02VA4CZRestriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach

  • Billable / Specific Code
ICD-10-PCS 02VA4CZ
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

02VA4CZ is a billable ICD-10-PCS procedure code for Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 6 MS-DRGs. The root operation Restriction involves partially closing an orifice or the lumen of a tubular body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Septal repair and other therapeutic heart procedures.

Code Identity

ICD-10-PCS Code
02VA4CZ
Billable Status
Yes — Valid for Submission
Code Describes
Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach
Short Description
Restriction of Heart with Extralum Dev, Perc Endo 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
3OperationVRestriction
4BodyPartAHeart
5Approach4Percutaneous Endoscopic
6DeviceCExtraluminal Device
7QualifierZNo Qualifier

In the ICD-10-PCS Alphabetic Index

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

Clipping, aneurysm
Anatomy or device term that leads here
Leads to this code's table
Frozen elephant trunk (FET) technique, thoracic aorta restriction
Leads to this code's table

To code restriction of the heart, open the FY 2027 ICD-10-PCS Alphabetic Index at Restriction, then the subterm Heart. The index leads to table 02V, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 02VA4CZ.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR019
Septal repair and other therapeutic heart procedures
Clinical domain: Cardiovascular Procedures

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for this code under the General Equivalence Mappings.

37.49
Other repair of heart and pericardium
Approximate match.

Similar Procedure Codes

Questions About 02VA4CZ

Is 02VA4CZ a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 02VA4CZ 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 V is the Operation (Restriction); the 4th character A is the BodyPart (Heart); the 5th character 4 is the Approach (Percutaneous Endoscopic); the 6th character C is the Device (Extraluminal Device); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 02VA4CZ group to?

On an inpatient stay, Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach maps to MS-DRGs 270, 271, 272, 907, 908, 909, with relative weights from 1.3810 to 5.2665. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 02VA4CZ?

Under the General Equivalence Mappings, Restriction of Heart with Extraluminal Device, Percutaneous Endoscopic Approach crosswalks to ICD-9-PCS 37.49 (Other repair of heart and pericardium). The mapping is approximate, so confirm it fits the documentation.