ICD-10-PCS 2027 procedure code
02WA4JZRevision of Synthetic Substitute in Heart, Percutaneous Endoscopic Approach
Short description: Revision of Synth Sub in Heart, 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 02WA4JZ
02WA4JZ is the ICD-10-PCS code for a revision procedure on the heart using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.
In plain terms, this corresponds to Cardiotomy, the ICD-9-CM procedure title it maps to (37.11).
For a different body part, codes include 02W54JZ (atrial septum), 02WF4JZ (aortic valve), 02WG4JZ (mitral valve), 02WH4JZ (pulmonary valve), 02WJ4JZ (tricuspid valve), 02WM4JZ (ventricular septum) and 1 more.
The same procedure with a different approach is coded 02WA0JZ (open), 02WA3JZ (percutaneous) and 02WAXJZ (external).
With a different device, use 02WA42Z (monitoring device), 02WA43Z (infusion device), 02WA47Z (autologous tissue substitute), 02WA48Z (zooplastic tissue), 02WA4CZ (extraluminal device), 02WA4DZ (intraluminal device) and 6 more.
It is an operating-room procedure in the MS-DRG logic for DRG 228 (Other Cardiothoracic Procedures with MCC), DRG 229 (Other Cardiothoracic Procedures without MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC), DRG 909 (Other O.R. Procedures for Injuries without CC/MCC) and DRG 957 (Other O.R. Procedures for Multiple Significant Trauma with MCC), under the surgical categories “Other Cardiothoracic Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.
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
- WRevision
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin
Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
- 02WA42ZMonitoring Device
- 02WA43ZInfusion Device
- 02WA47ZAutologous Tissue Substitute
- 02WA48ZZooplastic Tissue
- 02WA4CZExtraluminal Device
- 02WA4DZIntraluminal Device
- 02WA4KZNonautologous Tissue Substitute
- 02WA4MZCardiac Lead
- 02WA4NZIntracardiac Pacemaker
- 02WA4QZImplantable Heart Assist System
- 02WA4RZShort-term External Heart Assist System
- 02WA4YZOther Device
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
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 37.11Cardiotomyapproximate
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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 02WA4JZ
Is 02WA4JZ a valid ICD-10-PCS code for 2027?
- Yes. 02WA4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02WA4JZ an O.R. procedure?
- Yes. 02WA4JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02WA4JZ group to?
- Depending on the principal diagnosis, 02WA4JZ can group to MS-DRG 228, MS-DRG 229, MS-DRG 907, MS-DRG 908, MS-DRG 909 and MS-DRG 957.
What is the ICD-9 procedure code for 02WA4JZ?
- The CMS GEMs map 02WA4JZ to ICD-9-CM 37.11 (Cardiotomy).