ICD-10-PCS 2027 procedure code
02WA4RZRevision of Short-term External Heart Assist System in Heart, Percutaneous Endoscopic Approach
Short description: Revision of Ext Heart Assist in Heart, 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 02WA4RZ
02WA4RZ is the ICD-10-PCS code for a revision procedure on the heart using a percutaneous endoscopic approach with short-term external heart assist system. 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 repair of heart assist system, the ICD-9-CM procedure title it maps to (37.63).
The same procedure with a different approach is coded 02WA0RZ (open), 02WA3RZ (percutaneous) and 02WAXRZ (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 215 (Other Heart Assist System Implant), DRG 001 (Heart Transplant or Implant of Heart Assist System with MCC) and DRG 002 (Heart Transplant or Implant of Heart Assist System without MCC), under the surgical categories “Other Heart Assist System Implant” and “Heart Transplant or Implant of Heart Assist System”.
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
- RShort-term External Heart Assist System
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different approach
Different device
- 02WA42ZMonitoring Device
- 02WA43ZInfusion Device
- 02WA47ZAutologous Tissue Substitute
- 02WA48ZZooplastic Tissue
- 02WA4CZExtraluminal Device
- 02WA4DZIntraluminal Device
- 02WA4JZSynthetic Substitute
- 02WA4KZNonautologous Tissue Substitute
- 02WA4MZCardiac Lead
- 02WA4NZIntracardiac Pacemaker
- 02WA4QZImplantable Heart Assist System
- 02WA4YZOther Device
Different qualifier
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 Heart Assist System Implant
MDC PRE · Pre-MDC · Heart Transplant or Implant of Heart Assist System
MDC PRE · Pre-MDC · Heart Transplant or Implant of Heart Assist System
MDC PRE · Pre-MDC · Heart Transplant or Implant of Heart Assist System
ICD-9-CM equivalent
Converter →- 37.63Repair of heart assist systemapproximate
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)
- FY2018 (effective 10/1/2017): Title revised — was “Revision of External Heart Assist System in Heart, Percutaneous Endoscopic Approach”
Common questions about 02WA4RZ
Is 02WA4RZ a valid ICD-10-PCS code for 2027?
- Yes. 02WA4RZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02WA4RZ an O.R. procedure?
- Yes. 02WA4RZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02WA4RZ group to?
- Depending on the principal diagnosis, 02WA4RZ can group to MS-DRG 215, MS-DRG 001 and MS-DRG 002.
What is the ICD-9 procedure code for 02WA4RZ?
- The CMS GEMs map 02WA4RZ to ICD-9-CM 37.63 (Repair of heart assist system).