02540ZZDestruction of Coronary Vein, Open Approach

02540ZZ is the ICD-10-PCS code for a destruction procedure on the coronary vein using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other operations on vessels of heart, the ICD-9-CM procedure title it maps to (36.99).

For a different body part, codes include 02550ZZ (atrial septum), 02560ZZ (right atrium), 02570ZZ (left atrium), 02580ZZ (conduction mechanism), 02590ZZ (chordae tendineae), 025D0ZZ (papillary muscle) and 16 more.

The same procedure with a different approach is coded 02543ZZ (percutaneous) and 02544ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 228 (Other Cardiothoracic Procedures with MCC), DRG 229 (Other Cardiothoracic Procedures without MCC), DRG 233 (Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC), DRG 234 (Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC) and DRG 317 (Concomitant Left Atrial Appendage Closure and Cardiac Ablation), under the surgical categories “Concomitant Aortic and Mitral Valve Procedures”, “Other Cardiothoracic Procedures”, “” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.