X2HK3V9Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9

New Technology›Cardiovascular System›Insertion
  • Billable / Specific Code
ICD-10-PCS X2HK3V9
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

X2HK3V9 is a billable ICD-10-PCS procedure code for Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 228, 229. The root operation Insertion involves putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Pacemaker and defibrillator procedures.

Code Identity

ICD-10-PCS Code
X2HK3V9
Billable Status
Yes — Valid for Submission
Code Describes
Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9
Short Description
Insert Dl-Chmb Intrcard Pacer in R Ventrc, Perc, New Tech 9
Parent Code
X2H

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
3OperationHInsertion
4BodyPartKVentricle, Right
5Approach3Percutaneous
6Device/Substance/TechnologyVIntracardiac Pacemaker, Dual-Chamber
7Qualifier9New Technology Group 9

In the ICD-10-PCS Alphabetic Index

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

Conus arteriosus
Anatomy or device term that leads here
Insertion, Intracardiac Pacemaker, Dual-Chamber
Leads to this code's table
Intracardiac Pacemaker, Dual-Chamber, Insertion
Leads to this code's table
Insertion, Intraluminal Device, Bioprosthetic Valve
Leads to this code's table
Intraluminal Device, Bioprosthetic Valve, Insertion
Leads to this code's table
Conduit to Short-term External Heart Assist System, Insertion
Leads to this code's table
Insertion, Conduit to Short-term External Heart Assist System
Leads to this code's table
New Technology, Insertion, Intracardiac Pacemaker, Dual-Chamber
Leads to this code's table
New Technology, Insertion, Intraluminal Device, Bioprosthetic Valve
Leads to this code's table
New Technology, Insertion, Conduit to Short-term External Heart Assist System
Leads to this code's table

To code insertion of the Dual-Chamber intracardiac pacemaker, open the FY 2027 ICD-10-PCS Alphabetic Index at Insertion, then the subterms Intracardiac Pacemaker, Dual-Chamber. The index leads to table X2H, where the approach, Device/Substance/Technology and qualifier values shown in the breakdown above complete the seven-character code X2HK3V9.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR026
Pacemaker and defibrillator procedures
Clinical domain: Cardiovascular Procedures

Code History

Replaces previously assigned code(s):
  • 02HK3NZ — Insertion of Intracard Pacer into R Ventricle, Perc Approach

Questions About X2HK3V9

Is X2HK3V9 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9 on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in X2HK3V9 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 H is the Operation (Insertion); the 4th character K is the BodyPart (Ventricle, Right); the 5th character 3 is the Approach (Percutaneous); the 6th character V is the Device/Substance/Technology (Intracardiac Pacemaker, Dual-Chamber); the 7th character 9 is the Qualifier (New Technology Group 9).

What MS-DRG does X2HK3V9 group to?

On an inpatient stay, Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9 maps to MS-DRGs 228, 229, with relative weights from 3.4404 to 4.9660. The MS-DRG sets the fixed Medicare payment for the stay.