2025 ICD-10-PCS Procedure Code X2RJ3RA

X2RJ3RA 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 new technology section and is part of the cardiovascular system body system, classified under replacement operation. The applicable bodypart for this procedure code is tricuspid valve.

New 2025 ICD-10-PCS Code

X2RJ3RA is new to ICD-10-PCS code set for the FY 2025, effective October 1, 2022.

Replacement Code

X2RJ3RA replaces the following previously assigned ICD-10-PCS code(s):

• 02RJ38Z - Replacement of Tricusp Valve with Zooplastic, Perc Approach
• 02RJ38Z - Replacement of Tricusp Valve with Zooplastic, Perc Approach
• 02RJ38Z - Replacement of Tricusp Valve with Zooplastic, Perc Approach
• 02RJ38Z - Replacement of Tricusp Valve with Zooplastic, Perc Approach
• 02RJ38Z - Replacement of Tricusp Valve with Zooplastic, Perc Approach
• 02RJ38Z - Replacement of Tricusp Valve with Zooplastic, Perc Approach

MS-DRG Mapping for ICD-10-PCS Code X2RJ3RA

ICD-10-PCS procedure codes are grouped into Medicare Severity Diagnosis Related Groups (MS-DRGs) to support consistent hospital reimbursement and care planning. MS-DRGs classify inpatient stays based on clinical similarity and expected resource use, using information such as the primary procedure, secondary diagnoses, and patient condition.

Each hospital stay is assigned a single DRG, which determines a fixed payment rate from Medicare. This rate accounts for the complexity of the procedure and the overall cost of care.

The code X2RJ3RA maps to the following MS-DRGs in version V42.0, effective from October 1, 2024, through September 30, 2025. These groupings are key to understanding how the procedure impacts billing and hospital resource allocation.

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

Filter related codes list:

• X2R New Technology, Cardiovascular System, Replacement

• X2R50WA Replacement of Right Upper Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

• X2R60WA Replacement of Left Upper Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

• X2R70WA Replacement of Right Lower Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

• X2R80WA Replacement of Left Lower Extremity Artery using Bioengineered Human Acellular Vessel, Open Approach, New Technology Group 10

• X2RX0N7 Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7

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 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.