0270366Dilation of Coronary Artery, One Artery, Bifurcation, with Three Drug-eluting Intraluminal Devices, Percutaneous Approach

0270366 is the ICD-10-PCS code for a dilation procedure on the coronary artery, one artery using a percutaneous approach with intraluminal device, drug-eluting, three (qualifier: bifurcation). In ICD-10-PCS, dilation means expanding an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to procedure on single vessel, procedure on vessel bifurcation, insertion of three vascular stents and 2 more, the ICD-9-CM procedure titles it maps to (00.40, 00.44, 00.47 and 2 more).

For a different body part, codes include 0271366 (coronary artery, two arteries), 0272366 (coronary artery, three arteries) and 0273366 (coronary artery, four or more arteries).

The same procedure with a different approach is coded 0270066 (open) and 0270466 (percutaneous endoscopic).

With a different device, use 0270346 (intraluminal device, drug-eluting), 0270356 (intraluminal device, drug-eluting, two), 0270376 (intraluminal device, drug-eluting, four or more), 02703D6 (intraluminal device), 02703E6 (intraluminal device, two), 02703F6 (intraluminal device, three) and 3 more.

It is an operating-room procedure in the MS-DRG logic for DRG 231 (Coronary Bypass with PTCA with MCC), DRG 232 (Coronary Bypass with PTCA without MCC), DRG 321 (Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices), DRG 322 (Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC), DRG 323 (Coronary Intravascular Lithotripsy with Intraluminal Device with MCC) and DRG 324 (Coronary Intravascular Lithotripsy with Intraluminal Device without MCC), under the surgical categories “”, “Percutaneous cardiovascular procedures with intraluminal device”, “Coronary Intravascular Lithotripsy with Intraluminal Device” and 1 more.

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