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ICD-10-PCS 2027 procedure code

02C33ZZExtirpation of Matter from Coronary Artery, Four or More Arteries, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Extirpation of Matter from 4+ Cor Art, Perc 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 02C33ZZ

02C33ZZ is the ICD-10-PCS code for a extirpation procedure on the coronary artery, four or more arteries using a percutaneous approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to procedure on four or more vessels, transluminal coronary atherectomy and other removal of coronary artery obstruction, the ICD-9-CM procedure titles it maps to (00.43, 17.55 and 36.09).

For a different body part, codes include 02C03ZZ (coronary artery, one artery), 02C13ZZ (coronary artery, two arteries), 02C23ZZ (coronary artery, three arteries), 02C43ZZ (coronary vein), 02C53ZZ (atrial septum), 02C63ZZ (right atrium) and 20 more.

The same procedure with a different approach is coded 02C30ZZ (open) and 02C34ZZ (percutaneous endoscopic).

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 318 (Percutaneous Coronary Atherectomy without Intraluminal Device), DRG 359 (Percutaneous Coronary Atherectomy with Intraluminal Device with MCC) and DRG 360 (Percutaneous Coronary Atherectomy with Intraluminal Device without MCC), under the surgical categories “”, “Percutaneous Coronary Atherectomy without Intraluminal Device” and “Percutaneous Coronary Atherectomy with Intraluminal Device”.

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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

4. Body Part
3Coronary Artery, Four or More Arteries
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

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 · Percutaneous Coronary Atherectomy without Intraluminal Device

MDC 05 · Diseases and Disorders of the Circulatory System · Percutaneous Coronary Atherectomy with Intraluminal Device

ICD-9-CM equivalent

Converter →
  • 00.43Procedure on four or more vesselsapproximate, combination
  • 17.55Transluminal coronary atherectomyapproximate, combination
  • 36.09Other removal of coronary artery obstructionapproximate, 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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2017 (effective 10/1/2016): Title revised — was “Extirpation of Matter from Coronary Artery, Four or More Sites, Percutaneous Approach”

Common questions about 02C33ZZ

Is 02C33ZZ a valid ICD-10-PCS code for 2027?

Yes. 02C33ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02C33ZZ an O.R. procedure?

Yes. 02C33ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02C33ZZ group to?

Depending on the principal diagnosis, 02C33ZZ can group to MS-DRG 231, MS-DRG 232, MS-DRG 318, MS-DRG 359 and MS-DRG 360.

What is the ICD-9 procedure code for 02C33ZZ?

The CMS GEMs map 02C33ZZ to ICD-9-CM 00.43 (Procedure on four or more vessels), 17.55 (Transluminal coronary atherectomy) and 36.09 (Other removal of coronary artery obstruction).