X2RG3FCReplacement of Mitral Valve with Balloon-expandable Bioprosthetic Valve with Dock, Percutaneous Approach, New Technology Group 12

New Technology›Cardiovascular System›Replacement
ICD-10-PCS X2RG3FC
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

X2RG3FC is a billable ICD-10-PCS procedure code for Replacement of Mitral Valve with Balloon-expandable Bioprosthetic Valve with Dock, Percutaneous Approach, New Technology Group 12. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 266, 267. 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.

Code Identity

ICD-10-PCS Code
X2RG3FC
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Mitral Valve with Balloon-expandable Bioprosthetic Valve with Dock, Percutaneous Approach, New Technology Group 12
Short Description
Replace Mitr Vlv w Bio Valv Expand w Dock, Perc, New Tech 12
Parent Code
X2R New Technology, Cardiovascular System, Replacement

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
1SectionXNew Technology
2Body System2Cardiovascular System
3OperationRReplacement
4BodyPartGMitral Valve
5Approach3Percutaneous
6Device/Substance/TechnologyFBioprosthetic Valve, Balloon-expandable with Dock
7QualifierCNew Technology Group 12

In the ICD-10-PCS Alphabetic Index

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

Bioprosthetic Valve, Balloon-expandable with Dock, Valve, Mitral
Direct entry for this code
New Technology, Valve, Mitral, Bioprosthetic Valve, Balloon-expandable with Dock
Direct entry for this code
Bicuspid valve
Anatomy or device term that leads here
Mitral annulus
Anatomy or device term that leads here
Left atrioventricular valve
Anatomy or device term that leads here
Bioengineered Human Acellular Vessel
Leads to this code's table
New Technology, Bioengineered Human Acellular Vessel
Leads to this code's table
Frozen elephant trunk (FET) technique, aortic arch replacement
Leads to this code's table

To code new technology of the bioengineered human acellular vessel, open the FY 2027 ICD-10-PCS Alphabetic Index at New Technology, then the subterm Bioengineered Human Acellular Vessel. The index leads to table X2R, where the approach, Device/Substance/Technology and qualifier values shown in the breakdown above complete the seven-character code X2RG3FC.

Browse the full ICD-10-PCS Alphabetic Index →

Code History

FY 2027New code, effective October 1, 2026.
Replaces previously assigned code(s):
  • 02RG38H — Replace Mitral Valve w Zooplastic, Transap, Perc

Similar Procedure Codes

Questions About X2RG3FC

Is X2RG3FC a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Mitral Valve with Balloon-expandable Bioprosthetic Valve with Dock, Percutaneous Approach, New Technology Group 12 on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in X2RG3FC mean?

The code breaks down character by character: the 1st character X is the Section (New Technology); the 2nd character 2 is the Body System (Cardiovascular System); the 3rd character R is the Operation (Replacement); the 4th character G is the BodyPart (Mitral Valve); the 5th character 3 is the Approach (Percutaneous); the 6th character F is the Device/Substance/Technology (Bioprosthetic Valve, Balloon-expandable with Dock); the 7th character C is the Qualifier (New Technology Group 12).

What MS-DRG does X2RG3FC group to?

On an inpatient stay, Replacement of Mitral Valve with Balloon-expandable Bioprosthetic Valve with Dock, Percutaneous Approach, New Technology Group 12 maps to MS-DRGs 266, 267, with relative weights from 4.7211 to 5.9374. The MS-DRG sets the fixed Medicare payment for the stay.