Skip to content
Dx

ICD-10-PCS 2027 procedure code

02RF48ZReplacement of Aortic Valve with Zooplastic Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of Aort Valve with Zooplastic, 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 02RF48Z

02RF48Z is the ICD-10-PCS code for a replacement procedure on the aortic valve using a percutaneous endoscopic approach with zooplastic tissue. 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 with tissue graft, the ICD-9-CM procedure title it maps to (35.21).

For a different body part, codes include 02R548Z (atrial septum), 02R648Z (right atrium), 02R748Z (left atrium), 02R948Z (chordae tendineae), 02RD48Z (papillary muscle), 02RG48Z (mitral valve) and 14 more.

The same procedure with a different approach is coded 02RF08Z (open) and 02RF38Z (percutaneous).

With a different device, use 02RF47Z (autologous tissue substitute), 02RF4JZ (synthetic substitute) and 02RF4KZ (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
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
8Zooplastic Tissue
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.

ICD-9-CM equivalent

Converter →
  • 35.21Open and other replacement of aortic valve with tissue graftapproximate

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 02RF48Z

Is 02RF48Z a valid ICD-10-PCS code for 2027?

Yes. 02RF48Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RF48Z an O.R. procedure?

Yes. 02RF48Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RF48Z group to?

Depending on the principal diagnosis, 02RF48Z 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 02RF48Z?

The CMS GEMs map 02RF48Z to ICD-9-CM 35.21 (Open and other replacement of aortic valve with tissue graft).