02RP4KZ ICD-10-PCS Code: Replacement of Pulmonary Trunk 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 16 MS-DRGs:

• MDC 04 — Major Chest Procedures: DRG 163, DRG 164, DRG 165
• MDC 05 — Concomitant Aortic and Mitral Valve Procedures: DRG 212
• MDC 05 — : DRG 216, DRG 217, DRG 218
• MDC 05 — Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization: DRG 219, DRG 220, DRG 221
• MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
• MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959

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.

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, 02RN4KZ — Replacement of Pericardium 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, 02RT4KZ — Replacement of Left 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.

02RP0KZ — Replacement of Pulmonary Trunk with Nonautologous Tissue Substitute, Open Approach

Same operation — other Device

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

02RP47Z — Replacement of Pulmonary Trunk with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 02RP48Z — Replacement of Pulmonary Trunk with Zooplastic Tissue, Percutaneous Endoscopic Approach, 02RP4JZ — Replacement of Pulmonary Trunk 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 Vessel repair and replacement (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.

+2057 more

Contextual Map

Every relationship of 02RP4KZ 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 02RP4KZ 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 (16)

• DRG 163 — MAJOR CHEST PROCEDURES WITH MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 164 — MAJOR CHEST PROCEDURES WITH CC[MS-DRG]: “MAJOR CHEST PROCEDURES WITH CC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 165 — MAJOR CHEST PROCEDURES WITHOUT CC/MCC[MS-DRG]: “MAJOR CHEST PROCEDURES WITHOUT CC/MCC — Major Chest Procedures (MDC 04)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 212 — CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES[MS-DRG]: “CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES — Concomitant Aortic and Mitral Valve Procedures (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 216 — CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC[MS-DRG]— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 217 — CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC[MS-DRG]— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 218 — CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC[MS-DRG]— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• DRG 219 — CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC[MS-DRG]: “CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC — Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization (MDC 05)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
• and 8 more

Clinical classification (CCSR)

• CAR012 — Vessel repair and replacement[CCSR category]: “Vessel repair and replacement — Cardiovascular Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (2525)

• MDC 04 — Diseases and Disorders of the Respiratory System[MDC crossing]: “Diseases and Disorders of the Respiratory 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 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
• A02.22 — Salmonella pneumonia[Same-MDC diagnosis]: “Salmonella pneumonia — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A06.5 — Amebic lung abscess[Same-MDC diagnosis]: “Amebic lung abscess — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A15.0 — Tuberculosis of lung[Same-MDC diagnosis]: “Tuberculosis of lung — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A15.4 — Tuberculosis of intrathoracic lymph nodes[Same-MDC diagnosis]: “Tuberculosis of intrathoracic lymph nodes — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• A15.5 — Tuberculosis of larynx, trachea and bronchus[Same-MDC diagnosis]: “Tuberculosis of larynx, trachea and bronchus — grouped in MDC 04, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
• and 2520 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