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ICD-10-PCS 2027 procedure code

X2RJ3RAReplacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10

✓ Valid for 2027O.R. procedure

Short description: Replace Tricusp Vlv w Mlt-pln Flx Bio Vlv, Perc, New Tech 10

Code last changed in FY2025 (effective October 1, 2024). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About X2RJ3RA

X2RJ3RA is the ICD-10-PCS code for a replacement procedure on the tricuspid valve using a percutaneous approach with multi-plane flex technology bioprosthetic valve (qualifier: new technology group 10). 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 FY2025, effective October 1, 2024.

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
JTricuspid 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
RMulti-plane Flex Technology Bioprosthetic Valve
7. Qualifier
ANew Technology Group 10

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
  • FY2025 (effective 10/1/2024): Added
  • No changes since FY2025.

Common questions about X2RJ3RA

Is X2RJ3RA a valid ICD-10-PCS code for 2027?

Yes. X2RJ3RA is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is X2RJ3RA an O.R. procedure?

Yes. X2RJ3RA is an O.R. procedure in MS-DRG v44.0.

What DRG does X2RJ3RA group to?

Depending on the principal diagnosis, X2RJ3RA can group to MS-DRG 266 and MS-DRG 267.