X2H Insertion - Cardiovascular System ICD-10-PCS
The X2H code range contains 19 ICD-10-PCS codes for Insertion procedures on the cardiovascular system. 18 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Insertion: Putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part.
Codes in the X2H Range 19 codes · 18 billable
- X2H New Technology, Cardiovascular System, InsertionNon-billable header
- X2H03R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Inferior Vena Cava, Percutaneous Approach, New Technology Group 9
- X2H13R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Superior Vena Cava, Percutaneous Approach, New Technology Group 9
- X2H20R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Right Femoral Vein, Open Approach, New Technology Group 9
- X2H30R9 Insertion of Intraluminal Device, Bioprosthetic Valve into Left Femoral Vein, Open Approach, New Technology Group 9
- X2H63V9 Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9
- X2HK3V9 Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9
- X2HL0F9 Insertion of Conduit to Short-term External Heart Assist System into Right Axillary Artery, Open Approach, New Technology Group 9
- X2HM0F9 Insertion of Conduit to Short-term External Heart Assist System into Left Axillary Artery, Open Approach, New Technology Group 9
- X2HX0F9 Insertion of Conduit to Short-term External Heart Assist System into Thoracic Aorta, Ascending, Open Approach, New Technology Group 9
- X2H03BB Insertion of Volume Sensor Management Device into Inferior Vena Cava, Percutaneous Approach, New Technology Group 11 New
- X2H13XB Insertion of Temporary Phrenic Nerve/Diaphragm Stimulation Electrodes into Superior Vena Cava, Percutaneous Approach, New Technology Group 11 New
- X2HN37B Insertion of Endocardiac Pacing Electrode into Left Ventricle, Percutaneous Approach, New Technology Group 11 New
- X2HP38B Insertion of Temporary Intraluminal Device into Right Anterior Tibial Artery, Percutaneous Approach, New Technology Group 11 New
- X2HQ38B Insertion of Temporary Intraluminal Device into Left Anterior Tibial Artery, Percutaneous Approach, New Technology Group 11 New
- X2HR38B Insertion of Temporary Intraluminal Device into Right Posterior Tibial Artery, Percutaneous Approach, New Technology Group 11 New
- X2HS38B Insertion of Temporary Intraluminal Device into Left Posterior Tibial Artery, Percutaneous Approach, New Technology Group 11 New
- X2HT38B Insertion of Temporary Intraluminal Device into Right Peroneal Artery, Percutaneous Approach, New Technology Group 11 New
- X2HU38B Insertion of Temporary Intraluminal Device into Left Peroneal Artery, Percutaneous Approach, New Technology Group 11 New
About the X2H Code Range
The ICD-10-PCS root operation Insertion (code starting with X2H) in the New Technology section refers to putting in a device that monitors, assists, or replaces a body function without cutting out or taking out body parts. This operation is specifically applied to the Cardiovascular System using new technologies.
Examples of this Insertion operation include placing bioprosthetic valves into major veins such as the Inferior Vena Cava (X2H03R9) or Superior Vena Cava (X2H13R9) through a Percutaneous Approach, or into the Right or Left Femoral Veins by an Open Approach. It also covers the insertion of dual-chamber intracardiac pacemakers into the Right Atrium (X2H63V9) and Right Ventricle (X2HK3V9) via percutaneous methods. Additionally, conduits for short-term external heart assist systems are inserted into locations like the Right and Left Axillary Arteries and the Ascending Thoracic Aorta by open approaches (X2HL0F9, X2HM0F9, X2HX0F9). Understanding these detailed codes aids accurate procedural documentation for advanced cardiovascular device placement using new technology techniques.
The ICD-10-PCS root operation Insertion (Code X2H) in the New Technology section involves placing a device into a body part to enable a new function or support biological processes. This operation is commonly used within the Cardiovascular System for advanced medical technologies.
Examples of this Insertion root operation include implanting intraluminal devices such as bioprosthetic valves into major veins like the Inferior Vena Cava or the Superior Vena Cava via a Percutaneous Approach (codes X2H03R9 and X2H13R9). Insertion can also occur via an Open Approach into vessels such as the Right or Left Femoral Vein (codes X2H20R9 and X2H30R9). Additionally, dual-chamber intracardiac pacemakers can be inserted into heart chambers like the Right Atrium or Right Ventricle through minimally invasive approaches (codes X2H63V9, X2HK3V9). The procedure also includes placement of conduits to external heart assist systems into arteries such as the Right or Left Axillary Artery and the Thoracic Aorta, Ascending (codes X2HL0F9, X2HM0F9, X2HX0F9). These detailed codes enable precise documentation of advanced cardiovascular device implantation under new technological methods.
Questions About This Page
How many billable codes are in the X2H range?
Of the 19 codes in this range, 18 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.
What does the X2H range classify?
The range classifies Insertion procedures, putting in a nonbiological appliance that monitors, assists, performs, or prevents aphysiological function but does not physically take the place of a body part, performed on the cardiovascular system. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.
Related References
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
