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ICD-10-PCS 2027 procedure code

02RJ38ZReplacement of Tricuspid Valve with Zooplastic Tissue, Percutaneous Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Tricusp Valve with Zooplastic, Perc Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02RJ38Z

02RJ38Z is the ICD-10-PCS code for a replacement procedure on the tricuspid 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 endovascular replacement of unspecified heart valve and open and other replacement of tricuspid valve with tissue graft, the ICD-9-CM procedure titles it maps to (35.09 and 35.27).

For a different body part, codes include 02RF38Z (aortic valve), 02RG38Z (mitral valve) and 02RH38Z (pulmonary valve).

The same procedure with a different approach is coded 02RJ08Z (open) and 02RJ48Z (percutaneous endoscopic).

With a different device, use 02RJ37Z (autologous tissue substitute), 02RJ3JZ (synthetic substitute) and 02RJ3KZ (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 was added in FY2018, effective October 1, 2017.

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
JTricuspid Valve

Includes: Right atrioventricular valve; Tricuspid 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 →
  • 35.09Endovascular replacement of unspecified heart valveapproximate
  • 35.27Open and other replacement of tricuspid 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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 02RJ38Z

Is 02RJ38Z a valid ICD-10-PCS code for 2027?

Yes. 02RJ38Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RJ38Z an O.R. procedure?

Yes. 02RJ38Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RJ38Z group to?

Depending on the principal diagnosis, 02RJ38Z can group to MS-DRG 266 and MS-DRG 267.

What is the ICD-9 procedure code for 02RJ38Z?

The CMS GEMs map 02RJ38Z to ICD-9-CM 35.09 (Endovascular replacement of unspecified heart valve) and 35.27 (Open and other replacement of tricuspid valve with tissue graft).