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ICD-10-PCS 2027 procedure code

027306ZDilation of Coronary Artery, Four or More Arteries with Three Drug-eluting Intraluminal Devices, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Dilation of 4+ Cor Art with 3 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 027306Z

027306Z is the ICD-10-PCS code for a dilation procedure on the coronary artery, four or more arteries using an open approach with intraluminal device, drug-eluting, three. 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 four or more vessels, insertion of three vascular stents, open chest coronary artery angioplasty and 1 more, the ICD-9-CM procedure titles it maps to (00.43, 00.47, 36.03 and 1 more).

For a different body part, codes include 027006Z (coronary artery, one artery), 027106Z (coronary artery, two arteries) and 027206Z (coronary artery, three arteries).

The same procedure with a different approach is coded 027336Z (percutaneous) and 027346Z (percutaneous endoscopic).

With a different device, use 027304Z (intraluminal device, drug-eluting), 027305Z (intraluminal device, drug-eluting, two), 027307Z (intraluminal device, drug-eluting, four or more), 02730DZ (intraluminal device), 02730EZ (intraluminal device, two), 02730FZ (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
3Coronary Artery, Four or More 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
6Intraluminal Device, Drug-eluting, Three
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 →
  • 00.43Procedure on four or more vesselsapproximate, combination
  • 00.47Insertion of three 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 027306Z

Is 027306Z a valid ICD-10-PCS code for 2027?

Yes. 027306Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 027306Z an O.R. procedure?

Yes. 027306Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 027306Z group to?

Depending on the principal diagnosis, 027306Z can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 027306Z?

The CMS GEMs map 027306Z to ICD-9-CM 00.43 (Procedure on four or more vessels), 00.47 (Insertion of three vascular stents), 36.03 (Open chest coronary artery angioplasty) and 1 more.