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ICD-10-PCS 2027 procedure code

02L74CKOcclusion of Left Atrial Appendage with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027Non-O.R. procedure

Short description: Occlusion of LAA with Extralum Dev, 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 02L74CK

02L74CK is the ICD-10-PCS code for a occlusion procedure on the left atrium using a percutaneous endoscopic approach with extraluminal device (qualifier: left atrial appendage). In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to insertion of left atrial appendage device, the ICD-9-CM procedure title it maps to (37.90).

The same procedure with a different approach is coded 02L70CK (open) and 02L73CK (percutaneous).

With a different device, use 02L74DK (intraluminal device) and 02L74ZK (no device).

It is a non-O.R. procedure that is part of the MS-DRG logic for DRG 273 (Percutaneous and Other Intracardiac Procedures with MCC), DRG 274 (Percutaneous and Other Intracardiac Procedures without MCC) and DRG 317 (Concomitant Left Atrial Appendage Closure and Cardiac Ablation), under the surgical categories “Percutaneous and Other Intracardiac Procedures” and “Concomitant Left Atrial Appendage Closure and Cardiac Ablation”.

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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
7Atrium, Left

Includes: Atrium pulmonale; Left auricular appendix

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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

7. Qualifier
KLeft Atrial Appendage

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 and Other Intracardiac Procedures

MDC 05 · Diseases and Disorders of the Circulatory System · Concomitant Left Atrial Appendage Closure and Cardiac Ablation

ICD-9-CM equivalent

Converter →
  • 37.90Insertion of left atrial appendage deviceapproximate

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 02L74CK

Is 02L74CK a valid ICD-10-PCS code for 2027?

Yes. 02L74CK is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02L74CK an O.R. procedure?

No. 02L74CK is designated non-O.R. in MS-DRG v44.0.

What DRG does 02L74CK group to?

Depending on the principal diagnosis, 02L74CK can group to MS-DRG 273, MS-DRG 274 and MS-DRG 317.

What is the ICD-9 procedure code for 02L74CK?

The CMS GEMs map 02L74CK to ICD-9-CM 37.90 (Insertion of left atrial appendage device).