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Inpatient Procedure Code

02RN4KZ ICD-10-PCS Code: Replacement of Pericardium with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Replace of Pericardium with Nonaut Sub, 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 OperationR

Replacement

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

4
Body PartN

Pericardium

5
Approach4

Percutaneous Endoscopic

6
DeviceK

Nonautologous Tissue Substitute

7
QualifierZ

No Qualifier

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 6 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.

02RJ4KZ — Replacement of Tricuspid Valve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RK4KZ — Replacement of Right Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RL4KZ — Replacement of Left Ventricle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RM4KZ — Replacement of Ventricular Septum 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, 02RR4KZ — Replacement of Left Pulmonary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RS4KZ — Replacement of Right Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach, +12 more

Same operation — other Approach

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

02RN0KZ — Replacement of Pericardium with Nonautologous Tissue Substitute, Open Approach

Same operation — other Device

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

02RN47Z — Replacement of Pericardium with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RN48Z — Replacement of Pericardium with Zooplastic Tissue, Percutaneous Endoscopic Approach, 02RN4JZ — Replacement of Pericardium 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 Pericardial 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.

02HN3YZ — Insertion of Other Device into Pericardium, Percutaneous Approach, 02HN40Z — Insertion of Pressure Sensor Monitoring Device into Pericardium, Percutaneous Endoscopic Approach, 02HN42Z — Insertion of Monitoring Device into Pericardium, Percutaneous Endoscopic Approach, 02HN4YZ — Insertion of Other Device into Pericardium, Percutaneous Endoscopic Approach, 02NN0ZZ — Release Pericardium, Open Approach, 02NN3ZZ — Release Pericardium, Percutaneous Approach, 02NN4ZZ — Release Pericardium, Percutaneous Endoscopic Approach, 02QN0ZZ — Repair Pericardium, Open Approach, 02QN3ZZ — Repair Pericardium, Percutaneous Approach, 02QN4ZZ — Repair Pericardium, Percutaneous Endoscopic Approach, 02TN0ZZ — Resection of Pericardium, Open Approach, 02TN3ZZ — Resection of Pericardium, Percutaneous Approach, 02TN4ZZ — Resection of Pericardium, Percutaneous Endoscopic Approach, 02UN07Z — Supplement Pericardium with Autologous Tissue Substitute, Open Approach, 02UN08Z — Supplement Pericardium with Zooplastic Tissue, Open Approach, 02UN0JZ — Supplement Pericardium with Synthetic Substitute, Open Approach, 02UN0KZ — Supplement Pericardium with Nonautologous Tissue Substitute, Open Approach, 02UN37Z — Supplement Pericardium with Autologous Tissue Substitute, Percutaneous Approach, 02UN38Z — Supplement Pericardium with Zooplastic Tissue, Percutaneous Approach, 02UN3JZ — Supplement Pericardium with Synthetic Substitute, Percutaneous Approach, +77 more

Contextual Map

Every relationship of 02RN4KZ 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 02RN4KZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation

Clinical classification (CCSR)

  • CAR017 — Pericardial procedures[CCSR category]: “Pericardial procedures — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (8238)

  • 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
  • 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 · 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 8233 more

Nearest codes

Change history

No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; 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