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Inpatient Procedure Code

02PA3QZICD-10-PCS Code: Removal of Implantable Heart Assist System from Heart, Percutaneous Approach

Removal of Implant Heart Assist from Heart, Perc 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 OperationP

Removal

Taking out or off a device from a body part

4
Body PartA

Heart

5
Approach3

Percutaneous

6
DeviceQ

Implantable Heart Assist System

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 2 MS-DRGs:

  • MDC 05 — Aortic and Heart Assist Procedures Except Pulsation Balloon: DRG 268, DRG 269

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

Related Codes

Same operation — other Approach

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

02PA0QZ — Removal of Implantable Heart Assist System from Heart, Open Approach, 02PA4QZ — Removal of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach

Same operation — other Device

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

02PA3CZ — Removal of Extraluminal Device from Heart, Percutaneous Approach, 02PA3DZ — Removal of Intraluminal Device from Heart, Percutaneous Approach, 02PA3JZ — Removal of Synthetic Substitute from Heart, Percutaneous Approach, 02PA3KZ — Removal of Nonautologous Tissue Substitute from Heart, Percutaneous Approach, 02PA3MZ — Removal of Cardiac Lead from Heart, Percutaneous Approach, 02PA3NZ — Removal of Intracardiac Pacemaker from Heart, Percutaneous Approach, 02PA3RZ — Removal of Short-term External Heart Assist System from Heart, Percutaneous Approach, 02PA3YZ — Removal of Other Device from Heart, Percutaneous Approach, +4 more

Contextual Map

Every relationship of 02PA3QZ 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

  • 02P[PCS table]
  • Medical and Surgical — Section: Medical and Surgical [Section]: “Medical and Surgical”
  • Heart and Great Vessels — Body System: Heart and Great Vessels [Body System]: “Heart and Great Vessels”
  • Removal — Operation: Removal [Operation]: “Removal”

MS-DRG participation

  • DRG 268 — AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC [MS-DRG]: “AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC — Aortic and Heart Assist Procedures Except Pulsation Balloon (MDC 05)”
  • DRG 269 — AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC [MS-DRG]: “AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC — Aortic and Heart Assist Procedures Except Pulsation Balloon (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

  • 02PA0QZ — Removal of Implantable Heart Assist System from Heart, Open Approach [One axis away]
  • 02PA32Z — Removal of Monitoring Device from Heart, Percutaneous Approach [One axis away]
  • 02PA33Z — Removal of Infusion Device from Heart, Percutaneous Approach [One axis away]
  • 02PA37Z — Removal of Autologous Tissue Substitute from Heart, Percutaneous Approach [One axis away]
  • 02PA38Z — Removal of Zooplastic Tissue from Heart, Percutaneous Approach [One axis away]
  • 02PA3CZ — Removal of Extraluminal Device from Heart, Percutaneous Approach [One axis away]
  • 02PA3DZ — Removal of Intraluminal Device from Heart, Percutaneous Approach [One axis away]
  • 02PA3JZ — Removal of Synthetic Substitute from Heart, Percutaneous Approach [One axis away]

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.