ICD-10-PCS 2027 procedure code
02RT08ZReplacement of Left Pulmonary Vein with Zooplastic Tissue, Open Approach
Short description: Replacement of L Pulm Vein with Zooplastic, Open 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 02RT08Z
02RT08Z is the ICD-10-PCS code for a replacement procedure on the left pulmonary vein using an open 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 resection of vessel with replacement, thoracic vessels, the ICD-9-CM procedure title it maps to (38.45).
For a different body part, codes include 02R508Z (atrial septum), 02R608Z (right atrium), 02R708Z (left atrium), 02R908Z (chordae tendineae), 02RD08Z (papillary muscle), 02RF08Z (aortic valve) and 14 more.
The same procedure with a different approach is coded 02RT48Z (percutaneous endoscopic).
With a different device, use 02RT07Z (autologous tissue substitute), 02RT0JZ (synthetic substitute) and 02RT0KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC) and DRG 217 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC), under the surgical categories “Major Chest Procedures”, “Concomitant Aortic and Mitral Valve Procedures”, “” and 3 more.
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
- TPulmonary Vein, Left
Includes: Left inferior pulmonary vein; Left superior pulmonary vein
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- 8Zooplastic Tissue
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
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 04 · Diseases and Disorders of the Respiratory System · Major Chest Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Concomitant Aortic and Mitral Valve Procedures
MDC 05 · Diseases and Disorders of the Circulatory System
- 216Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCCRW 9.8832
- 217Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CCRW 6.8061
- 218Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCCRW 6.8061
MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
- 219Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCCRW 7.6434
- 220Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CCRW 5.5066
- 221Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCCRW 4.7108
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 38.45Resection of vessel with replacement, thoracic vesselsapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 02RT08Z
Is 02RT08Z a valid ICD-10-PCS code for 2027?
- Yes. 02RT08Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02RT08Z an O.R. procedure?
- Yes. 02RT08Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 02RT08Z group to?
- Depending on the principal diagnosis, 02RT08Z can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 212, MS-DRG 216 and MS-DRG 217.
What is the ICD-9 procedure code for 02RT08Z?
- The CMS GEMs map 02RT08Z to ICD-9-CM 38.45 (Resection of vessel with replacement, thoracic vessels).