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ICD-10-PCS 2027 procedure code

X2AL34BLeft Internal Carotid Artery Cerebral Embolic Filtration, Single Integrated Distal Filter, Percutaneous Approach, New Technology Group 11

✓ Valid for 2027

Short description: L Int Carot Cereb Emb Singl Integr Filtr, Perc, New Tech 11

Code last changed in FY2026 (effective October 1, 2025). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About X2AL34B

X2AL34B is the ICD-10-PCS code for a assistance procedure on the left internal carotid artery using a percutaneous approach with cerebral embolic filtration, single integrated distal filter (qualifier: new technology group 11). In ICD-10-PCS, assistance means taking over a portion of a physiological function by extracorporeal means.

For a different body part, codes include X2AH34B (right common carotid artery), X2AJ34B (left common carotid artery) and X2AK34B (right internal carotid artery).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2026, effective October 1, 2025.

What each character means

1. Section
XNew Technology
2. Body System
2Cardiovascular System
3. Operation
AAssistance

Taking over a portion of a physiological function by extracorporeal means

4. Body Part
LInternal Carotid Artery, Left
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 / Substance / Technology
4Cerebral Embolic Filtration, Single Integrated Distal Filter
7. Qualifier
BNew Technology Group 11

Other versions of this procedure

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
  • FY2026 (effective 10/1/2025): Added
  • No changes since FY2026.

Common questions about X2AL34B

Is X2AL34B a valid ICD-10-PCS code for 2027?

Yes. X2AL34B is valid for inpatient procedures from October 1, 2026 through September 30, 2027.