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ICD-10-PCS 2027 procedure code

02RA0MZReplacement of Heart with Synthetic Substitute, Pneumatic, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Heart with Synth Pneumat, Open Approach

Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02RA0MZ

02RA0MZ is the ICD-10-PCS code for a replacement procedure on the heart using an open approach with synthetic substitute, pneumatic. 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.

With a different device, use 02RA0LZ (biologic with synthetic substitute, autoregulated electrohydraulic).

It is an operating-room procedure in the MS-DRG logic for DRG 001 (Heart Transplant or Implant of Heart Assist System with MCC) and DRG 002 (Heart Transplant or Implant of Heart Assist System without MCC), under the surgical category “Heart Transplant or Implant of Heart Assist System”.

It was added in FY2022, effective October 1, 2021.

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
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
MSynthetic Substitute, Pneumatic
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.

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
  • FY2022 (effective 10/1/2021): Added
  • No changes since FY2022.

Common questions about 02RA0MZ

Is 02RA0MZ a valid ICD-10-PCS code for 2027?

Yes. 02RA0MZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RA0MZ an O.R. procedure?

Yes. 02RA0MZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RA0MZ group to?

Depending on the principal diagnosis, 02RA0MZ can group to MS-DRG 001 and MS-DRG 002.