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ICD-10-PCS 2027 procedure code

02RG47ZReplacement of Mitral Valve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of Mitral Valve with Autol Sub, 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 02RG47Z

02RG47Z is the ICD-10-PCS code for a replacement procedure on the mitral valve using a percutaneous endoscopic 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 02R547Z (atrial septum), 02R647Z (right atrium), 02R747Z (left atrium), 02R947Z (chordae tendineae), 02RD47Z (papillary muscle), 02RF47Z (aortic valve) and 14 more.

The same procedure with a different approach is coded 02RG07Z (open) and 02RG37Z (percutaneous).

With a different device, use 02RG48Z (zooplastic tissue), 02RG4JZ (synthetic substitute) and 02RG4KZ (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
GMitral Valve

Includes: Bicuspid valve; Left atrioventricular valve; Mitral 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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 35.23Open 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 02RG47Z

Is 02RG47Z a valid ICD-10-PCS code for 2027?

Yes. 02RG47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RG47Z an O.R. procedure?

Yes. 02RG47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RG47Z group to?

Depending on the principal diagnosis, 02RG47Z 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 02RG47Z?

The CMS GEMs map 02RG47Z to ICD-9-CM 35.23 (Open and other replacement of mitral valve with tissue graft).