ICD-10-PCS 2027 procedure code
02NX4ZZRelease Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach
Short description: Release Thoracic Aorta, Ascending/Arch, Perc Endo 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 02NX4ZZ
02NX4ZZ is the ICD-10-PCS code for a release procedure on the thoracic aorta, ascending/arch using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.
In plain terms, this corresponds to Freeing of vessel, the ICD-9-CM procedure title it maps to (39.91).
For a different body part, codes include 02N04ZZ (coronary artery, one artery), 02N14ZZ (coronary artery, two arteries), 02N24ZZ (coronary artery, three arteries), 02N34ZZ (coronary artery, four or more arteries), 02N44ZZ (coronary vein), 02N54ZZ (atrial septum) and 20 more.
The same procedure with a different approach is coded 02NX0ZZ (open) and 02NX3ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 252 (Other Vascular Procedures with MCC), DRG 253 (Other Vascular Procedures with CC) and DRG 254 (Other Vascular Procedures without CC/MCC), under the surgical category “Other Vascular Procedures”.
It was added in FY2017, effective October 1, 2016.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 2Heart and Great Vessels
- 3. Operation
- NRelease
Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Some of the restraining tissue may be taken out but none of the body part is taken out
Includes: Adhesiolysis, carpal tunnel release
- 4. Body Part
- XThoracic Aorta, Ascending/Arch
Includes: Aortic arch; Aortic isthmus; Aortic root; Ascending aorta; Juxtaductal aorta
- 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
Different body part
- 02N04ZZCoronary Artery, One Artery
- 02N14ZZCoronary Artery, Two Arteries
- 02N24ZZCoronary Artery, Three Arteries
- 02N34ZZCoronary Artery, Four or More Arteries
- 02N44ZZCoronary Vein
- 02N54ZZAtrial Septum
- 02N64ZZAtrium, Right
- 02N74ZZAtrium, Left
- 02N84ZZConduction Mechanism
- 02N94ZZChordae Tendineae
- 02ND4ZZPapillary Muscle
- 02NF4ZZAortic Valve
Different approach
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 · Other Vascular Procedures
ICD-9-CM equivalent
Converter →- 39.91Freeing of vesselapproximate
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
- FY2017 (effective 10/1/2016): Added
- No changes since FY2017.
Common questions about 02NX4ZZ
Is 02NX4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 02NX4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02NX4ZZ an O.R. procedure?
- Yes. 02NX4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02NX4ZZ group to?
- Depending on the principal diagnosis, 02NX4ZZ can group to MS-DRG 252, MS-DRG 253 and MS-DRG 254.
What is the ICD-9 procedure code for 02NX4ZZ?
- The CMS GEMs map 02NX4ZZ to ICD-9-CM 39.91 (Freeing of vessel).