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ICD-10-PCS 2027 procedure code

02RL4KZReplacement of Left Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace of L Ventricle with Nonaut 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 02RL4KZ

02RL4KZ is the ICD-10-PCS code for a replacement procedure on the left ventricle using a percutaneous endoscopic approach with nonautologous 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 repair of endocardial cushion defect with tissue graft, the ICD-9-CM procedure title it maps to (35.63).

For a different body part, codes include 02R54KZ (atrial septum), 02R64KZ (right atrium), 02R74KZ (left atrium), 02R94KZ (chordae tendineae), 02RD4KZ (papillary muscle), 02RF4KZ (aortic valve) and 14 more.

The same procedure with a different approach is coded 02RL0KZ (open).

With a different device, use 02RL47Z (autologous tissue substitute), 02RL48Z (zooplastic tissue) and 02RL4JZ (synthetic substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC) and DRG 229 (Other Cardiothoracic Procedures without MCC), under the surgical category “Other Cardiothoracic 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
LVentricle, Left
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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

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 · Other Cardiothoracic Procedures

ICD-9-CM equivalent

Converter →
  • 35.63Repair of endocardial cushion defect 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 02RL4KZ

Is 02RL4KZ a valid ICD-10-PCS code for 2027?

Yes. 02RL4KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RL4KZ an O.R. procedure?

Yes. 02RL4KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RL4KZ group to?

Depending on the principal diagnosis, 02RL4KZ can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 02RL4KZ?

The CMS GEMs map 02RL4KZ to ICD-9-CM 35.63 (Repair of endocardial cushion defect with tissue graft).