X2RJ3RAReplacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10

  • Billable / Specific Code
ICD-10-PCS X2RJ3RA
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

X2RJ3RA is a billable ICD-10-PCS procedure code for Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10. 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. The Alphabetic Index lists this code under TTVR. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Heart valve replacement and other valve procedures (endovascular).

Code Identity

ICD-10-PCS Code
X2RJ3RA
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10
Short Description
Replace Tricusp Vlv w Mlt-pln Flx Bio Vlv, Perc, New Tech 10
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
4BodyPartJTricuspid Valve
5Approach3Percutaneous
6Device/Substance/TechnologyRMulti-plane Flex Technology Bioprosthetic Valve
7QualifierANew Technology Group 10

In the ICD-10-PCS Alphabetic Index

The FY 2027 ICD-10-PCS Alphabetic Index refers to X2RJ3RA as TTVR. These index entries lead to this code:

Direct entry for this code
New Technology, Multi-plane Flex Technology Bioprosthetic Valve
Direct entry for this code
Percutaneous tricuspid valve replacement, EVOQUE valve/system (Edwards)
Direct entry for this code
Transcatheter tricuspid valve replacement, EVOQUE valve/system (Edwards)
Direct entry for this code
Anatomy or device term that leads here
Anatomy or device term that leads here
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 TTVR, open the FY 2027 ICD-10-PCS Alphabetic Index at TTVR. The entry lists X2RJ3RA directly as a complete, billable code.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR023
Heart valve replacement and other valve procedures (endovascular)
Clinical domain: Cardiovascular Procedures

Code History

Replaces previously assigned code(s):
  • 02RJ38Z — Replacement of Tricusp Valve with Zooplastic, Perc Approach

Similar Procedure Codes

Questions About X2RJ3RA

Is X2RJ3RA a billable code?

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

What is the ICD-10-PCS code for TTVR?

The ICD-10-PCS Alphabetic Index lists TTVR under code X2RJ3RA, Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10, billable on inpatient claims in fiscal year 2027.

What do the characters in X2RJ3RA 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 J is the BodyPart (Tricuspid Valve); the 5th character 3 is the Approach (Percutaneous); the 6th character R is the Device/Substance/Technology (Multi-plane Flex Technology Bioprosthetic Valve); the 7th character A is the Qualifier (New Technology Group 10).

What MS-DRG does X2RJ3RA group to?

On an inpatient stay, Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10 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.