X2RX0N7Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7

  • Billable / Specific Code
ICD-10-PCS X2RX0N7
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

X2RX0N7 is a billable ICD-10-PCS procedure code for Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to 17 MS-DRGs. 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. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under Vessel repair and replacement.

Code Identity

ICD-10-PCS Code
X2RX0N7
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7
Short Description
Replace Aort Arch w Synth/Intralum Dev, Open, New Tech 7
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
4BodyPartXThoracic Aorta, Arch
5Approach0Open
6Device/Substance/TechnologyNBranched Synthetic Substitute with Intraluminal Device
7Qualifier7New Technology Group 7

In the ICD-10-PCS Alphabetic Index

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

New Technology, Aorta, Thoracic Arch using Branched Synthetic Substitute with Intraluminal Device
Direct entry for this code
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 X2RX0N7.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

CAR012
Vessel repair and replacement
Clinical domain: Cardiovascular Procedures

Code History

Replaces previously assigned code(s):
  • 02RX0JZ — Replacement of Thor Aorta Asc with Synth Sub, Open Approach

Similar Procedure Codes

Questions About X2RX0N7

Is X2RX0N7 a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7 on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in X2RX0N7 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 X is the BodyPart (Thoracic Aorta, Arch); the 5th character 0 is the Approach (Open); the 6th character N is the Device/Substance/Technology (Branched Synthetic Substitute with Intraluminal Device); the 7th character 7 is the Qualifier (New Technology Group 7).

What MS-DRG does X2RX0N7 group to?

On an inpatient stay, Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7 maps to MS-DRGs 163, 164, 165, 209, 212, 216, 217, 218, 219, 220, 221, 907, 908, 909, 957, 958, 959, with relative weights from 1.3810 to 11.5162. The MS-DRG sets the fixed Medicare payment for the stay.