Using the ICD-10-PCS

Selecting the Correct Code

To find the correct ICD-10-PCS code, follow these steps:

 Step 1: Use the Index to find the right ICD-10-PCS Table and look up the first 3
values of the code.
 Step 2: Use the ICD-10-PCS Table to find values 4-7 of the code.

Note: You don’t have to refer to the Index before going to the Tables to complete the
code. As you learn more, you can select a valid code directly from the Tables.
Index
The purpose of the Index is to locate the correct Table that has all information you need
to construct a procedure code.
The Index provides the first 3 or 4 values of the code or directs you to see another item.
Find the corresponding Table based on the first 3 values of the code in the Index. Then,
consult the Tables to find the correct code.
Find codes in the Index based on the general procedure or a common procedure term,
like appendectomy. You’ll find secondary entries underneath the main term.
Tables
Each ICD-10-PCS Table consists of 2 main sections. In most ICD-10-PCS sections, the
upper part of each table has the description of the first 3 characters of the procedure
code. Each row in the lower part of the table specifies the valid combination of values
for characters 4-7.
ICD-10-PCS Sections
The 7 characters that make up a complete code have specific meanings that vary in
each of the 17 sections. The first character of the procedure code always specifies the
section. For example, all procedure codes in the Medical and Surgical section begin
with the section value 0.

Section Value Section

0 Medical and Surgical

1 Obstetrics

2 Placement

3 Administration
 4 Measurement and Monitoring

5 Extracorporealor Systemic Assistance and Performance

6 Extracorporeal or Systemic Therapies

7 Osteopathic

8 Other Procedures

9 Chiropractic

B Imaging

C Nuclear Medicine

D Radiation Therapy

F Physical Rehabilitation and Diagnostic Audiology

G Mental Health

H Substance Abuse Treatment

X New Technology

Medical and Surgical Section Guidelines

General guidelines for Medical and Surgical section of ICD-10-PCS include:

 Use the procedure codes in the general anatomical region body systems when
the procedure is performed on an anatomical region rather than a specific body
part. Use these codes on the rare occasion when no information is available to
support assignment of a code to a specific body part.
 Where the general body part values upper and lower are given, upper or lower
specifies body parts located above or below the diaphragm, respectively.
  Apply the full definition of the root operation as contained in the ICD-10-PCS
Tables to determine the appropriate root operation.
 Don’t code these separately:
o Components of a procedure specified in the root operation definition and
explanation as integral to that root operation.
o Procedural steps necessary to reach the operative site and close the
operative site, including anastomosis of a tubular body part.
 If the intended procedure is discontinued or otherwise not completed, code the
procedure to the root operation performed. If a procedure is discontinued before
any other root operation is performed, code the root operation Inspection of the
body part or anatomical region inspected.
 Code biopsy procedures using the root operations Excision, Extraction, or
Drainage and the qualifier Diagnostic. For example, code biopsy of bone marrow
to the root operation Extraction with the qualifier Diagnostic.
 If a procedure is performed on a portion of a body part that doesn’t have a
separate body part value, code the body part value corresponding to the whole
body part.
 Code the body part to the closest proximal branch with a specific body part value
when a specific branch of a body part doesn’t have its own body part value.
 Bilateral body part values are available for a limited number of body parts. If the
identical procedure is performed on contralateral body parts, and a bilateral body
part value exists for that body part, code a single procedure using the bilateral
body part value. If no bilateral body part value exists, code each procedure
separately using the appropriate body part value.
 The coronary arteries are classified as a single body part that’s further specified
by number of arteries treated. Use 1 procedure code to specify multiple arteries
when the same procedure is performed, including the same device and qualifier
values.
 Code procedures performed using the open approach with percutaneous
endoscopic assistance to the approach Open.
 Code procedures performed indirectly by the application of external force through
the intervening body layers to the approach External.
 Code procedures performed Percutaneously Via a Device Placed for the
Procedure to the approach Percutaneous.

Device Guidelines
Guidelines for coding devices in ICD-10-PCS include:

 Code a device only if it remains after the procedure is completed. If no device

remains, code the device value No Device.
 Materials such as sutures, ligatures, radiological markers, and temporary post-
operative wound drains are integral to the performance of a procedure. Don’t
code them as devices.
 Procedures performed only on a device and not on a body part are specified in
the root operations Change, Irrigation, Removal, and Revision. Code them to the
procedure performed.
  Code a separate procedure to put in a drainage device to the root operation
Drainage with the device value Drainage Device.

ICD-10-PCS Conventions
ICD-10-PCS conventions include:

 Each character of the 7-character ICD-10-PCS code is an axis of classification

that specifies information about the procedure performed. Within a defined code
range, a character specifies the same type of information in that axis of
classification. For example, the fifth axis of classification specifies the approach
in sections 0-4 and 7-9 of the system.
 The valid values for an axis of classification can be added as needed. For
example, if a significantly distinct type of device is used in a new procedure, a
new device value can be added to the system.
 The meaning of any single value is a combination of its axis of classification and
any preceding values on which it may depend. For example, the meaning of a
body part value in the Medical and Surgical section is always dependent on the
body system value. The body part value 0 in the Central Nervous body system
specifies Brain, and the body part value 0 in the Peripheral Nervous body system
specifies Cervical Plexus.
 When “and” is used in a code description, interpret it as “and/or.” For example,
Lower Arm and Wrist Muscle means lower arm and/or wrist muscle.
 Section X, New Technology, provides a place for codes for certain new
technology procedures, like infusion of new technology drugs, not currently
classified in ICD-10-PCS.
 ICD-10-PCS has no combination codes. It rarely defines multiple procedures with
1 code to preserve standardized terminology and consistency across the system.
Separately code procedures that meet criteria for reporting separate procedures.

Determining a Correct ICD-10-PCS Code

Coding Example 1
Procedure: Excision of right lower arm and wrist tendon, open approach
Step 1: Locate the main term entry Excision in the Index for the type of procedure. The
subterms Tendon, Lower Arm and Wrist, Left, and Right direct the user to Table 0LB to
complete the code.
Excision
Tendon
Lower Arm and Wrist
Left 0LB6
Right 0LB5
Step 2: Locate Table 0LB, which shows the possible value choices for the last 4
characters of the code for this procedure. You need all 7 characters to complete the
code.
Section 0 Medical and Surgical
Body System L Tendons
Operation B Excision: Cutting out or off, without replacement, a portion of a
body part

Body Part Approach Device Qualifier

0 Head and Neck Tendon 0 Open Z No X Diagnostic

1 Shoulder Tendon, Right 3 Percutaneous Device Z No
2 Shoulder Tendon, Left 4 Percutaneous Qualifier
3 Upper Arm Tendon, Right Endoscopic
4 Upper Arm Tendon, Left
5 Lower Arm and Wrist
Tendon, Right
6 Lower Arm and Wrist
Tendon, Left
7 Hand Tendon, Right
8 Hand Tendon, Left
9 Trunk Tendon, Right
B Trunk Tendon, Left
C Thorax Tendon, Right
D Thorax Tendon, Left
F Abdomen Tendon, Right
G Abdomen Tendon, Left
H Perineum Tendon
J Hip Tendon, Right
K Hip Tendon, Left
L Upper Leg Tendon, Right
M Upper Leg Tendon, Left
N Lower Leg Tendon, Right
P Lower Leg Tendon, Left
Q Knee Tendon, Right
R Knee Tendon, Left
S Ankle Tendon, Right
T Ankle Tendon, Left
V Foot Tendon, Right
W Foot Tendon, Left

Character Character Character Character Character Character Character

1 Section 2 Body 3 Root 4 Body 5 6 Device 7
System Operation Part Approach Qualifier

Medical Tendons Excision Lower Open No Device No

 and Arm and Qualifier
Surgical Wrist
Tendon,
Right
0 L B 5 0 Z Z

Code Assignment for this Procedure: 0LB50ZZ

Coding Example 2
Procedure: Resection of appendix, percutaneous endoscopic approach
Step 1: Locate the main term entry Appendectomy in the Index for the type of
procedure. The subterm Resection, Appendix directs the user to Table 0DT to complete
the code.
Appendectomy
see Excision, Appendix 0DBJ
see Resection, Appendix 0DTJ
Step 2: Locate Table 0DT, which shows the possible value choices for the last 4
characters of the code. You need all 7 characters to complete the code.
Section 0 Medical and Surgical
Body System D Gastrointestinal System
Operation T Resection: Cutting out or off, without replacement, all of a body
part

Body Part Approach Device Qualifier

1 Esophagus, Upper 0 Open Z No Z No

2 Esophagus, 4 Percutaneous Endoscopic Device Qualifier
Middle 7 Via Natural or Artificial Opening
3 Esophagus, Lower 8 Via Natural or Artificial Opening
4 Esophagogastric Endoscopic
Junction
5 Esophagus
6 Stomach
7 Stomach, Pylorus
8 Small Intestine
9 Duodenum
A Jejunum
B Ileum
C Ileocecal Valve
E Large Intestine
H Cecum
K Ascending Colon
P Rectum
Q Anus
F Large Intestine, 0 Open Z No Z No
Right 7 Via Natural or Artificial Opening Device Qualifier
J Appendix 8 Via Natural or Artificial Opening
Endoscopic

F Large Intestine, 4 Percutaneous Endoscopic Z No G Hand-

Right Device Assisted
J Appendix Z No
Qualifier

G Large Intestine, 0 Open Z No Z No

Left 4 Percutaneous Endoscopic Device Qualifier
L Transverse Colon 7 Via Natural or Artificial Opening
M Descending 8 Via Natural or Artificial Opening
Colon Endoscopic
N Sigmoid Colon F Via Natural or Artificial Opening
With Percutaneous Endoscopic
Assistance

G Large Intestine, 4 Percutaneous Endoscopic Z No G Hand-

Left Device Assisted
L Transverse Colon Z No
M Descending Qualifier
Colon
N Sigmoid Colon

R Anal Sphincter 0 Open Z No Z No

U Omentum 4 Percutaneous Endoscopic Device Qualifier

Charact Character 2 Charact Charact Character 5 Charact Charact

er 1 Body er 3 er 4 Approach er 6 er 7
Section System Root Body Device Qualifier
Operatio Part
n
Medical Gastrointestin Resectio Appendix Percutaneo No No
 and al n us Device Qualifier
Surgical Endoscopic

0 D T J 4 Z Z

Code Assignment for this Procedure: 0DTJ4ZZ

Coding Example 3
Procedure: Excision of sigmoid colon, via natural or artificial opening endoscopic,
diagnostic
Step 1: Locate the main term entry for Excision in the Index for the type of procedure.
The subterm Colon directs the user to Table 0DB to complete the code.
Excision
Colon
Ascending 0DBK
Descending 0DBM
Sigmoid 0DBN
Transverse 0DBL
Step 2: Locate Table 0DB, which shows the possible value choices for the last 4
characters of the code. You need all 7 characters to complete the code.
Section 0 Medical and Surgical
Body System D Gastrointestinal System
Operation B Excision: Cutting out or off, without replacement, a portion of a
body part

Body Part Approach Device Qualifier

1 Esophagus, Upper 0 Open Z No X Diagnostic

2 Esophagus, 3 Percutaneous Device Z No
Middle 4 Percutaneous Endoscopic Qualifier
3 Esophagus, Lower 7 Via Natural or Artificial Opening
4 Esophagogastric 8 Via Natural or Artificial Opening
Junction Endoscopic
5 Esophagus
7 Stomach, Pylorus
8 Small Intestine
9 Duodenum
A Jejunum
B Ileum
C Ileocecal Valve
E Large Intestine
H Cecum
K Ascending Colon
P Rectum

6 Stomach 0 Open Z No 3 Vertical

3 Percutaneous Device X Diagnostic
4 Percutaneous Endoscopic Z No
7 Via Natural or Artificial Opening Qualifier
8 Via Natural or Artificial Opening
Endoscopic

F Large Intestine, 0 Open Z No X Diagnostic

Right 3 Percutaneous Device Z No
J Appendix 7 Via Natural or Artificial Opening Qualifier
8 Via Natural or Artificial Opening
Endoscopic

G Large Intestine, 4 Percutaneous Endoscopic Z No X Diagnostic

Right Device Z No
J Appendix Qualifier

G Large Intestine, 4 Percutaneous Endoscopic Z No G Hand-

Left Device Assisted
L Transverse Colon X Diagnostic
M Descending Z No
Colon Qualifier
N Sigmoid Colon

G Large Intestine, F Via Natural or Artificial Opening Z No Z No

Left With Percutaneous Endoscopic Device Qualifier
L Transverse Colon Assistance
M Descending
Colon
N Sigmoid Colon

Characte Character 2 Characte Characte Character Characte Characte

r1 Body System r 3 Root r 4 Body 5 r6 r7
Section Operatio Part Approach Device Qualifier
n
 Medical Gastrointestin Excision Sigmoid Via No Diagnosti
and al Colon Natural or Device c
Surgical Artificial
Opening
Endoscopi
c
0 D B N 8 Z X

Code Assignment for this Procedure: 0DBN8ZX

Coding Example 4
Procedure: Bypass trachea to cutaneous with tracheostomy device, open approach
Step 1: Locate the main term entry for Tracheostomy in the Index for the type of
procedure. The subterm Bypass, Respiratory System directs the user to Table 0B1 to
complete the code.
Tracheostomy see Bypass, Respiratory System 0B1
Step 2: Locate Table 0B1, which shows the possible value choices for the last 4
characters of the code. You need all 7 characters to complete the code.
Section 0 Medical and Surgical
Body System B Respiratory System
Operation 1 Bypass: Altering the route of passage of the contents of a tubular
body part

Body Part Approach Device Qualifier

1 Trachea 0 Open D Intraluminal Device 6 Esophagus

1 Trachea 0 Open F Tracheostomy Device 4 Cutaneous

Z No Device

1 Trachea 3 Percutaneous F Tracheostomy Device 4 Cutaneous

4 Percutaneous Endoscopic Z No Device

Characte Character Characte Characte Characte Character 6 Characte

r1 2 Body r 3 Root r 4 Body r5 Device r7
Section System Operatio Part Approac Qualifier
n h
 Medical Respirator Bypass Trachea Open Tracheostom Cutaneou
and y y Device s
Surgical

0 B 1 1 0 F 4

Code Assignment for this Procedure: 0B110F4

Coding Example 5
Procedure: Bypass coronary artery, one artery from right internal mammary, open
approach
Step 1: Locate the main term entry for Bypass in the Index for the type of procedure.
The subterm One Artery directs the user to Table 021 to complete the code.
Bypass
Artery
Coronary
One Artery 0210
Step 2: Locate Table 021, which shows the possible value choices for the last 4
characters of the code. You need all 7 characters to complete the code.
Section 0 Medical and Surgical
Body System 2 Heart and Great Vessels
Operation 1 Bypass: Altering the route of passage of the contents of a tubular
body part

Body Part Approach Device Qualifier

0 Coronary Artery, 0 Open 8 Zooplastic Tissue 3 Coronary

One Artery 9 Autologous Venous Artery
1 Coronary Artery, Tissue 8 Internal
Two Arteries A Autologous Arterial Mammary, Right
2 Coronary Artery, Tissue 9 Internal
Three Arteries J Synthetic Substitute Mammary, Left
3 Coronary Artery, K Nonautologous C Thoracic
Four or More Tissue Substitute Artery
Arteries F Abdominal
Artery
W Aorta

0 Coronary Artery, 0 Open Z No Device 3 Coronary

One Artery Artery
1 Coronary Artery, 8 Internal
Two Arteries Mammary, Right
2 Coronary Artery, 9 Internal
Three Arteries Mammary, Left
3 Coronary Artery, C Thoracic
Four or More Artery
Arteries F Abdominal
Artery

0 Coronary Artery, 3 Percutaneous 4 Intraluminal Device, 4 Coronary Vein

One Artery Drug-eluting
1 Coronary Artery, D Intraluminal Device
Two Arteries
2 Coronary Artery,
Three Arteries
3 Coronary Artery,
Four or More
Arteries

0 Coronary Artery, 4 Percutaneous 4 Intraluminal Device, 4 Coronary Vein

One Artery Endoscopic Drug-eluting
1 Coronary Artery, D Intraluminal Device
Two Arteries
2 Coronary Artery,
Three Arteries
3 Coronary Artery,
Four or More
Arteries

0 Coronary Artery, 4 Percutaneous 8 Zooplastic Tissue 3 Coronary

One Artery Endoscopic 9 Autologous Venous Artery
1 Coronary Artery, Tissue 8 Internal
Two Arteries A Autologous Arterial Mammary, Right
2 Coronary Artery, Tissue 9 Internal
Three Arteries J Synthetic Substitute Mammary, Left
 3 Coronary Artery, K Nonautologous C Thoracic
Four or More Tissue Substitute Artery
Arteries F Abdominal
Artery
W Aorta

Character Character Character Character Character Character Character

1 Section 2 Body 3 Root 4 Body 5 6 Device 7
System Operation Part Approach Qualifier

Medical Heart and Bypass Coronary Open No Device Internal

and Great Artery, Mammary,
Surgical Vessels One Right
Artery

0 2 1 0 0 Z 8

Code Assignment for this Procedure: 02100Z8

Coding Example 6
Procedure: Introduction of cefiderocol anti-infective into central vein, percutaneous
approach, new technology group 6
Step 1: Locate the main term entry in the Index. Cefiderocol Anti-infective is the main
term, and the first 3 values of the code are XW0. The name of the New Technology
Device, Substance, or Technology is a sub term. All codes available in Section X are in
the Index under the main term New Technology.
Cefiderocol Anti-infective XW0
Step 2: Locate Table XW0, which shows the possible value choices for the last 4
characters of the code. You need all 7 characters to complete the code. New
Technology codes are displayed with separate tables for each root operation and body
system, like all other ICD-10-PCS tables.
Section X New Technology
Body System W Anatomical Regions
Operation 0 Introduction: Putting in or on a therapeutic, diagnostic, nutritional,
physiological, or prophylactic substance except blood or blood products

Body Approach Device / Substance / Technology Qualifier

 Part
4 Central 3 5 Ceftobiprole Medocaril Anti- A New
Vein Percutaneous infective Technology
Group 10

4 Central 3 6 Lefamulin Anti-infective 6 New

Vein Percutaneous Technology
Group 6

4 Central 3 6 Terlipressim 7 New

Vein Percutaneous Technology
Group 7

4 Central 3 6 Afamitresgene Autoleucel 8 New

Vein Percutaneous Immunotherapy Technology
Group 8

4 Central 3 7 Coagulation Factor Xa, inactivated 2 New

Vein Percutaneous Technology
Group 2

4 Central 3 7 Trilaciclib 7 New

Vein Percutaneous Technology
Group 7

4 Central 3 7 Tabelecleucel immunotherapy 8 New

Vein Percutaneous Technology
Group 8
4 Central 3 8 Lerbinectedin 7 New
Vein Percutaneous Technology
Group 7

4 Central 3 8 Treosulfan 8 New

Vein Percutaneous Technology
Group 8

4 Central 3 8 Obecabtagene Autoleucel A New

Vein Percutaneous Technology
Group 10

4 Central 3 9 Ceftolazane/Tazobactam Anti- 6 New

Vein Percutaneous infective Technology
Group 6

4 Central 3 9 Inebilizumab-cdon 8 New

Vein Percutaneous Technology
Group 8

4 Central 3 9 Odronextamab Antineoplastic A New

Vein Percutaneous Technology
Group 10

4 Central 3 A Cefidericol Anti-infective 6 New

Vein Percutaneous Technology
Group 6

4 Central 3 A Ciltacabtagene Autoleucel 7 New

Vein Percutaneous Technology
Group 7
 4 Central 3 B Cytarabine and Daunorubicin 3 New
Vein Percutaneous Liposome Antineoplastic Technology
Group 3

4 Central 3 B Omadacycline Anti-infective 6 New

Vein Percutaneous Technology
Group 6

4 Central 3 B Amivantamab Monoclonal 7 New

Vein Percutaneous Antibody Technology
Group 7

Characte Characte Character Charact Character 5 Character Characte

r1 r 2 Body 3 Root er 4 Approach 6 Device r7
Section System Operatio Body Qualifier
n Part

New Anatomic Introductio Central Percutaneo Cefideroc New

Technolo al n Vein us ol, Anti- Technolo
gy Regions infective gy Group
6

X W 0 4 3 A 6

Code Assignment for this Procedure: XW043A6

The Section X code fully identifies administration of cefiderocol anti-infective. You don’t
need to include any other codes, including separate codes from Table 3E0 in the
Administration section.

Structure
The ICD-10-PCS is divided into 17 sections like Medical and Surgical, Obstetrics, and
Imaging.

The 7 characters that make up a complete code have specific meanings that vary in
each of the 17 sections. The first character of the procedure code always specifies the
section. For example, all procedure codes in the Medical and Surgical section start with
the section value 0.
 Section Section
Value

0 Medical and Surgical

1 Obstetrics

2 Placement

3 Administration

4 Measurement and Monitoring

5 Extracorporeal or Systemic Assistance and Performance

6 Extracorporeal or Systemic Therapies

7 Osteopathic

8 Other Procedures
 9 Chiropractic

B Imaging

C Nuclear Medicine

D Radiation Therapy

F Physical Rehabilitation and Diagnostic Audiology

G Mental Health

H Substance Abuse Treatment

X New Technology

ICD-10-PCS Tables
Table 001 shows the root operation of Bypass in the Central Nervous System and
Cranial Nerves body system of the Medical and Surgical section.
Table 001
Section 0 Medical and Surgical
Body System 0 Central Nervous System and Cranial Nerves
Operation 1 Bypass: Altering the route of passage of the contents of a tubular body part
 Body Part Approach Device Qualifier

6 Cerebral 0 Open 7 Autologous Tissue 0 Nasopharynx

Ventricle Substitute

3 Percutaneous 1 Mastoid Sinus

J Synthetic Substitute

4 Percutaneous 2 Atrium
Endoscopic K Nonautologous Tissue
Substitute
3 Blood Vessel

4 Pleural Cavity

5 Intestine

6 Peritoneal
Cavity

7 Urinary Tract

8 Bone Marrow

A Subgaleal
Space

B Cerebral
Cisterns

6 Cerebral 0 Open Z No Device B Cerebral

Ventricle Cisterns

3 Percutaneous
 4 Percutaneous
Endoscopic

U Spinal 0 Open 7 Autologous Tissue 2 Atrium

Canal Substitute

3 Percutaneous 4 Pleural Cavity

J Synthetic Substitute

4 Percutaneous 6 Peritoneal
Endoscopic K Nonautologous Tissue Cavity
Substitute
7 Urinary Tract

9 Fallopian Tube

Determining the ICD-10-PCS Code

ICD-10-PCS is divided into 17 sections related to the type of procedure. A chest X-ray is
an Imaging procedure, and a breast biopsy is a Medical and Surgical procedure. The
first character of the ICD-10-PCS code identifies the section.
Characters 2-7 mean the same thing within each section but may mean different things
in other sections. In all sections, the third character specifies the general type of
procedure performed, like, resection, transfusion, or fluoroscopy), and the other
characters give more information, like body part and approach. In ICD-10-PCS, the term
valid procedure code refers to the complete specification of all 7 characters.

Using the Index

Find codes in the Index based on the general type of procedure or a common procedure
term like appendectomy. You'll find secondary entries underneath the main term.
Locate the first code values for the procedure, Insertion of pacemaker lead into left atrium,
percutaneous approach, in the Index under the main term Insertion of device. The first 3
values shown for Atrium, Left under the main term show that you refer to Table 02H to
complete the procedure code.
Insertion of device in

Atrium
Left 02H7
Right 02H6
More than 1 entry may direct you to the correct Table. In this example, you may
alternatively look up the main term Pacemaker.
Pacemaker

Intracardiac
Insertion of device in
Atrium
Left 02H7

Using the Tables

Each ICD-10-PCS Table consists of 2 main sections. Hover your mouse over the
question mark icons on the left side of the table for more information.
Table 02H
Section 0 Medical and Surgical
Body System 2 Heart and Great Vessels
Operation H Insertion: Putting in a nonbiological appliance that monitors, assists, performs,
or prevents a physiological function but doesn't physically take the place of a body part

Body Part Approach Device Qualifier

0 Coronary Artery, One 0 Open D Intraluminal Device Z No Qualifier

Artery

3 Percutaneous Y Other Device

1 Coronary Artery, Two
Arteries
4 Percutaneous
Endoscopic
2 Coronary Artery,
Three Arteries

3 Coronary Artery,
Four or More Arteries

4 Coronary Vein 0 Open 0 Monitoring Device, Z No Qualifier

Pressure Sensor

6 Atrium, Right 3 Percutaneous

2 Monitoring Device
7 Atrium, Left 4 Percutaneous 3 Infusion Device
Endoscopic

K Ventricle, Right D Intraluminal Device

L Ventricle, Left J Cardiac Lead,

Pacemaker

K Cardiac Lead,
Defibrillator

M Cardiac Lead

N Intracardiac
Pacemaker

Y Other Device

A Heart 0 Open Q Implantable Heart Z No Qualifier

Assist System

3 Percutaneous
Y Other Device

4 Percutaneous
Endoscopic

A Heart 0 Open R Short-term External J

Intraoperative

3 Percutaneous Heart Assist System

S
Biventricular
4 Percutaneous
Endoscopic
Z No Qualifier
N Pericardium 0 Open 0 Monitoring Device, Z No Qualifier
Pressure Sensor

3 Percutaneous
2 Monitoring Device

4 Percutaneous
Endoscopic J Cardiac Lead,
Pacemaker

K Cardiac Lead,
Defibrillator

M Cardiac Lead

Y Other Device

P Pulmonary Trunk 0 Open 0 Monitoring Device, Z No Qualifier

Pressure Sensor

Q Pulmonary Artery, 3 Percutaneous

Right 2 Monitoring Device

4 Percutaneous
R Pulmonary Artery, Endoscopic 3 Infusion Device
Left

D Intraluminal Device
S Pulmonary Vein,
Right
Y Other Device

T Pulmonary Vein, Left

V Superior Vena Cava

W Thoracic Aorta, 0 Open 0 Monitoring Device, Z No Qualifier

Descending Pressure Sensor
 4 Percutaneous 2 Monitoring Device
Endoscopic

3 Infusion Device

D Intraluminal Device

Y Other Device

Using the Tables

Let’s select the values for characters 4-7 for the procedure Insertion of pacemaker lead
into left atrium, percutaneous approach from the valid values shown on this ICD-10-
PCS Table 02H excerpt.
Table 02H
Section 0 Medical and Surgical
Body System 2 Heart and Great Vessels
Operation H Insertion: Putting in a nonbiological appliance that monitors, assists,
performs, or prevents a physiological function but doesn't physically take the place of a
body part

Body Part Approach Device Qualifier

0 Coronary Artery, One 0 Open D Intraluminal Device Z No

Artery Qualifier

3 Percutaneous Y Other Device

1 Coronary Artery, Two
Arteries
4 Percutaneous
Endoscopic
2 Coronary Artery,
Three Arteries

3 Coronary Artery, Four

or More Arteries
 4 Coronary Vein 0 Open 0 Monitoring Device, Z No
Pressure Sensor Qualifier

6 Atrium, Right 3 Percutaneous

2 Monitoring Device

7 Atrium, Left 4 Percutaneous

Endoscopic 3 Infusion Device

K Ventricle, Right
D Intraluminal Device

L Ventricle, Left
J Cardiac Lead,
Pacemaker

K Cardiac Lead,
Defibrillator

M Cardiac Lead

N Intracardiac
Pacemaker

Y Other Device

Next, hover your mouse over each character in the code for its definition.
02H73JZ
Code assignment for this procedure.