02RL4KZ ICD-10-PCS Code: Replacement of Left Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

MS-DRG Grouper Relationships (FY2026)

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 2 MS-DRGs:

• MDC 05 — Other Cardiothoracic Procedures: DRG 228, DRG 229

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.

02RG4KZ — Replacement of Mitral Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RH4KZ — Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RJ4KZ — Replacement of Tricuspid Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RK4KZ — Replacement of Right Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RM4KZ — Replacement of Ventricular Septum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RN4KZ — Replacement of Pericardium with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RP4KZ — Replacement of Pulmonary Trunk with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RQ4KZ — Replacement of Right Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, +12 more

Same operation — other Approach

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

02RL0KZ — Replacement of Left Ventricle with Nonautologous Tissue Substitute, Open Approach

Same operation — other Device

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

02RL47Z — Replacement of Left Ventricle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RL48Z — Replacement of Left Ventricle with Zooplastic Tissue, Percutaneous Endoscopic Approach, 02RL4JZ — Replacement of Left Ventricle with Synthetic Substitute, 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.

02QD4ZZ — Repair Papillary Muscle, Percutaneous Endoscopic Approach, 02QK0ZZ — Repair Right Ventricle, Open Approach, 02QK3ZZ — Repair Right Ventricle, Percutaneous Approach, 02QK4ZZ — Repair Right Ventricle, Percutaneous Endoscopic Approach, 02QL0ZZ — Repair Left Ventricle, Open Approach, 02QL3ZZ — Repair Left Ventricle, Percutaneous Approach, 02QL4ZZ — Repair Left Ventricle, Percutaneous Endoscopic Approach, 02QM0ZZ — Repair Ventricular Septum, Open Approach, 02QM3ZZ — Repair Ventricular Septum, Percutaneous Approach, 02QM4ZZ — Repair Ventricular Septum, Percutaneous Endoscopic Approach, 02T50ZZ — Resection of Atrial Septum, Open Approach, 02T53ZZ — Resection of Atrial Septum, Percutaneous Approach, 02T54ZZ — Resection of Atrial Septum, Percutaneous Endoscopic Approach, 02T90ZZ — Resection of Chordae Tendineae, Open Approach, 02T93ZZ — Resection of Chordae Tendineae, Percutaneous Approach, 02T94ZZ — Resection of Chordae Tendineae, Percutaneous Endoscopic Approach, 02TD0ZZ — Resection of Papillary Muscle, Open Approach, 02TD3ZZ — Resection of Papillary Muscle, Percutaneous Approach, 02TD4ZZ — Resection of Papillary Muscle, Percutaneous Endoscopic Approach, 02TM0ZZ — Resection of Ventricular Septum, Open Approach, +268 more

Contextual Map

Every relationship of 02RL4KZ 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 02RL4KZ with these 5 related codes in Claim Check

PCS table

• 02R[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
• Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables

MS-DRG participation

• DRG 228 — OTHER CARDIOTHORACIC PROCEDURES WITH MCC[MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITH MCC — Other Cardiothoracic Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 229 — OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC[MS-DRG]: “OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — Other Cardiothoracic Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026

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 (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.”— CMS MS-DRG Definitions Manual · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• 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) · FY2026
• and 1839 more

Nearest codes

• 02R54KZ — Replacement of Atrial Septum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02R64KZ — Replacement of Right Atrium with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02R74KZ — Replacement of Left Atrium with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02R94KZ — Replacement of Chordae Tendineae with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02RD4KZ — Replacement of Papillary Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02RF4KZ — Replacement of Aortic Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02RG4KZ — Replacement of Mitral Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
• 02RH4KZ — Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables