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ICD-10-PCS 2027 procedure code

02PA4RSRemoval of Biventricular Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Remove Bivent Ext Heart Assist from Heart, Perc Endo

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 02PA4RS

02PA4RS is the ICD-10-PCS code for a removal procedure on the heart using a percutaneous endoscopic approach with short-term external heart assist system (qualifier: biventricular). 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 02PA0RS (open) and 02PA3RS (percutaneous).

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 was added in FY2018, effective October 1, 2017.

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
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
RShort-term External Heart Assist System
7. Qualifier
SBiventricular

Other versions of this procedure

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 02PA4RS

Is 02PA4RS a valid ICD-10-PCS code for 2027?

Yes. 02PA4RS is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02PA4RS an O.R. procedure?

Yes. 02PA4RS is an O.R. procedure in MS-DRG v44.0.

What DRG does 02PA4RS group to?

Depending on the principal diagnosis, 02PA4RS can group to MS-DRG 268 and MS-DRG 269.

What is the ICD-9 procedure code for 02PA4RS?

The CMS GEMs map 02PA4RS to ICD-9-CM 37.64 (Removal of external heart assist system(s) or device(s)).