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ICD-10-PCS 2027 procedure code

02RG3JHReplacement of Mitral Valve with Synthetic Substitute, Transapical, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Mitral Valve w Synth Sub, Transap, Perc

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 02RG3JH

02RG3JH is the ICD-10-PCS code for a replacement procedure on the mitral valve using a percutaneous approach with synthetic substitute (qualifier: transapical). 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 endovascular replacement of unspecified heart valve, the ICD-9-CM procedure title it maps to (35.09).

For a different body part, codes include 02RF3JH (aortic valve), 02RH3JH (pulmonary valve) and 02RJ3JH (tricuspid valve).

With a different device, use 02RG37H (autologous tissue substitute), 02RG38H (zooplastic tissue) and 02RG3KH (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
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
HTransapical

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 →
  • 35.09Endovascular replacement of unspecified heart 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 02RG3JH

Is 02RG3JH a valid ICD-10-PCS code for 2027?

Yes. 02RG3JH is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RG3JH an O.R. procedure?

Yes. 02RG3JH is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RG3JH group to?

Depending on the principal diagnosis, 02RG3JH can group to MS-DRG 266 and MS-DRG 267.

What is the ICD-9 procedure code for 02RG3JH?

The CMS GEMs map 02RG3JH to ICD-9-CM 35.09 (Endovascular replacement of unspecified heart valve).