ICD-10-PCS 2027 procedure code
027F04ZDilation of Aortic Valve with Drug-eluting Intraluminal Device, Open Approach
Short description: Dilation of Aortic Valve with Drug-elut Intra, Open 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 027F04Z
027F04Z is the ICD-10-PCS code for a dilation procedure on the aortic valve using an open 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 open heart valvuloplasty of aortic valve without replacement, the ICD-9-CM procedure title it maps to (35.11).
For a different body part, codes include 027004Z (coronary artery, one artery), 027104Z (coronary artery, two arteries), 027204Z (coronary artery, three arteries), 027304Z (coronary artery, four or more arteries), 027G04Z (mitral valve), 027H04Z (pulmonary valve) and 11 more.
The same procedure with a different approach is coded 027F34Z (percutaneous) and 027F44Z (percutaneous endoscopic).
With a different device, use 027F0DZ (intraluminal device) and 027F0ZZ (no device).
It is an operating-room procedure in the MS-DRG logic for DRG 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC), DRG 217 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC), DRG 218 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC), DRG 219 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC) and DRG 220 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC), under the surgical categories “Concomitant Aortic and Mitral Valve Procedures”, “” and “Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization”.
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
- FAortic Valve
Includes: Aortic annulus
- 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
- 4Intraluminal Device, Drug-eluting
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 027004ZCoronary Artery, One Artery
- 027104ZCoronary Artery, Two Arteries
- 027204ZCoronary Artery, Three Arteries
- 027304ZCoronary Artery, Four or More Arteries
- 027G04ZMitral Valve
- 027H04ZPulmonary Valve
- 027J04ZTricuspid Valve
- 027K04ZVentricle, Right
- 027L04ZVentricle, Left
- 027P04ZPulmonary Trunk
- 027Q04ZPulmonary Artery, Right
- 027R04ZPulmonary Artery, Left
Different approach
Different device
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 · Concomitant Aortic and Mitral Valve Procedures
MDC 05 · Diseases and Disorders of the Circulatory System
- 216Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCCRW 9.8832
- 217Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CCRW 6.8061
- 218Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCCRW 6.8061
MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
- 219Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCCRW 7.6434
- 220Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CCRW 5.5066
- 221Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCCRW 4.7108
ICD-9-CM equivalent
Converter →- 35.11Open heart valvuloplasty of aortic valve without replacementapproximate
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)
- No changes since FY2016.
Common questions about 027F04Z
Is 027F04Z a valid ICD-10-PCS code for 2027?
- Yes. 027F04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 027F04Z an O.R. procedure?
- Yes. 027F04Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 027F04Z group to?
- Depending on the principal diagnosis, 027F04Z can group to MS-DRG 212, MS-DRG 216, MS-DRG 217, MS-DRG 218, MS-DRG 219 and MS-DRG 220.
What is the ICD-9 procedure code for 027F04Z?
- The CMS GEMs map 027F04Z to ICD-9-CM 35.11 (Open heart valvuloplasty of aortic valve without replacement).