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ICD-10-PCS 2027 procedure code

02RF0JZReplacement of Aortic Valve with Synthetic Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Aortic Valve with Synth Sub, Open 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 02RF0JZ

02RF0JZ is the ICD-10-PCS code for a replacement procedure on the aortic valve using an open approach with synthetic 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 open and other replacement of aortic valve, the ICD-9-CM procedure title it maps to (35.22).

For a different body part, codes include 02R50JZ (atrial septum), 02R60JZ (right atrium), 02R70JZ (left atrium), 02R90JZ (chordae tendineae), 02RD0JZ (papillary muscle), 02RG0JZ (mitral valve) and 14 more.

The same procedure with a different approach is coded 02RF3JZ (percutaneous) and 02RF4JZ (percutaneous endoscopic).

With a different device, use 02RF07Z (autologous tissue substitute), 02RF08Z (zooplastic tissue) and 02RF0KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC), DRG 217 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC), DRG 218 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC), DRG 219 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC) and DRG 220 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC), under the surgical categories “Concomitant Aortic and Mitral Valve Procedures”, “” and “Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization”.

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
FAortic Valve

Includes: Aortic annulus

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
JSynthetic Substitute

Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee

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 · Concomitant Aortic and Mitral Valve Procedures

ICD-9-CM equivalent

Converter →
  • 35.22Open and other replacement of aortic valveapproximate

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 02RF0JZ

Is 02RF0JZ a valid ICD-10-PCS code for 2027?

Yes. 02RF0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RF0JZ an O.R. procedure?

Yes. 02RF0JZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RF0JZ group to?

Depending on the principal diagnosis, 02RF0JZ can group to MS-DRG 212, MS-DRG 216, MS-DRG 217, MS-DRG 218, MS-DRG 219 and MS-DRG 220.

What is the ICD-9 procedure code for 02RF0JZ?

The CMS GEMs map 02RF0JZ to ICD-9-CM 35.22 (Open and other replacement of aortic valve).