodynamic compromise. Typical codes:
X2K00FB. - A 65-year-old patient with prior prosthetic IVC graft placement develops graft infection with persistent bacteremia and recurrent pulmonary emboli despite antibiotics; after removal of the infected prosthetic conduit, an open alternative reconstruction is performed using an autologous cell‑seeded tissue‑engineered resorbable scaffold to bypass the diseased segment to the pulmonary artery and reduce risk of reinfection. Typical codes:
X2K00FB.