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Inpatient Procedure Code

02PA4KZ

Removal of Nonautologous Tissue Substitute from Heart, Percutaneous Endoscopic Approach

Removal of Nonaut Sub from Heart, Perc Endo 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.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body System2

Heart and Great Vessels

3
Root OperationP

Removal

Taking out or off a device from a body part

4
Body PartA

Heart

5
Approach4

Percutaneous Endoscopic

6
DeviceK

Nonautologous Tissue Substitute

7
QualifierZ

No Qualifier

Potential MS-DRG Relationships (FY2026)

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 2 MS-DRGs:

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.

02PY4KZ — Removal of Nonautologous Tissue Substitute from Great Vessel, Percutaneous Endoscopic Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

02PA0KZ — Removal of Nonautologous Tissue Substitute from Heart, Open Approach, 02PA3KZ — Removal of Nonautologous Tissue Substitute from Heart, Percutaneous Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

02PA48Z — Removal of Zooplastic Tissue from Heart, Percutaneous Endoscopic Approach, 02PA4CZ — Removal of Extraluminal Device from Heart, Percutaneous Endoscopic Approach, 02PA4DZ — Removal of Intraluminal Device from Heart, Percutaneous Endoscopic Approach, 02PA4JZ — Removal of Synthetic Substitute from Heart, Percutaneous Endoscopic Approach, 02PA4MZ — Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach, 02PA4NZ — Removal of Intracardiac Pacemaker from Heart, Percutaneous Endoscopic Approach, 02PA4QZ — Removal of Implantable Heart Assist System from Heart, Percutaneous Endoscopic Approach, 02PA4RZ — Removal of Short-term External Heart Assist System from Heart, Percutaneous Endoscopic Approach, +4 more

Contextual Map

Every relationship of 02PA4KZ 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.

PCS table

  • 02P[PCS table]
  • [object Object] — Section: [object Object] [Section]: “[object Object]”
  • [object Object] — Body System: [object Object] [Body System]: “[object Object]”
  • [object Object] — Operation: [object Object] [Operation]: “[object Object]”

MS-DRG participation

  • DRG 228 — OTHER CARDIOTHORACIC PROCEDURES WITH MCC [MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITH MCC — Other Cardiothoracic Procedures (MDC 05)”
  • DRG 229 — OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC [MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — Other Cardiothoracic Procedures (MDC 05)”

MDC crossing · diagnoses (1844)

  • 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.”
  • A36.81 — Diphtheritic cardiomyopathy [Same-MDC diagnosis]: “Diphtheritic cardiomyopathy — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.50 — Meningococcal carditis, unspecified [Same-MDC diagnosis]: “Meningococcal carditis, unspecified — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.51 — Meningococcal endocarditis [Same-MDC diagnosis]: “Meningococcal endocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.52 — Meningococcal myocarditis [Same-MDC diagnosis]: “Meningococcal myocarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • A39.53 — Meningococcal pericarditis [Same-MDC diagnosis]: “Meningococcal pericarditis — grouped in MDC 05, the diagnosis side of this code's crossing.” · check together
  • and 1839 more

Nearest codes

  • 02PA0KZ — Removal of Nonautologous Tissue Substitute from Heart, Open Approach [One axis away]
  • 02PA3KZ — Removal of Nonautologous Tissue Substitute from Heart, Percutaneous Approach [One axis away]
  • 02PA42Z — Removal of Monitoring Device from Heart, Percutaneous Endoscopic Approach [One axis away]
  • 02PA43Z — Removal of Infusion Device from Heart, Percutaneous Endoscopic Approach [One axis away]
  • 02PA47Z — Removal of Autologous Tissue Substitute from Heart, Percutaneous Endoscopic Approach [One axis away]
  • 02PA48Z — Removal of Zooplastic Tissue from Heart, Percutaneous Endoscopic Approach [One axis away]
  • 02PA4CZ — Removal of Extraluminal Device from Heart, Percutaneous Endoscopic Approach [One axis away]
  • 02PA4DZ — Removal of Intraluminal Device from Heart, Percutaneous Endoscopic Approach [One axis away]

Change history

No changes recorded for this code — unchanged since the FY2026 (April) baseline of the change ledger.