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ICD-10-PCS 2027 procedure code

02FN4ZZFragmentation in Pericardium, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Fragmentation in Pericardium, Perc Endo 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 02FN4ZZ

02FN4ZZ is the ICD-10-PCS code for a fragmentation procedure on the pericardium using a percutaneous endoscopic approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to other repair of heart and pericardium, the ICD-9-CM procedure title it maps to (37.49).

The same procedure with a different approach is coded 02FN0ZZ (open), 02FN3ZZ (percutaneous) and 02FNXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures” and “Other O.R. Procedures for Injuries”.

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
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

4. Body Part
NPericardium
5. Approach
4Percutaneous Endoscopic

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

ICD-9-CM equivalent

Converter →
  • 37.49Other repair of heart and pericardiumapproximate

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)
  • No changes since FY2016.

Common questions about 02FN4ZZ

Is 02FN4ZZ a valid ICD-10-PCS code for 2027?

Yes. 02FN4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02FN4ZZ an O.R. procedure?

Yes. 02FN4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02FN4ZZ group to?

Depending on the principal diagnosis, 02FN4ZZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 02FN4ZZ?

The CMS GEMs map 02FN4ZZ to ICD-9-CM 37.49 (Other repair of heart and pericardium).