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ICD-10-PCS 2027 procedure code

02U747ZSupplement Left Atrium with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Left Atrium with Autol 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 02U747Z

02U747Z is the ICD-10-PCS code for a supplement procedure on the left atrium using a percutaneous endoscopic approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of 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 02U047Z (coronary artery, one artery), 02U147Z (coronary artery, two arteries), 02U247Z (coronary artery, three arteries), 02U347Z (coronary artery, four or more arteries), 02U547Z (atrial septum), 02U647Z (right atrium) and 19 more.

The same procedure with a different approach is coded 02U707Z (open) and 02U737Z (percutaneous).

With a different device, use 02U748Z (zooplastic tissue), 02U74JZ (synthetic substitute) and 02U74KZ (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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
7Atrium, Left

Includes: Atrium pulmonale; Left auricular appendix

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

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 02U747Z

Is 02U747Z a valid ICD-10-PCS code for 2027?

Yes. 02U747Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02U747Z an O.R. procedure?

Yes. 02U747Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 02U747Z group to?

Depending on the principal diagnosis, 02U747Z can group to MS-DRG 228 and MS-DRG 229.

What is the ICD-9 procedure code for 02U747Z?

The CMS GEMs map 02U747Z to ICD-9-CM 35.63 (Repair of endocardial cushion defect with tissue graft).