2024 ICD-10-CM Procedure Code 02RH38M

Replacement of Pulmonary Valve with Zooplastic Tissue, Native Site, Percutaneous Approach

ICD-10-PCS Code:: 02RH38M
ICD-10-PCS Code for:: Replace Pulm Valve w Zooplastic, Native Site, Perc
Is Billable?: Yes - Valid for Submission
Code Navigator:

02RH38M is a billable procedure code used to specify the performance of replacement of pulmonary valve with zooplastic tissue, native site, percutaneous approach. The code is valid for the year 2024 for the submission of HIPAA-covered transactions.

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Other Similar Codes

02RH38M PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the heart and great vessels body system, classified under replacement operation. The applicable bodypart for this procedure code is pulmonary valve.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	2	Heart and Great Vessels
3	Operation	R	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 Explanation: The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure Includes: Total hip replacement, bone graft, free skin graft
4	BodyPart	H	Pulmonary Valve	Includes: Pulmonary annulus Pulmonic valve
5	Approach	3	Percutaneous	Involves: 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	8	Zooplastic Tissue
7	Qualifier	M	Native Site

Replacement Code

02RH38M replaces the following previously assigned ICD-10-PCS code(s):

02RH38Z - Replacement of Pulm Valve with Zooplastic, Perc Approach
02RH38Z - Replacement of Pulm Valve with Zooplastic, Perc Approach
02RH38Z - Replacement of Pulm Valve with Zooplastic, Perc Approach
02RH38Z - Replacement of Pulm Valve with Zooplastic, Perc Approach
02RH38Z - Replacement of Pulm Valve with Zooplastic, Perc Approach

Clinical Classification

Clinical Category is Heart valve replacement and other valve procedures (endovascular)
CCSR Category Code: CAR023
Clinical Domain is Cardiovascular Procedures - CAR contains 29 categories that include cardiovascular procedures such as percutaneous coronary intervention (PCI), coronary artery bypass graft (CABG), and aneurysm repair procedures.

02RH38M is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 02RH38M is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
266	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC	05	6.2461
267	ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC	05	4.8802

Other ICD-10-PCS Codes Used for Replacement Pulmonary Valve

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. The 2024 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2023 through September 30, 2024.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.