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ICD-10-PCS 2027 procedure code

X2RF3LCReplacement of Aortic Valve using Zooplastic Tissue, with Integrated Native Leaflet Clipping Locators, Percutaneous Approach, New Technology Group 12

✓ Valid for 2027New for 2027O.R. procedure

Short description: Replace Aort Vlv w Zoopl Natv Leafl Clip , Perc, New Tech 12

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

About X2RF3LC

X2RF3LC is the ICD-10-PCS code for a replacement procedure on the aortic valve using a percutaneous approach with zooplastic tissue, with integrated native leaflet clipping locators (qualifier: new technology group 12). In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

It is an operating-room procedure in the MS-DRG logic for DRG 266 (Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC) and DRG 267 (Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC), under the surgical category “Endovascular Cardiac Valve Replacement and Supplement Procedures”.

It was added in FY2027, effective October 1, 2026.

What each character means

1. Section
XNew Technology
2. Body System
2Cardiovascular System
3. Operation
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

4. Body Part
FAortic Valve
5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure

6. Device / Substance / Technology
LZooplastic Tissue, with Integrated Native Leaflet Clipping Locators
7. Qualifier
CNew Technology Group 12

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 · Endovascular Cardiac Valve Replacement and Supplement Procedures

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
  • FY2027 (effective 10/1/2026): Added

Common questions about X2RF3LC

Is X2RF3LC a valid ICD-10-PCS code for 2027?

Yes. X2RF3LC is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is X2RF3LC an O.R. procedure?

Yes. X2RF3LC is an O.R. procedure in MS-DRG v44.0.

What DRG does X2RF3LC group to?

Depending on the principal diagnosis, X2RF3LC can group to MS-DRG 266 and MS-DRG 267.