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ICD-10-PCS/025/02540ZZ
Inpatient Procedure Code

02540ZZ

Destruction of Coronary Vein, Open Approach

Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body System2

Heart and Great Vessels

3
Root Operation5

Destruction

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

4
Body Part4

Coronary Vein

5
Approach0

Open

6
DeviceZ

No Device

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:

  • MDC 05 — Concomitant Aortic and Mitral Valve Procedures: DRG 212
  • MDC 05 — Other Cardiothoracic Procedures: DRG 228, DRG 229
  • MDC 05 — : DRG 233, DRG 234
  • MDC 05 — Concomitant Left Atrial Appendage Closure and Cardiac Ablation: DRG 317

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Contextual Map

Every relationship of 02540ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

PCS table

  • 025[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

  • DRG 212 — CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES [MS-DRG]: “CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES — Concomitant Aortic and Mitral Valve Procedures (MDC 05)”
  • DRG 228 — OTHER CARDIOTHORACIC PROCEDURES WITH MCC [MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITH MCC — Other Cardiothoracic Procedures (MDC 05)”
  • DRG 229 — OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC [MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — Other Cardiothoracic Procedures (MDC 05)”
  • DRG 233 — CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC [MS-DRG]
  • DRG 234 — CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC [MS-DRG]
  • DRG 317 — CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION [MS-DRG]: “CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION — Concomitant Left Atrial Appendage Closure and Cardiac Ablation (MDC 05)”

MDC crossing · diagnoses (1844)

  • MDC 05 — Diseases and Disorders of the Circulatory System [MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • and 1839 more

Nearest codes

  • 02543ZZ — Destruction of Coronary Vein, Percutaneous Approach [One axis away]
  • 02544ZZ — Destruction of Coronary Vein, Percutaneous Endoscopic Approach [One axis away]
  • 02550ZZ — Destruction of Atrial Septum, Open Approach [One axis away]
  • 02560ZZ — Destruction of Right Atrium, Open Approach [One axis away]
  • 02570ZZ — Destruction of Left Atrium, Open Approach [One axis away]
  • 02580ZZ — Destruction of Conduction Mechanism, Open Approach [One axis away]
  • 02590ZZ — Destruction of Chordae Tendineae, Open Approach [One axis away]
  • 025D0ZZ — Destruction of Papillary Muscle, Open Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.