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ICD-10-PCS 2027 procedure code

02VG4ZZRestriction of Mitral Valve, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Restriction of Mitral Valve, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 02VG4ZZ

02VG4ZZ is the ICD-10-PCS code for a restriction procedure on the mitral valve using a percutaneous endoscopic approach. 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 operations on valves of heart, the ICD-9-CM procedure title it maps to (35.99).

For a different body part, codes include 02VA4ZZ (heart), 02VL4ZZ (left ventricle), 02VP4ZZ (pulmonary trunk), 02VQ4ZZ (right pulmonary artery), 02VR4ZZ (left pulmonary artery), 02VS4ZZ (right pulmonary vein) and 4 more.

The same procedure with a different approach is coded 02VG0ZZ (open) and 02VG3ZZ (percutaneous).

It is an operating-room procedure in the MS-DRG logic for DRG 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC), DRG 217 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC), DRG 218 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC), DRG 219 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC) and DRG 220 (Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC), under the surgical categories “Concomitant Aortic and Mitral Valve Procedures”, “” and “Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization”.

It was added in FY2018, effective October 1, 2017.

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
GMitral Valve

Includes: Bicuspid valve; Left atrioventricular valve; Mitral annulus

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
ZNo Device
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.

ICD-9-CM equivalent

Converter →
  • 35.99Other operations on valves of heartapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 02VG4ZZ

Is 02VG4ZZ a valid ICD-10-PCS code for 2027?

Yes. 02VG4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 02VG4ZZ an O.R. procedure?

Yes. 02VG4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 02VG4ZZ group to?

Depending on the principal diagnosis, 02VG4ZZ can group to MS-DRG 212, MS-DRG 216, MS-DRG 217, MS-DRG 218, MS-DRG 219 and MS-DRG 220.

What is the ICD-9 procedure code for 02VG4ZZ?

The CMS GEMs map 02VG4ZZ to ICD-9-CM 35.99 (Other operations on valves of heart).