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ICD-10-PCS 2027 procedure code

02174ZRBypass Left Atrium to Left Pulmonary Artery, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Left Atrium to L Pulm Art, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02174ZR

02174ZR is the ICD-10-PCS code for a bypass procedure on the left atrium using a percutaneous endoscopic approach (qualifier: left pulmonary artery). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

In plain terms, this corresponds to creation of conduit between atrium and pulmonary artery, the ICD-9-CM procedure title it maps to (35.94).

For a different body part, codes include 02164ZR (right atrium), 021K4ZR (right ventricle), 021L4ZR (left ventricle), 021V4ZR (superior vena cava), 021W4ZR (thoracic aorta, descending) and 021X4ZR (thoracic aorta, ascending/arch).

The same procedure with a different approach is coded 02170ZR (open).

With a different device, use 021748R (zooplastic tissue), 021749R (autologous venous tissue), 02174AR (autologous arterial tissue), 02174JR (synthetic substitute) and 02174KR (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC) and DRG 229 (Other Cardiothoracic Procedures without MCC), under the surgical category “Other Cardiothoracic Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
2Heart and Great Vessels
3. Operation
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
7Atrium, Left

Includes: Atrium pulmonale; Left auricular appendix

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
RPulmonary Artery, Left

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Cardiothoracic Procedures

ICD-9-CM equivalent

Converter →
  • 35.94Creation of conduit between atrium and pulmonary arteryapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 02174ZR

Is 02174ZR a valid ICD-10-PCS code for 2027?

Yes. 02174ZR is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02174ZR an O.R. procedure?

Yes. 02174ZR is an O.R. procedure in MS-DRG v44.0.

What DRG does 02174ZR group to?

Depending on the principal diagnosis, 02174ZR can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 02174ZR?

The CMS GEMs map 02174ZR to ICD-9-CM 35.94 (Creation of conduit between atrium and pulmonary artery).