0271446Dilation of Coronary Artery, Two Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach

0271446 is the ICD-10-PCS code for a dilation procedure on the coronary artery, two arteries using a percutaneous endoscopic approach with intraluminal device, drug-eluting (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 two vessels, procedure on vessel bifurcation, insertion of one vascular stent and 2 more, the ICD-9-CM procedure titles it maps to (00.41, 00.44, 00.45 and 2 more).

For a different body part, codes include 0270446 (coronary artery, one artery), 0272446 (coronary artery, three arteries) and 0273446 (coronary artery, four or more arteries).

The same procedure with a different approach is coded 0271046 (open) and 0271346 (percutaneous).

With a different device, use 0271456 (intraluminal device, drug-eluting, two), 0271466 (intraluminal device, drug-eluting, three), 0271476 (intraluminal device, drug-eluting, four or more), 02714D6 (intraluminal device), 02714E6 (intraluminal device, two), 02714F6 (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 has been valid since ICD-10-PCS took effect on October 1, 2015.