Skip to content
Dx

ICD-10-PCS 2027 procedure code

02RM47ZReplacement of Ventricular Septum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Replace Ventricular Sept w Autol Sub, Perc Endo

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 02RM47Z

02RM47Z is the ICD-10-PCS code for a replacement procedure on the ventricular septum 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 repair of ventricular septal defect with tissue graft, the ICD-9-CM procedure title it maps to (35.62).

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 02RM07Z (open).

With a different device, use 02RM48Z (zooplastic tissue), 02RM4JZ (synthetic substitute) and 02RM4KZ (nonautologous tissue 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
MVentricular Septum

Includes: Interventricular septum

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

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 →
  • 35.62Repair of ventricular septal 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 02RM47Z

Is 02RM47Z a valid ICD-10-PCS code for 2027?

Yes. 02RM47Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RM47Z an O.R. procedure?

Yes. 02RM47Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RM47Z group to?

Depending on the principal diagnosis, 02RM47Z can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 02RM47Z?

The CMS GEMs map 02RM47Z to ICD-9-CM 35.62 (Repair of ventricular septal defect with tissue graft).