2025 ICD-10-CM Procedure Code 03PY0JZ

Removal of Synthetic Substitute from Upper Artery, Open Approach

ICD-10-PCS Code:: 03PY0JZ
ICD-10-PCS Code for:: Removal of Synthetic Substitute from Up Art, Open Approach
Is Billable?: Yes - Valid for Submission
Code Navigator:

03PY0JZ is a billable procedure code used to specify the performance of removal of synthetic substitute from upper artery, open approach. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves taking out or off a device from a body part. Procedure code explanation: if a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation change. otherwise, the procedure for taking out a device is coded to the root operation removal drainage tube removal, cardiac pacemaker removal

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

03PY0JZ PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the upper arteries body system, classified under removal operation. The applicable bodypart for this procedure code is upper artery.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	3	Upper Arteries
3	Operation	P	Removal	Involves: Taking out or off a device from a body part Explanation: If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL Includes: Drainage tube removal, cardiac pacemaker removal
4	BodyPart	Y	Upper Artery	Includes: Aortic intercostal artery Bronchial artery Esophageal artery Subcostal artery
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	J	Synthetic Substitute	Includes: AbioCor(R) Total Replacement Heart AMPLATZER(R) Muscular VSD Occluder Annuloplasty ring Bard(R) Composix(R) (E/X)(LP) mesh Bard(R) Composix(R) Kugel(R) patch Bard(R) Dulex(tm) mesh Bard(R) Ventralex(tm) hernia patch Barricaid(R) Annular Closure Device (ACD) BRYAN(R) Cervical Disc System Corvia IASD(R) Ex-PRESS(tm) mini glaucoma shunt Flexible Composite Mesh GORE(R) DUALMESH(R) Holter valve ventricular shunt IASD(R) (InterAtrial Shunt Device), Corvia InterAtrial Shunt Device IASD(R), Corvia LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System MitraClip valve repair system Nitinol framed polymer mesh Open Pivot (mechanical) valve Open Pivot Aortic Valve Graft (AVG) Partially absorbable mesh PHYSIOMESH(tm) Flexible Composite Mesh Polymethylmethacrylate (PMMA) Polypropylene mesh PRESTIGE(R) Cervical Disc PROCEED(tm) Ventral Patch Prodisc-C Prodisc-L PROLENE Polypropylene Hernia System (PHS) Rebound HRD(R) (Hernia Repair Device) SynCardia Total Artificial Heart Total artificial (replacement) heart ULTRAPRO Hernia System (UHS) ULTRAPRO Partially Absorbable Lightweight Mesh ULTRAPRO Plug V-Wave Interatrial Shunt System Ventrio(tm) Hernia Patch Zimmer(R) NexGen(R) LPS Mobile Bearing Knee Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Clinical Classification

Clinical Category is Cardiovascular device procedures, NEC
CCSR Category Code: CAR029
Clinical Domain is Cardiovascular Procedures - CAR contains 29 categories that include cardiovascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), and aneurysm repair procedures.

03PY0JZ is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 03PY0JZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD
673	Other Kidney and Urinary Tract Procedures with MCC	11
674	Other Kidney and Urinary Tract Procedures with CC	11
675	Other Kidney and Urinary Tract Procedures without CC/MCC	11
907	Other O.R. Procedures for Injuries with MCC	21
908	Other O.R. Procedures for Injuries with CC	21
909	Other O.R. Procedures for Injuries without CC/MCC	21
957	Other O.R. Procedures for Multiple Significant Trauma with MCC	24
958	Other O.R. Procedures for Multiple Significant Trauma with CC	24
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC	24

Convert to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 3943 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Removal Upper Artery

Filter related codes list:

03PY00Z Removal of Drainage Device from Upper Artery, Open Approach
03PY02Z Removal of Monitoring Device from Upper Artery, Open Approach
03PY03Z Removal of Infusion Device from Upper Artery, Open Approach
03PY07Z Removal of Autologous Tissue Substitute from Upper Artery, Open Approach
03PY0CZ Removal of Extraluminal Device from Upper Artery, Open Approach
03PY0DZ Removal of Intraluminal Device from Upper Artery, Open Approach
03PY0KZ Removal of Nonautologous Tissue Substitute from Upper Artery, Open Approach
03PY0MZ Removal of Stimulator Lead from Upper Artery, Open Approach
03PY0YZ Removal of Other Device from Upper Artery, Open Approach
03PY30Z Removal of Drainage Device from Upper Artery, Percutaneous Approach
03PY32Z Removal of Monitoring Device from Upper Artery, Percutaneous Approach
03PY33Z Removal of Infusion Device from Upper Artery, Percutaneous Approach
03PY37Z Removal of Autologous Tissue Substitute from Upper Artery, Percutaneous Approach
03PY3CZ Removal of Extraluminal Device from Upper Artery, Percutaneous Approach
03PY3DZ Removal of Intraluminal Device from Upper Artery, Percutaneous Approach
03PY3JZ Removal of Synthetic Substitute from Upper Artery, Percutaneous Approach
03PY3KZ Removal of Nonautologous Tissue Substitute from Upper Artery, Percutaneous Approach
03PY3MZ Removal of Stimulator Lead from Upper Artery, Percutaneous Approach
03PY3YZ Removal of Other Device from Upper Artery, Percutaneous Approach
03PY40Z Removal of Drainage Device from Upper Artery, Percutaneous Endoscopic Approach
03PY42Z Removal of Monitoring Device from Upper Artery, Percutaneous Endoscopic Approach
03PY43Z Removal of Infusion Device from Upper Artery, Percutaneous Endoscopic Approach
03PY47Z Removal of Autologous Tissue Substitute from Upper Artery, Percutaneous Endoscopic Approach
03PY4CZ Removal of Extraluminal Device from Upper Artery, Percutaneous Endoscopic Approach
03PY4DZ Removal of Intraluminal Device from Upper Artery, Percutaneous Endoscopic Approach
03PY4JZ Removal of Synthetic Substitute from Upper Artery, Percutaneous Endoscopic Approach
03PY4KZ Removal of Nonautologous Tissue Substitute from Upper Artery, Percutaneous Endoscopic Approach
03PY4MZ Removal of Stimulator Lead from Upper Artery, Percutaneous Endoscopic Approach
03PY4YZ Removal of Other Device from Upper Artery, Percutaneous Endoscopic Approach
03PYX0Z Removal of Drainage Device from Upper Artery, External Approach
03PYX2Z Removal of Monitoring Device from Upper Artery, External Approach
03PYX3Z Removal of Infusion Device from Upper Artery, External Approach
03PYXDZ Removal of Intraluminal Device from Upper Artery, External Approach
03PYXMZ Removal of Stimulator Lead from Upper Artery, External Approach

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.