027H04ZDilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Open Approach

027H04Z is the ICD-10-PCS code for a dilation procedure on the pulmonary 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 pulmonary valve without replacement, the ICD-9-CM procedure title it maps to (35.13).

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), 027F04Z (aortic valve), 027G04Z (mitral valve) and 11 more.

The same procedure with a different approach is coded 027H34Z (percutaneous) and 027H44Z (percutaneous endoscopic).

With a different device, use 027H0DZ (intraluminal device) and 027H0ZZ (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.