02RA0MZReplacement of Heart with Synthetic Substitute, Pneumatic, Open Approach

  • Billable / Specific Code
ICD-10-PCS 02RA0MZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

02RA0MZ is a billable ICD-10-PCS procedure code for Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 001, 002. The root operation Replacement involves 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Heart assist device procedures.

Code Identity

ICD-10-PCS Code
02RA0MZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach
Short Description
Replacement of Heart with Synth Pneumat, Open Approach
Parent Code

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System2Heart and Great Vessels
3OperationRReplacement
4BodyPartAHeart
5Approach0Open
6DeviceMSynthetic Substitute, Pneumatic
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Leads to this code's table
Leads to this code's table
Frozen elephant trunk (FET) technique, aortic arch replacement
Leads to this code's table

To code replacement of the heart, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterm Heart. The index leads to table 02R, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 02RA0MZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR027
Heart assist device procedures
Clinical domain: Cardiovascular Procedures

Code History

Replaces previously assigned code(s):
  • 02RK0JZ — Replacement of Right Ventricle with Synth Sub, Open Approach
  • 02RL0JZ — Replacement of Left Ventricle with Synth Sub, Open Approach

Similar Procedure Codes

Questions About 02RA0MZ

Is 02RA0MZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 02RA0MZ mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 2 is the Body System (Heart and Great Vessels); the 3rd character R is the Operation (Replacement); the 4th character A is the BodyPart (Heart); the 5th character 0 is the Approach (Open); the 6th character M is the Device (Synthetic Substitute, Pneumatic); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 02RA0MZ group to?

On an inpatient stay, Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach maps to MS-DRGs 001, 002, with relative weights from 11.0039 to 28.0828. The MS-DRG sets the fixed Medicare payment for the stay.