ICD-10-PCS 2027 procedure code
02PA0RZRemoval of Short-term External Heart Assist System from Heart, Open Approach
Short description: Removal of Ext Heart Assist from Heart, Open Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 02PA0RZ
02PA0RZ is the ICD-10-PCS code for a removal procedure on the heart using an open approach with short-term external heart assist system. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to removal of external heart assist system(s) or device(s), the ICD-9-CM procedure title it maps to (37.64).
The same procedure with a different approach is coded 02PA3RZ (percutaneous) and 02PA4RZ (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 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC) and DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC), under the surgical category “Aortic and Heart Assist Procedures Except Pulsation Balloon”.
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
- RShort-term External Heart Assist System
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different approach
Different device
- 02PA02ZMonitoring Device
- 02PA03ZInfusion Device
- 02PA07ZAutologous Tissue Substitute
- 02PA08ZZooplastic Tissue
- 02PA0CZExtraluminal Device
- 02PA0DZIntraluminal Device
- 02PA0JZSynthetic Substitute
- 02PA0KZNonautologous Tissue Substitute
- 02PA0MZCardiac Lead
- 02PA0NZIntracardiac Pacemaker
- 02PA0QZImplantable Heart Assist System
- 02PA0YZOther Device
Different qualifier
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 · Aortic and Heart Assist Procedures Except Pulsation Balloon
ICD-9-CM equivalent
Converter →- 37.64Removal of external heart assist system(s) or device(s)approximate
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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- FY2018 (effective 10/1/2017): Title revised — was “Removal of External Heart Assist System from Heart, Open Approach”
Common questions about 02PA0RZ
Is 02PA0RZ a valid ICD-10-PCS code for 2027?
- Yes. 02PA0RZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02PA0RZ an O.R. procedure?
- Yes. 02PA0RZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02PA0RZ group to?
- Depending on the principal diagnosis, 02PA0RZ can group to MS-DRG 268 and MS-DRG 269.
What is the ICD-9 procedure code for 02PA0RZ?
- The CMS GEMs map 02PA0RZ to ICD-9-CM 37.64 (Removal of external heart assist system(s) or device(s)).