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ICD-10-PCS 2027 procedure code

02R747ZReplacement of Left Atrium with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of L Atrium with Autol Sub, Perc Endo Approach

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 02R747Z

02R747Z is the ICD-10-PCS code for a replacement procedure on the left atrium using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to other repair of heart and pericardium, the ICD-9-CM procedure title it maps to (37.49).

For a different body part, codes include 02R547Z (atrial septum), 02R647Z (right atrium), 02R947Z (chordae tendineae), 02RD47Z (papillary muscle), 02RF47Z (aortic valve), 02RG47Z (mitral valve) and 14 more.

The same procedure with a different approach is coded 02R707Z (open).

With a different device, use 02R748Z (zooplastic tissue), 02R74JZ (synthetic substitute) and 02R74KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures” and “Other O.R. Procedures for Injuries”.

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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
7Atrium, Left

Includes: Atrium pulmonale; Left auricular appendix

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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 37.49Other repair of heart and pericardiumapproximate

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 02R747Z

Is 02R747Z a valid ICD-10-PCS code for 2027?

Yes. 02R747Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02R747Z an O.R. procedure?

Yes. 02R747Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02R747Z group to?

Depending on the principal diagnosis, 02R747Z can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 02R747Z?

The CMS GEMs map 02R747Z to ICD-9-CM 37.49 (Other repair of heart and pericardium).