2021 ICD-10-PCS 02RL0JZ - Replacement of Left Ventricle with Synthetic Substitute, Open Approach

Valid for Submission

02RL0JZ is a billable procedure code used to specify the performance of replacement of left ventricle with synthetic substitute, open approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 02RL0JZ is in the medical and surgical section and is part of the heart and great vessels body system, classified under the replacement operation. The applicable bodypart is ventricle, left.

ICD-10-PCS Details

Position	Designation	Character	Label	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 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 Total hip replacement, bone graft, free skin graft
4	BodyPart	L	Ventricle, Left
5	Approach	0	Open	Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure Involves: Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
6	Device	J	Synthetic Substitute	Includes: AbioCor(R) Total Replacement Heart AMPLATZER(R) Muscular VSD Occluder Annuloplasty ring Bard(R) Composix(R) (E/X)(LP) mesh Bard(R) Composix(R) Kugel(R) patch Bard(R) Dulex(tm) mesh Bard(R) Ventralex(tm) hernia patch Barricaid(R) Annular Closure Device (ACD) BRYAN(R) Cervical Disc System Corvia IASD(R) Ex-PRESS(tm) mini glaucoma shunt Flexible Composite Mesh GORE(R) DUALMESH(R) Holter valve ventricular shunt IASD(R) (InterAtrial Shunt Device), Corvia InterAtrial Shunt Device IASD(R), Corvia MitraClip valve repair system Nitinol framed polymer mesh Open Pivot (mechanical) valve Open Pivot Aortic Valve Graft (AVG) Partially absorbable mesh PHYSIOMESH(tm) Flexible Composite Mesh Polymethylmethacrylate (PMMA) Polypropylene mesh PRESTIGE(R) Cervical Disc PROCEED(tm) Ventral Patch Prodisc-C Prodisc-L PROLENE Polypropylene Hernia System (PHS) Rebound HRD(R) (Hernia Repair Device) SynCardia Total Artificial Heart Total artificial (replacement) heart ULTRAPRO Hernia System (UHS) ULTRAPRO Partially Absorbable Lightweight Mesh ULTRAPRO Plug V-Wave Interatrial Shunt System Ventrio(tm) Hernia Patch Zimmer(R) NexGen(R) LPS Mobile Bearing Knee Zimmer(R) NexGen(R) LPS-Flex Mobile Knee AbioCor(R) Total Replacement Heart AMPLATZER(R) Muscular VSD Occluder Annuloplasty ring Bard(R) Composix(R) (E/X)(LP) mesh Bard(R) Composix(R) Kugel(R) patch Bard(R) Dulex(tm) mesh Bard(R) Ventralex(tm) hernia patch Barricaid(R) Annular Closure Device (ACD) BRYAN(R) Cervical Disc System Corvia IASD(R) Ex-PRESS(tm) mini glaucoma shunt Flexible Composite Mesh GORE(R) DUALMESH(R) Holter valve ventricular shunt IASD(R) (InterAtrial Shunt Device), Corvia InterAtrial Shunt Device IASD(R), Corvia MitraClip valve repair system Nitinol framed polymer mesh Open Pivot (mechanical) valve Open Pivot Aortic Valve Graft (AVG) Partially absorbable mesh PHYSIOMESH(tm) Flexible Composite Mesh Polymethylmethacrylate (PMMA) Polypropylene mesh PRESTIGE(R) Cervical Disc PROCEED(tm) Ventral Patch Prodisc-C Prodisc-L PROLENE Polypropylene Hernia System (PHS) Rebound HRD(R) (Hernia Repair Device) SynCardia Total Artificial Heart Total artificial (replacement) heart ULTRAPRO Hernia System (UHS) ULTRAPRO Partially Absorbable Lightweight Mesh ULTRAPRO Plug V-Wave Interatrial Shunt System Ventrio(tm) Hernia Patch Zimmer(R) NexGen(R) LPS Mobile Bearing Knee Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

Limited Coverage - this code is intended for for certain procedures whose medical complexity and serious nature incur extraordinary associated costs, medicare limits coverage to a portion of the cost.

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 02RL0JZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC - Relative Weight: 5.1816
271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC - Relative Weight: 3.5646
272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC - Relative Weight: 2.6888
907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC - Relative Weight: 3.9571
908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC - Relative Weight: 2.0404
909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC - Relative Weight: 1.3746

Convert 02RL0JZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 3749 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

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. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

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.

ICD-10-PCS:	02RL0JZ
Short Description:	Replacement of Left Ventricle with Synth Sub, Open Approach
Long Description:	Replacement of Left Ventricle with Synthetic Substitute, Open Approach