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ICD-10-PCS 2027 procedure code

X2RH0GCReplacement of Pulmonary Valve using Size-Adjustable Synthetic Substitute, Open Approach, New Technology Group 12

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

Short description: Replace Pulm Vlv w Size Adjstbl Synth Sub, Open, 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 X2RH0GC

X2RH0GC is the ICD-10-PCS code for a replacement procedure on the pulmonary valve using an open approach with synthetic substitute, size-adjustable (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 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 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
HPulmonary Valve
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device / Substance / Technology
GSynthetic Substitute, Size-Adjustable
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.

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 X2RH0GC

Is X2RH0GC a valid ICD-10-PCS code for 2027?

Yes. X2RH0GC is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is X2RH0GC an O.R. procedure?

Yes. X2RH0GC is an O.R. procedure in MS-DRG v44.0.

What DRG does X2RH0GC group to?

Depending on the principal diagnosis, X2RH0GC can group to MS-DRG 212, MS-DRG 216, MS-DRG 217, MS-DRG 218, MS-DRG 219 and MS-DRG 220.