ICD-10-PCS 2027 procedure code
027144ZDilation of Coronary Artery, Two Arteries with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
Short description: Dilate of 2 Cor Art with Drug-elut Intra, Perc Endo Approach
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 027144Z
027144Z is the ICD-10-PCS code for a dilation procedure on the coronary artery, two arteries using a percutaneous endoscopic approach with intraluminal device, drug-eluting. In ICD-10-PCS, dilation means expanding an orifice or the lumen of a tubular body part.
In plain terms, this corresponds to procedure on two vessels, insertion of one vascular stent, percutaneous transluminal coronary angioplasty [PTCA] and 1 more, the ICD-9-CM procedure titles it maps to (00.41, 00.45, 00.66 and 1 more).
For a different body part, codes include 027044Z (coronary artery, one artery), 027244Z (coronary artery, three arteries), 027344Z (coronary artery, four or more arteries), 027F44Z (aortic valve), 027G44Z (mitral valve), 027H44Z (pulmonary valve) and 11 more.
The same procedure with a different approach is coded 027104Z (open) and 027134Z (percutaneous).
With a different device, use 027145Z (intraluminal device, drug-eluting, two), 027146Z (intraluminal device, drug-eluting, three), 027147Z (intraluminal device, drug-eluting, four or more), 02714DZ (intraluminal device), 02714EZ (intraluminal device, two), 02714FZ (intraluminal device, three) and 3 more.
It is an operating-room procedure in the MS-DRG logic for DRG 231 (Coronary Bypass with PTCA with MCC), DRG 232 (Coronary Bypass with PTCA without MCC), DRG 321 (Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices), DRG 322 (Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC), DRG 323 (Coronary Intravascular Lithotripsy with Intraluminal Device with MCC) and DRG 324 (Coronary Intravascular Lithotripsy with Intraluminal Device without MCC), under the surgical categories “”, “Percutaneous cardiovascular procedures with intraluminal device”, “Coronary Intravascular Lithotripsy with Intraluminal Device” and 1 more.
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
- 7Dilation
Expanding an orifice or the lumen of a tubular body part
The orifice can be a natural orifice or an artificially created orifice. Accomplished by stretching a tubular body part using intraluminal pressure or by cutting part of the orifice or wall of the tubular body part
Includes: Percutaneous transluminal angioplasty, internal urethrotomy
- 4. Body Part
- 1Coronary Artery, Two Arteries
- 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
- 4Intraluminal Device, Drug-eluting
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 027044ZCoronary Artery, One Artery
- 027244ZCoronary Artery, Three Arteries
- 027344ZCoronary Artery, Four or More Arteries
- 027F44ZAortic Valve
- 027G44ZMitral Valve
- 027H44ZPulmonary Valve
- 027J44ZTricuspid Valve
- 027K44ZVentricle, Right
- 027L44ZVentricle, Left
- 027P44ZPulmonary Trunk
- 027Q44ZPulmonary Artery, Right
- 027R44ZPulmonary Artery, Left
Different approach
Different device
- 027145ZIntraluminal Device, Drug-eluting, Two
- 027146ZIntraluminal Device, Drug-eluting, Three
- 027147ZIntraluminal Device, Drug-eluting, Four or More
- 02714DZIntraluminal Device
- 02714EZIntraluminal Device, Two
- 02714FZIntraluminal Device, Three
- 02714GZIntraluminal Device, Four or More
- 02714TZIntraluminal Device, Radioactive
- 02714ZZNo Device
Different qualifier
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
MDC 05 · Diseases and Disorders of the Circulatory System · Percutaneous cardiovascular procedures with intraluminal device
MDC 05 · Diseases and Disorders of the Circulatory System · Coronary Intravascular Lithotripsy with Intraluminal Device
MDC 05 · Diseases and Disorders of the Circulatory System · Percutaneous Coronary Atherectomy with Intraluminal Device
ICD-9-CM equivalent
Converter →- 00.41Procedure on two vesselsapproximate, combination
- 00.45Insertion of one vascular stentapproximate, combination
- 00.66Percutaneous transluminal coronary angioplasty [PTCA]approximate, combination
- 36.07Insertion of drug-eluting coronary artery stent(s)approximate, combination
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- FY2017 (effective 10/1/2016): Title revised — was “Dilation of Coronary Artery, Two Sites with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach”
Common questions about 027144Z
Is 027144Z a valid ICD-10-PCS code for 2027?
- Yes. 027144Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 027144Z an O.R. procedure?
- Yes. 027144Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 027144Z group to?
- Depending on the principal diagnosis, 027144Z can group to MS-DRG 231, MS-DRG 232, MS-DRG 321, MS-DRG 322, MS-DRG 323 and MS-DRG 324.
What is the ICD-9 procedure code for 027144Z?
- The CMS GEMs map 027144Z to ICD-9-CM 00.41 (Procedure on two vessels), 00.45 (Insertion of one vascular stent), 00.66 (Percutaneous transluminal coronary angioplasty [PTCA]) and 1 more.