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ICD-10-PCS 2027 procedure code

025X3ZZDestruction of Thoracic Aorta, Ascending/Arch, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Destruction of Thoracic Aorta, Ascending/Arch, Perc Approach

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 025X3ZZ

025X3ZZ is the ICD-10-PCS code for a destruction procedure on the thoracic aorta, ascending/arch using a percutaneous 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 excision of vessels, thoracic vessels, the ICD-9-CM procedure title it maps to (38.65).

For a different body part, codes include 02543ZZ (coronary vein), 02553ZZ (atrial septum), 02563ZZ (right atrium), 02573ZZ (left atrium), 02583ZZ (conduction mechanism), 02593ZZ (chordae tendineae) and 16 more.

The same procedure with a different approach is coded 025X0ZZ (open) and 025X4ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical categories “Major Chest Procedures” and “Other Major Cardiovascular Procedures”.

It was added in FY2017, effective October 1, 2016.

What each character means

1. Section
0Medical and Surgical
2. Body System
2Heart and Great Vessels
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
XThoracic Aorta, Ascending/Arch

Includes: Aortic arch; Aortic isthmus; Aortic root; Ascending aorta; Juxtaductal aorta

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 38.65Other excision of vessels, thoracic vesselsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 025X3ZZ

Is 025X3ZZ a valid ICD-10-PCS code for 2027?

Yes. 025X3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 025X3ZZ an O.R. procedure?

Yes. 025X3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 025X3ZZ group to?

Depending on the principal diagnosis, 025X3ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 270, MS-DRG 271 and MS-DRG 272.

What is the ICD-9 procedure code for 025X3ZZ?

The CMS GEMs map 025X3ZZ to ICD-9-CM 38.65 (Other excision of vessels, thoracic vessels).