ICD-10-PCS 2027 procedure code
02VG4ZZRestriction of Mitral Valve, Percutaneous Endoscopic Approach
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
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 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
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
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 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).