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ICD-10-PCS 2027 procedure code

027205ZDilation of Coronary Artery, Three Arteries with Two Drug-eluting Intraluminal Devices, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Dilation of 3 Cor Art with 2 Drug-elut, Open 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 027205Z

027205Z is the ICD-10-PCS code for a dilation procedure on the coronary artery, three arteries using an open approach with intraluminal device, drug-eluting, two. 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 three vessels, insertion of two vascular stents, open chest coronary artery angioplasty and 1 more, the ICD-9-CM procedure titles it maps to (00.42, 00.46, 36.03 and 1 more).

For a different body part, codes include 027005Z (coronary artery, one artery), 027105Z (coronary artery, two arteries) and 027305Z (coronary artery, four or more arteries).

The same procedure with a different approach is coded 027235Z (percutaneous) and 027245Z (percutaneous endoscopic).

With a different device, use 027204Z (intraluminal device, drug-eluting), 027206Z (intraluminal device, drug-eluting, three), 027207Z (intraluminal device, drug-eluting, four or more), 02720DZ (intraluminal device), 02720EZ (intraluminal device, two), 02720FZ (intraluminal device, three) and 3 more.

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 was added in FY2017, effective October 1, 2016.

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
2Coronary Artery, Three Arteries
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
5Intraluminal Device, Drug-eluting, Two
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 · Other Cardiothoracic Procedures

ICD-9-CM equivalent

Converter →
  • 00.42Procedure on three vesselsapproximate, combination
  • 00.46Insertion of two vascular stentsapproximate, combination
  • 36.03Open chest coronary artery angioplastyapproximate, 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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 027205Z

Is 027205Z a valid ICD-10-PCS code for 2027?

Yes. 027205Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 027205Z an O.R. procedure?

Yes. 027205Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 027205Z group to?

Depending on the principal diagnosis, 027205Z can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 027205Z?

The CMS GEMs map 027205Z to ICD-9-CM 00.42 (Procedure on three vessels), 00.46 (Insertion of two vascular stents), 36.03 (Open chest coronary artery angioplasty) and 1 more.