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ICD-10-PCS 2027 procedure code

02RX08ZReplacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Thor Aorta Asc with Zooplastic, Open Approach

Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02RX08Z

02RX08Z is the ICD-10-PCS code for a replacement procedure on the thoracic aorta, ascending/arch 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 02RX48Z (percutaneous endoscopic).

With a different device, use 02RX07Z (autologous tissue substitute), 02RX0JZ (synthetic substitute) and 02RX0KZ (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 209 (Complex Aortic Arch Procedures), DRG 212 (Concomitant Aortic and Mitral Valve Procedures) and DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC), under the surgical categories “Major Chest Procedures”, “Complex Aortic Arch Procedures”, “Concomitant Aortic and Mitral Valve Procedures” and 4 more.

It was added in FY2017, effective October 1, 2016.

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
XThoracic Aorta, Ascending/Arch

Includes: Aortic arch; Aortic isthmus; Aortic root; Ascending aorta; Juxtaductal aorta

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

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 · Complex Aortic Arch Procedures

MDC 05 · Diseases and Disorders of the Circulatory System · Concomitant Aortic and Mitral Valve Procedures

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

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2017 (effective 10/1/2016): Added
  • No changes since FY2017.

Common questions about 02RX08Z

Is 02RX08Z a valid ICD-10-PCS code for 2027?

Yes. 02RX08Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02RX08Z an O.R. procedure?

Yes. 02RX08Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02RX08Z group to?

Depending on the principal diagnosis, 02RX08Z can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 209, MS-DRG 212 and MS-DRG 216.

What is the ICD-9 procedure code for 02RX08Z?

The CMS GEMs map 02RX08Z to ICD-9-CM 38.45 (Resection of vessel with replacement, thoracic vessels).