027L4ZZ ICD-10-PCS Code: Dilation of Left Ventricle, Percutaneous Endoscopic Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body System2 | Heart and Great Vessels |
| 3 | Root Operation7 | Dilation Expanding an orifice or the lumen of a tubular body part |
| 4 | Body PartL | Ventricle, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:
- MDC 05 — Other Major Cardiovascular Procedures: DRG 270, DRG 271, DRG 272
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
027G4ZZ — Dilation of Mitral Valve, Percutaneous Endoscopic Approach, 027H4ZZ — Dilation of Pulmonary Valve, Percutaneous Endoscopic Approach, 027J4ZZ — Dilation of Tricuspid Valve, Percutaneous Endoscopic Approach, 027K4ZZ — Dilation of Right Ventricle, Percutaneous Endoscopic Approach, 027P4ZZ — Dilation of Pulmonary Trunk, Percutaneous Endoscopic Approach, 027Q4ZZ — Dilation of Right Pulmonary Artery, Percutaneous Endoscopic Approach, 027R4ZZ — Dilation of Left Pulmonary Artery, Percutaneous Endoscopic Approach, 027S4ZZ — Dilation of Right Pulmonary Vein, Percutaneous Endoscopic Approach, +9 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
027L0ZZ — Dilation of Left Ventricle, Open Approach, 027L3ZZ — Dilation of Left Ventricle, Percutaneous Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
027L44Z — Dilation of Left Ventricle with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach, 027L4DZ — Dilation of Left Ventricle with Intraluminal Device, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Septal repair and other therapeutic heart procedures (Cardiovascular Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
025D4ZZ — Destruction of Papillary Muscle, Percutaneous Endoscopic Approach, 025K0ZZ — Destruction of Right Ventricle, Open Approach, 025K3ZZ — Destruction of Right Ventricle, Percutaneous Approach, 025K4ZZ — Destruction of Right Ventricle, Percutaneous Endoscopic Approach, 025L0ZZ — Destruction of Left Ventricle, Open Approach, 025L3ZZ — Destruction of Left Ventricle, Percutaneous Approach, 025L4ZZ — Destruction of Left Ventricle, Percutaneous Endoscopic Approach, 025M0ZZ — Destruction of Ventricular Septum, Open Approach, 025M3ZZ — Destruction of Ventricular Septum, Percutaneous Approach, 025M4ZZ — Destruction of Ventricular Septum, Percutaneous Endoscopic Approach, 02890ZZ — Division of Chordae Tendineae, Open Approach, 02893ZZ — Division of Chordae Tendineae, Percutaneous Approach, 02894ZZ — Division of Chordae Tendineae, Percutaneous Endoscopic Approach, 028D0ZZ — Division of Papillary Muscle, Open Approach, 028D3ZZ — Division of Papillary Muscle, Percutaneous Approach, 028D4ZZ — Division of Papillary Muscle, Percutaneous Endoscopic Approach, 02B50ZZ — Excision of Atrial Septum, Open Approach, 02B53ZZ — Excision of Atrial Septum, Percutaneous Approach, 02B54ZZ — Excision of Atrial Septum, Percutaneous Endoscopic Approach, 02B60ZZ — Excision of Right Atrium, Open Approach, +314 more
Contextual Map
Every relationship of 027L4ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 027L4ZZ with these 5 related codes in Claim Check
PCS table
- 027[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Heart and Great Vessels — Body System: Heart and Great Vessels[Body System]: “Heart and Great Vessels”— CMS ICD-10-PCS tables
- Dilation — Operation: Dilation[Operation]: “Dilation”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 270 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 271 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 272 — OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC — Other Major Cardiovascular Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
Clinical classification (CCSR)
- CAR019 — Septal repair and other therapeutic heart procedures[CCSR category]: “Septal repair and other therapeutic heart procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (8278)
- MDC 05 — Diseases and Disorders of the Circulatory System[MDC crossing]: “Diseases and Disorders of the Circulatory System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- A36.81 — Diphtheritic cardiomyopathy[Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.50 — Meningococcal carditis, unspecified[Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.51 — Meningococcal endocarditis[Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.52 — Meningococcal myocarditis[Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A39.53 — Meningococcal pericarditis[Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 8273 more
Nearest codes
- 02704ZZ — Dilation of Coronary Artery, One Artery, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 02714ZZ — Dilation of Coronary Artery, Two Arteries, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 02724ZZ — Dilation of Coronary Artery, Three Arteries, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 02734ZZ — Dilation of Coronary Artery, Four or More Arteries, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 027F4ZZ — Dilation of Aortic Valve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 027G4ZZ — Dilation of Mitral Valve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 027H4ZZ — Dilation of Pulmonary Valve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 027J4ZZ — Dilation of Tricuspid Valve, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Added to the code setDilation of Left Ventricle, Percutaneous Endoscopic ApproachFY2018 changes
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources