02RG07ZReplacement of Mitral Valve with Autologous Tissue Substitute, Open Approach

02RG07Z is the ICD-10-PCS code for a replacement procedure on the mitral valve using an open 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 open and other replacement of mitral valve with tissue graft, the ICD-9-CM procedure title it maps to (35.23).

For a different body part, codes include 02R507Z (atrial septum), 02R607Z (right atrium), 02R707Z (left atrium), 02R907Z (chordae tendineae), 02RD07Z (papillary muscle), 02RF07Z (aortic valve) and 14 more.

The same procedure with a different approach is coded 02RG37Z (percutaneous) and 02RG47Z (percutaneous endoscopic).

With a different device, use 02RG08Z (zooplastic tissue), 02RG0JZ (synthetic substitute) and 02RG0KZ (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.