027147ZDilation of Coronary Artery, Two Arteries with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach

027147Z 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, four or more. 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 four or more vascular stents, percutaneous transluminal coronary angioplasty [PTCA] and 1 more, the ICD-9-CM procedure titles it maps to (00.41, 00.48, 00.66 and 1 more).

For a different body part, codes include 027047Z (coronary artery, one artery), 027247Z (coronary artery, three arteries) and 027347Z (coronary artery, four or more arteries).

The same procedure with a different approach is coded 027107Z (open) and 027137Z (percutaneous).

With a different device, use 027144Z (intraluminal device, drug-eluting), 027145Z (intraluminal device, drug-eluting, two), 027146Z (intraluminal device, drug-eluting, three), 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 was added in FY2017, effective October 1, 2016.