02CX4ZZExtirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

Medical and Surgical›Heart and Great Vessels›Extirpation
  • Billable / Specific Code
ICD-10-PCS 02CX4ZZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

02CX4ZZ is a billable ICD-10-PCS procedure code for Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 11 MS-DRGs. The root operation Extirpation involves taking or cutting out solid matter from a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Embolectomy, endarterectomy, and related vessel procedures (non-endovascular; excluding carotid).

Code Identity

ICD-10-PCS Code
02CX4ZZ
Billable Status
Yes — Valid for Submission
Code Describes
Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
Short Description
Extirpate of Matter from Thor Aorta Asc, Perc Endo Approach
Parent Code
02C

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System2Heart and Great Vessels
3OperationCExtirpation
4BodyPartXThoracic Aorta, Ascending/Arch
5Approach4Percutaneous Endoscopic
6DeviceZNo Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Aortic arch
Anatomy or device term that leads here
Aortic root
Anatomy or device term that leads here
Atherectomy
Leads to this code's table
Aortic isthmus
Anatomy or device term that leads here
Ascending aorta
Anatomy or device term that leads here
Juxtaductal aorta
Anatomy or device term that leads here
Orbital Atherectomy
Leads to this code's table
Extirpation, Orbital Atherectomy
Leads to this code's table
Extirpation, Aorta, Thoracic, Ascending/Arch
Leads to this code's table

To code extirpation of the orbital atherectomy, open the FY 2027 ICD-10-PCS Alphabetic Index at Extirpation, then the subterm Orbital Atherectomy. The index leads to table 02C, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 02CX4ZZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR007
Embolectomy, endarterectomy, and related vessel procedures (non-endovascular; excluding carotid)
Clinical domain: Cardiovascular Procedures

Code History

Replaces previously assigned code(s):
  • 02CW4ZZ — Extirpate of Matter from Thor Aorta Desc, Perc Endo Approach

Similar Procedure Codes

Questions About 02CX4ZZ

Is 02CX4ZZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 02CX4ZZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 2 is the Body System (Heart and Great Vessels); the 3rd character C is the Operation (Extirpation); the 4th character X is the BodyPart (Thoracic Aorta, Ascending/Arch); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character Z is the Device (No Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 02CX4ZZ group to?

On an inpatient stay, Extirpation of Matter from Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach maps to MS-DRGs 268, 269, 356, 357, 358, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 7.5502. The MS-DRG sets the fixed Medicare payment for the stay.