025X4ZZ ICD-10-PCS Code: Destruction of Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

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

• MDC 04 — Major Chest Procedures: DRG 163, DRG 164, DRG 165
• MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272

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

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

025N4ZZ — Destruction of Pericardium, Percutaneous Endoscopic Approach, 025P4ZZ — Destruction of Pulmonary Trunk, Percutaneous Endoscopic Approach, 025Q4ZZ — Destruction of Right Pulmonary Artery, Percutaneous Endoscopic Approach, 025R4ZZ — Destruction of Left Pulmonary Artery, Percutaneous Endoscopic Approach, 025S4ZZ — Destruction of Right Pulmonary Vein, Percutaneous Endoscopic Approach, 025T4ZZ — Destruction of Left Pulmonary Vein, Percutaneous Endoscopic Approach, 025V4ZZ — Destruction of Superior Vena Cava, Percutaneous Endoscopic Approach, 025W4ZZ — Destruction of Thoracic Aorta, Descending, Percutaneous Endoscopic Approach, +14 more

Same operation — other Approach

Same table and root operation, differing only in the approach character.

025X0ZZ — Destruction of Thoracic Aorta, Ascending/Arch, Open Approach, 025X3ZZ — Destruction of Thoracic Aorta, Ascending/Arch, Percutaneous Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Saphenous vein harvest and other therapeutic vessel removal (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

02B40ZZ — Excision of Coronary Vein, Open Approach, 02B43ZZ — Excision of Coronary Vein, Percutaneous Approach, 02B44ZZ — Excision of Coronary Vein, Percutaneous Endoscopic Approach, 02BP0ZZ — Excision of Pulmonary Trunk, Open Approach, 02BP3ZZ — Excision of Pulmonary Trunk, Percutaneous Approach, 02BP4ZZ — Excision of Pulmonary Trunk, Percutaneous Endoscopic Approach, 02BQ0ZZ — Excision of Right Pulmonary Artery, Open Approach, 02BQ3ZZ — Excision of Right Pulmonary Artery, Percutaneous Approach, 02BQ4ZZ — Excision of Right Pulmonary Artery, Percutaneous Endoscopic Approach, 02BR0ZZ — Excision of Left Pulmonary Artery, Open Approach, 02BR3ZZ — Excision of Left Pulmonary Artery, Percutaneous Approach, 02BR4ZZ — Excision of Left Pulmonary Artery, Percutaneous Endoscopic Approach, 02BS0ZZ — Excision of Right Pulmonary Vein, Open Approach, 02BS3ZZ — Excision of Right Pulmonary Vein, Percutaneous Approach, 02BS4ZZ — Excision of Right Pulmonary Vein, Percutaneous Endoscopic Approach, 02BT0ZZ — Excision of Left Pulmonary Vein, Open Approach, 02BT3ZZ — Excision of Left Pulmonary Vein, Percutaneous Approach, 02BT4ZZ — Excision of Left Pulmonary Vein, Percutaneous Endoscopic Approach, 02BV0ZZ — Excision of Superior Vena Cava, Open Approach, 02BV3ZZ — Excision of Superior Vena Cava, Percutaneous Approach, +718 more

Contextual Map

Every relationship of 025X4ZZ 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.

Run 025X4ZZ with these 5 related codes in Claim Check

PCS table

• 025[PCS table]— CMS ICD-10-PCS tables
• Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
• Heart and Great Vessels — Body System: Heart and Great Vessels[Body System]: “Heart and Great Vessels”— CMS ICD-10-PCS tables
• Destruction — Operation: Destruction[Operation]: “Destruction”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 163 — MAJOR CHEST PROCEDURES WITH MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 164 — MAJOR CHEST PROCEDURES WITH CC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH CC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 165 — MAJOR CHEST PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITHOUT CC/MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• CAR020 — Saphenous vein harvest and other therapeutic vessel removal[CCSR category]: “Saphenous vein harvest and other therapeutic vessel removal — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (2525)

• MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory 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.”— CMS MS-DRG Definitions Manual · FY2026
• 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.”— CMS MS-DRG Definitions Manual · FY2026
• A02.22 — Salmonella pneumonia[Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A06.5 — Amebic lung abscess[Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A15.0 — Tuberculosis of lung[Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A15.4 — Tuberculosis of intrathoracic lymph nodes[Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A15.5 — Tuberculosis of larynx, trachea and bronchus[Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 2520 more

Nearest codes

• 02544ZZ — Destruction of Coronary Vein, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02554ZZ — Destruction of Atrial Septum, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02564ZZ — Destruction of Right Atrium, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02574ZZ — Destruction of Left Atrium, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02584ZZ — Destruction of Conduction Mechanism, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02594ZZ — Destruction of Chordae Tendineae, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 025D4ZZ — Destruction of Papillary Muscle, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 025F4ZZ — Destruction of Aortic Valve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables