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ICD-10-PCS 2027 procedure code

02RG38ZReplacement of Mitral Valve with Zooplastic Tissue, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Mitral Valve with Zooplastic, Perc 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 02RG38Z

02RG38Z is the ICD-10-PCS code for a replacement procedure on the mitral valve using a percutaneous 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 mitral valve with tissue graft, the ICD-9-CM procedure title it maps to (35.23).

For a different body part, codes include 02RF38Z (aortic valve), 02RH38Z (pulmonary valve) and 02RJ38Z (tricuspid valve).

The same procedure with a different approach is coded 02RG08Z (open) and 02RG48Z (percutaneous endoscopic).

With a different device, use 02RG37Z (autologous tissue substitute), 02RG3JZ (synthetic substitute) and 02RG3KZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 266 (Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC) and DRG 267 (Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC), under the surgical category “Endovascular Cardiac Valve Replacement and Supplement Procedures”.

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
GMitral Valve

Includes: Bicuspid valve; Left atrioventricular valve; Mitral annulus

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device
8Zooplastic Tissue
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different qualifier

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 · Endovascular Cardiac Valve Replacement and Supplement Procedures

ICD-9-CM equivalent

Converter →
  • 35.23Open and other replacement of mitral 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 02RG38Z

Is 02RG38Z a valid ICD-10-PCS code for 2027?

Yes. 02RG38Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RG38Z an O.R. procedure?

Yes. 02RG38Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RG38Z group to?

Depending on the principal diagnosis, 02RG38Z can group to MS-DRG 266 and MS-DRG 267.

What is the ICD-9 procedure code for 02RG38Z?

The CMS GEMs map 02RG38Z to ICD-9-CM 35.23 (Open and other replacement of mitral valve with tissue graft).