0272346Dilation of Coronary Artery, Three Arteries, Bifurcation, with Drug-eluting Intraluminal Device, Percutaneous Approach

0272346 is the ICD-10-PCS code for a dilation procedure on the coronary artery, three arteries using a percutaneous 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 three vessels, procedure on vessel bifurcation, insertion of one vascular stent and 2 more, the ICD-9-CM procedure titles it maps to (00.42, 00.44, 00.45 and 2 more).

For a different body part, codes include 0270346 (coronary artery, one artery), 0271346 (coronary artery, two arteries) and 0273346 (coronary artery, four or more arteries).

The same procedure with a different approach is coded 0272046 (open) and 0272446 (percutaneous endoscopic).

With a different device, use 0272356 (intraluminal device, drug-eluting, two), 0272366 (intraluminal device, drug-eluting, three), 0272376 (intraluminal device, drug-eluting, four or more), 02723D6 (intraluminal device), 02723E6 (intraluminal device, two), 02723F6 (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.