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ICD-10-PCS 2027 procedure code

02VA4CZRestriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Heart with Extralum Dev, 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 02VA4CZ

02VA4CZ is the ICD-10-PCS code for a restriction procedure on the heart using a percutaneous endoscopic approach with extraluminal device. In ICD-10-PCS, restriction means partially closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other repair of heart and pericardium, the ICD-9-CM procedure title it maps to (37.49).

For a different body part, codes include 02VL4CZ (left ventricle), 02VP4CZ (pulmonary trunk), 02VQ4CZ (right pulmonary artery), 02VR4CZ (left pulmonary artery), 02VS4CZ (right pulmonary vein), 02VT4CZ (left pulmonary vein) and 3 more.

The same procedure with a different approach is coded 02VA0CZ (open) and 02VA3CZ (percutaneous).

With a different device, use 02VA4ZZ (no device).

It is an operating-room procedure in the MS-DRG logic for DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC), DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Other Major Cardiovascular Procedures” and “Other O.R. Procedures for Injuries”.

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
VRestriction

Partially closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Esophagogastric fundoplication, cervical cerclage

4. Body Part
AHeart
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
CExtraluminal Device

Includes: AtriClip LAA Exclusion System; LAP-BAND(R) adjustable gastric banding system; REALIZE(R) Adjustable Gastric Band

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 37.49Other repair of heart and pericardiumapproximate

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 02VA4CZ

Is 02VA4CZ a valid ICD-10-PCS code for 2027?

Yes. 02VA4CZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02VA4CZ an O.R. procedure?

Yes. 02VA4CZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02VA4CZ group to?

Depending on the principal diagnosis, 02VA4CZ can group to MS-DRG 270, MS-DRG 271, MS-DRG 272, MS-DRG 907, MS-DRG 908 and MS-DRG 909.

What is the ICD-9 procedure code for 02VA4CZ?

The CMS GEMs map 02VA4CZ to ICD-9-CM 37.49 (Other repair of heart and pericardium).