ICD-10-PCS
Description
OPERATING ROOM PROCEDURE X2VY06B
Restriction of thoracic aortic arch and descending thoracic aorta using uncovered intraluminal device with support cuff, open approach, new technology group 11
WITH ONE OF THE FOLLOWING: 02RX07Z Replacement of thoracic aorta, ascending/arch with autologous tissue substitute, open approach
02RX08Z Replacement of thoracic aorta, ascending/arch with zooplastic tissue, open approach
02RX0JZ Replacement of thoracic aorta, ascending/arch with synthetic substitute, open approach
02RX0KZ Replacement of thoracic aorta, ascending/arch with nonautologous tissue substitute, open approach
Replacement of thoracic aorta, ascending/arch with autologous tissue substitute, percutaneous endoscopic approach Replacement of thoracic aorta, ascending/arch with zooplastic tissue, percutaneous endoscopic approach Replacement of thoracic aorta, ascending/arch with synthetic substitute, percutaneous endoscopic approach Replacement of thoracic aorta, ascending/arch with nonautologous tissue substitute, percutaneous endoscopic approach
02RX47Z
02RX48Z
02RX4JZ
02RX4KZ
Inpatient Hospital MS-DRG 3 Reimbursement for inpatient hospital services is governed by the Inpatient Prospective Payment System (IPPS), which determines hospital payment based on Medicare Severity - Diagnosis Related Groups (MS-DRGs). This system consolidates all services and supplies provided during an inpatient stay into one single payment DRG rate per patient admission. The DRG payment rates provided below are based on the 2025 national average Medicare Physician Fee Schedule (MPFS) and have not been adjusted for sequestration. The most appropriate DRGs that apply to the patient diagnosis include the following:
2026 CMS National Average Payment (Unadjusted for Sequestration)
MS-DRG
Description
209
Complex Aortic Arch Procedures
$82,364
4 | Reimbursement Guide - Effective 10/01/2025
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