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ICD-10-PCS 2027 procedure code

02QX4ZZRepair Thoracic Aorta, Ascending/Arch, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Repair 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 02QX4ZZ

02QX4ZZ is the ICD-10-PCS code for a repair procedure on the thoracic aorta, ascending/arch using a percutaneous endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.

In plain terms, this corresponds to suture of artery, the ICD-9-CM procedure title it maps to (39.31).

For a different body part, codes include 02Q04ZZ (coronary artery, one artery), 02Q14ZZ (coronary artery, two arteries), 02Q24ZZ (coronary artery, three arteries), 02Q34ZZ (coronary artery, four or more arteries), 02Q44ZZ (coronary vein), 02Q54ZZ (atrial septum) and 23 more.

The same procedure with a different approach is coded 02QX0ZZ (open) and 02QX3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 268 (Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC), DRG 269 (Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC) and DRG 907 (Other O.R. Procedures for Injuries with MCC), under the surgical categories “Major Chest Procedures”, “Aortic and Heart Assist Procedures Except Pulsation Balloon”, “Other O.R. Procedures for Injuries” and 1 more.

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
QRepair

Restoring, to the extent possible, a body part to its normal anatomic structure and function

Used only when the method to accomplish the repair is not one of the other root operations

Includes: Colostomy takedown, suture of laceration

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

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 →
  • 39.31Suture of arteryapproximate

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
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 02QX4ZZ

Is 02QX4ZZ a valid ICD-10-PCS code for 2027?

Yes. 02QX4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02QX4ZZ an O.R. procedure?

Yes. 02QX4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02QX4ZZ group to?

Depending on the principal diagnosis, 02QX4ZZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 268, MS-DRG 269 and MS-DRG 907.

What is the ICD-9 procedure code for 02QX4ZZ?

The CMS GEMs map 02QX4ZZ to ICD-9-CM 39.31 (Suture of artery).