5A0221DAssistance with Cardiac Output using Impeller Pump, Continuous
- Billable / Specific Code
5A0221D is a billable ICD-10-PCS procedure code for Assistance with Cardiac Output using Impeller Pump, Continuous. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 7 MS-DRGs. The root operation Assistance involves taking over a portion of a physiological function by extracorporeal means. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Cardiac assistance with ventricular assist device.
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 5 | Extracorporeal or Systemic Assistance and Performance |
| 2 | Body System | A | Physiological Systems |
| 3 | Operation | 0 | Assistance |
| 4 | BodySystem | 2 | Cardiac |
| 5 | Duration | 2 | Continuous |
| 6 | Function | 1 | Output |
| 7 | Qualifier | D | Impeller Pump |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code impeller pump of the output continuous cardiac, open the FY 2027 ICD-10-PCS Alphabetic Index at Impeller Pump, then the subterms Cardiac, Continuous, Output. The entry lists 5A0221D directly as a complete, billable code.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 5A0221D
Is 5A0221D a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Assistance with Cardiac Output using Impeller Pump, Continuous on inpatient claims from October 1, 2026 through September 30, 2027.
What is the ICD-10-PCS code for impeller pump of the output continuous cardiac?
The FY 2027 ICD-10-PCS Alphabetic Index entry Impeller Pump, Cardiac, Continuous, Output is a direct entry for 5A0221D, Assistance with Cardiac Output using Impeller Pump, Continuous, billable on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 5A0221D mean?
The code breaks down character by character: the 1st character 5 is the Section (Extracorporeal or Systemic Assistance and Performance); the 2nd character A is the Body System (Physiological Systems); the 3rd character 0 is the Operation (Assistance); the 4th character 2 is the BodySystem (Cardiac); the 5th character 2 is the Duration (Continuous); the 6th character 1 is the Function (Output); the 7th character D is the Qualifier (Impeller Pump).
What MS-DRG does 5A0221D group to?
On an inpatient stay, Assistance with Cardiac Output using Impeller Pump, Continuous maps to MS-DRGs 212, 216, 217, 218, 219, 220, 221, with relative weights from 4.7134 to 11.4416. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 5A0221D?
Under the General Equivalence Mappings, Assistance with Cardiac Output using Impeller Pump, Continuous crosswalks to ICD-9-PCS 37.68 (Insertion of percutaneous external heart assist device). The mapping is approximate, so confirm it fits the documentation.
