X2HM3GBInsertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11

New Technology›Cardiovascular System›Insertion
ICD-10-PCS X2HM3GB
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

X2HM3GB is a billable ICD-10-PCS procedure code for Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 265. 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. The Alphabetic Index lists this code under Implantation.

Code Identity

ICD-10-PCS Code
X2HM3GB
Billable Status
Yes — Valid for Submission
Code Describes
Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11
Short Description
Insert Defb Ld Lmnls Sm-diam in Ventr Sep, Perc, New Tech 11
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
4BodyPartMVentricular Septum
5Approach3Percutaneous
6Device/Substance/TechnologyGDefibrillator Lead, Lumenless Small-diameter
7QualifierBNew Technology Group 11

In the ICD-10-PCS Alphabetic Index

The FY 2027 ICD-10-PCS Alphabetic Index refers to X2HM3GB as Implantation. These index entries lead to this code:

Implantation
Direct entry for this code
Fixation, bone, External, without fracture reduction
Direct entry for this code
Fixation, bone, Internal, without fracture reduction
Direct entry for this code
Defibrillator Lead, Lumenless Small-diameter, Ventricular Septum
Direct entry for this code
Insertion, Ventricular Septum, Defibrillator Lead, Lumenless Small-diameter
Direct entry for this code
New Technology, Insertion, Ventricular Septum, Defibrillator Lead, Lumenless Small-diameter
Direct entry for this code
Interventricular septum
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

To code implantation, open the FY 2027 ICD-10-PCS Alphabetic Index at Implantation. The entry lists X2HM3GB directly as a complete, billable code.

Browse the full ICD-10-PCS Alphabetic Index →

Code History

FY 2027New code, effective October 1, 2026.
Replaces previously assigned code(s):
  • 02HK3KZ — Insertion of Defib Lead into R Ventricle, Perc Approach

Similar Procedure Codes

Questions About X2HM3GB

Is X2HM3GB a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11 on inpatient claims from October 1, 2026 through September 30, 2027.

What is the ICD-10-PCS code for implantation?

The ICD-10-PCS Alphabetic Index lists Implantation under code X2HM3GB, Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11, billable on inpatient claims in fiscal year 2027.

What do the characters in X2HM3GB 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 M is the BodyPart (Ventricular Septum); the 5th character 3 is the Approach (Percutaneous); the 6th character G is the Device/Substance/Technology (Defibrillator Lead, Lumenless Small-diameter); the 7th character B is the Qualifier (New Technology Group 11).

What MS-DRG does X2HM3GB group to?

On an inpatient stay, Insertion of Lumenless Small-diameter Defibrillator Lead into Ventricular Septum, Percutaneous Approach, New Technology Group 11 maps to MS-DRG 265 (AICD Lead Procedures). The MS-DRG sets the fixed Medicare payment for the stay.