02RF4KZReplacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- Billable / Specific Code
02RF4KZ is a billable ICD-10-PCS procedure code for Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 7 MS-DRGs. 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 valve replacement and other valve procedures (non-endovascular).
Code Identity
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.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | 2 | Heart and Great Vessels |
| 3 | Operation | R | Replacement |
| 4 | BodyPart | F | Aortic Valve |
| 5 | Approach | 4 | Percutaneous Endoscopic |
| 6 | Device | K | Nonautologous Tissue Substitute |
| 7 | Qualifier | Z | No Qualifier |
In the ICD-10-PCS Alphabetic Index
These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:
To code replacement of the aortic valve, open the FY 2027 ICD-10-PCS Alphabetic Index at Replacement, then the subterms Valve, Aortic. The index leads to table 02R, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 02RF4KZ.
Clinical Classification (CCSR)
AHRQ groups this procedure code into these clinical categories.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 02RF4KZ
Is 02RF4KZ a billable code?
Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.
What do the characters in 02RF4KZ 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 F is the BodyPart (Aortic Valve); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).
What MS-DRG does 02RF4KZ group to?
On an inpatient stay, Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach maps to MS-DRGs 212, 216, 217, 218, 219, 220, 221, with relative weights from 4.7134 to 11.4416. The MS-DRG sets the fixed Medicare payment for the stay.
What is the ICD-9-PCS equivalent of 02RF4KZ?
Under the General Equivalence Mappings, Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 35.21 (Open and other replacement of aortic valve with tissue graft). The mapping is approximate, so confirm it fits the documentation.
