X2A7358Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8

  • Billable / Specific Code
ICD-10-PCS X2A7358
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

X2A7358 is a billable ICD-10-PCS procedure code for Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 250, 251. The root operation Assistance involves taking over a portion of a physiological function by extracorporeal means. The Alphabetic Index lists this code under PiCSO(R) Impulse System. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Artery, vein, and great vessel procedures, NEC.

Code Identity

ICD-10-PCS Code
X2A7358
Billable Status
Yes — Valid for Submission
Code Describes
Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8
Short Description
Intmit Cor Sin Occl, Perc Approach, New Tech 8
Parent Code
X2A New Technology, Cardiovascular System, Assistance

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
1SectionXNew Technology
2Body System2Cardiovascular System
3OperationAAssistance
4BodyPart7Coronary Sinus
5Approach3Percutaneous
6Device/Substance/Technology5Intermittent Coronary Sinus Occlusion
7Qualifier8New Technology Group 8

In the ICD-10-PCS Alphabetic Index

The FY 2027 ICD-10-PCS Alphabetic Index refers to X2A7358 as PiCSO(R) Impulse System. These index entries lead to this code:

Direct entry for this code
Direct entry for this code
New Technology, Intermittent Coronary Sinus Occlusion
Direct entry for this code
IEP(R) (Integrated Embolic Protection) System, Neuroguard
Leads to this code's table
Assistance, Cerebral Embolic Filtration, Single Integrated Distal Filter
Leads to this code's table
Cerebral Embolic Filtration, Single Integrated Distal Filter, Assistance
Leads to this code's table
New Technology, Assistance, Cerebral Embolic Filtration, Single Integrated Distal Filter
Leads to this code's table

To code intermittent coronary sinus occlusion, open the FY 2027 ICD-10-PCS Alphabetic Index at Intermittent Coronary Sinus Occlusion. The entry lists X2A7358 directly as a complete, billable code.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR021
Artery, vein, and great vessel procedures, NEC
Clinical domain: Cardiovascular Procedures

Similar Procedure Codes

Questions About X2A7358

Is X2A7358 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8 on inpatient claims from October 1, 2026 through September 30, 2027.

What is the ICD-10-PCS code for PiCSO(R) Impulse System?

The ICD-10-PCS Alphabetic Index lists PiCSO(R) Impulse System under code X2A7358, Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8, billable on inpatient claims in fiscal year 2027.

What do the characters in X2A7358 mean?

The code breaks down character by character: the 1st character X is the Section (New Technology); the 2nd character 2 is the Body System (Cardiovascular System); the 3rd character A is the Operation (Assistance); the 4th character 7 is the BodyPart (Coronary Sinus); the 5th character 3 is the Approach (Percutaneous); the 6th character 5 is the Device/Substance/Technology (Intermittent Coronary Sinus Occlusion); the 7th character 8 is the Qualifier (New Technology Group 8).

What MS-DRG does X2A7358 group to?

On an inpatient stay, Intermittent Coronary Sinus Occlusion, Percutaneous Approach, New Technology Group 8 maps to MS-DRGs 250, 251, with relative weights from 1.6640 to 2.3392. The MS-DRG sets the fixed Medicare payment for the stay.