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ICD-10-PCS 2027 procedure code

02PA0JZRemoval of Synthetic Substitute from Heart, Open Approach

✓ Valid for 2027O.R. procedure

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 02PA0JZ

02PA0JZ is the ICD-10-PCS code for a removal procedure on the heart using an open approach with synthetic substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to Cardiotomy and removal of internal biventricular heart replacement system, the ICD-9-CM procedure titles it maps to (37.11 and 37.55).

For a different body part, codes include 02PY0JZ (great vessel).

The same procedure with a different approach is coded 02PA3JZ (percutaneous) and 02PA4JZ (percutaneous endoscopic).

With a different device, use 02PA02Z (monitoring device), 02PA03Z (infusion device), 02PA07Z (autologous tissue substitute), 02PA08Z (zooplastic tissue), 02PA0CZ (extraluminal device), 02PA0DZ (intraluminal device) and 6 more.

It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC) and DRG 229 (Other Cardiothoracic Procedures without MCC), under the surgical category “Other Cardiothoracic Procedures”.

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
PRemoval

Taking out or off a device from a body part

If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL

Includes: Drainage tube removal, cardiac pacemaker removal

4. Body Part
AHeart
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

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 Cardiothoracic Procedures

ICD-9-CM equivalent

Converter →
  • 37.11Cardiotomyapproximate
  • 37.55Removal of internal biventricular heart replacement systemapproximate

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 02PA0JZ

Is 02PA0JZ a valid ICD-10-PCS code for 2027?

Yes. 02PA0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02PA0JZ an O.R. procedure?

Yes. 02PA0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02PA0JZ group to?

Depending on the principal diagnosis, 02PA0JZ can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 02PA0JZ?

The CMS GEMs map 02PA0JZ to ICD-9-CM 37.11 (Cardiotomy) and 37.55 (Removal of internal biventricular heart replacement system).