X2HK3V9 ICD-10-PCS Code: Insertion of Dual-Chamber Intracardiac Pacemaker into Right Ventricle, Percutaneous Approach, New Technology Group 9

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 2 MS-DRGs:

• MDC 05 — Other Cardiothoracic Procedures: DRG 228, DRG 229

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.

X2H63V9 — Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Pacemaker and defibrillator procedures (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.

0JPT3FZ — Removal of Subcutaneous Defibrillator Lead from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach, 0JPT3PZ — Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach, 0JWT0FZ — Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Open Approach, 0JWT0PZ — Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach, 0JWT3FZ — Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach, 0JWT3PZ — Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach, 0JWTXFZ — Revision of Subcutaneous Defibrillator Lead in Trunk Subcutaneous Tissue and Fascia, External Approach, 0JWTXPZ — Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, External Approach, 0WHC0GZ — Insertion of Defibrillator Lead into Mediastinum, Open Approach, 0WHC3GZ — Insertion of Defibrillator Lead into Mediastinum, Percutaneous Approach, 0WHC4GZ — Insertion of Defibrillator Lead into Mediastinum, Percutaneous Endoscopic Approach, 0WPC0GZ — Removal of Defibrillator Lead from Mediastinum, Open Approach, 0WPC3GZ — Removal of Defibrillator Lead from Mediastinum, Percutaneous Approach, 0WPC4GZ — Removal of Defibrillator Lead from Mediastinum, Percutaneous Endoscopic Approach, 0WPCXGZ — Removal of Defibrillator Lead from Mediastinum, External Approach, 0WWC0GZ — Revision of Defibrillator Lead in Mediastinum, Open Approach, 0WWC3GZ — Revision of Defibrillator Lead in Mediastinum, Percutaneous Approach, 0WWC4GZ — Revision of Defibrillator Lead in Mediastinum, Percutaneous Endoscopic Approach, 0WWCXGZ — Revision of Defibrillator Lead in Mediastinum, External Approach, XHH80HB — Insertion of Ultrasound Transmitter and Battery for Endocardiac Pacing Electrode into Chest Subcutaneous Tissue and Fascia, Open Approach, New Technology Group 11, +120 more

Contextual Map

Every relationship of X2HK3V9 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 X2HK3V9 with these 5 related codes in Claim Check

PCS table

• X2H[PCS table]— CMS ICD-10-PCS tables
• New Technology — Section: New Technology[Section]: “New Technology”— CMS ICD-10-PCS tables
• Cardiovascular System — Body System: Cardiovascular System[Body System]: “Cardiovascular System”— CMS ICD-10-PCS tables
• Insertion — Operation: Insertion[Operation]: “Insertion”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 228 — OTHER CARDIOTHORACIC PROCEDURES WITH MCC[MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITH MCC — Other Cardiothoracic Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 229 — OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC[MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — Other Cardiothoracic Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

Clinical classification (CCSR)

• CAR026 — Pacemaker and defibrillator procedures[CCSR category]: “Pacemaker and defibrillator procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

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.”— CMS MS-DRG Definitions Manual · FY2026
• A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 1839 more

Nearest codes

• X2H63V9 — Insertion of Dual-Chamber Intracardiac Pacemaker into Right Atrium, Percutaneous Approach, New Technology Group 9[One axis away]— CMS ICD-10-PCS tables