ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 027H includes procedures performed to dilate structures in the pulmonary valve. These ICD-10-PCS codes are used for inpatient documentation when dilation of the pulmonary valve is performed to relieve stenosis or improve valve orifice size. Accurate coding within the ICD-10-PCS 027H group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Pulmonary Valve Dilation Procedure Overview

Procedures in this group involve dilating the pulmonary valve to expand the orifice or lumen, improving blood flow from the right ventricle to the pulmonary artery. These interventions target the heart and great vessels and are coded in the inpatient setting using the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding of pulmonary valve dilation supports correct inpatient reimbursement and reflects the complexity of the procedure in clinical records.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
7	Operation	Dilation
H	Body Part	Pulmonary Valve

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ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

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Pulmonary Valve Dilation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
7	Operation	Dilation
H	Body Part	Pulmonary Valve

When to Use

Use a code from this group when an inpatient procedure is performed specifically to dilate the pulmonary valve, such as for relief of valvular stenosis or to improve right ventricular outflow. Select the appropriate ICD-10 PCS 027H code when dilation is the principal operation documented in the medical record.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
027H04Z	Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Open Approach
027H0DZ	Dilation of Pulmonary Valve with Intraluminal Device, Open Approach
027H0ZZ	Dilation of Pulmonary Valve, Open Approach
027H34Z	Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Percutaneous Approach
027H3DZ	Dilation of Pulmonary Valve with Intraluminal Device, Percutaneous Approach
027H3ZZ	Dilation of Pulmonary Valve, Percutaneous Approach
027H44Z	Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027H4DZ	Dilation of Pulmonary Valve with Intraluminal Device, Percutaneous Endoscopic Approach
027H4ZZ	Dilation of Pulmonary Valve, Percutaneous Endoscopic Approach

DRG Codes

13 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
231	Coronary Bypass with PTCA with MCC
232	Coronary Bypass with PTCA without MCC
273	Percutaneous and Other Intracardiac Procedures with MCC

Showing 1–10 of 13

Typical Clinical Scenarios

An adult with progressive symptomatic pulmonary valve stenosis presenting with exertional dyspnea and right ventricular pressure overload is admitted electively after diagnostic catheterization confirms a fixed valvular obstruction; inpatient dilation of the pulmonary valve is performed to increase the valve orifice and improve right ventricular outflow. Typical codes: 027H3ZZ, 027H34Z
A neonate or infant with congenital pulmonary valve stenosis causing cyanosis and signs of heart failure is taken to the hospital urgently for catheter-based intervention to relieve obstruction and stabilize hemodynamics; a percutaneous dilation of the pulmonary valve (with or without placement of an intraluminal device) is performed in the inpatient setting. Typical codes: 027H3ZZ, 027H3DZ
A patient with restenosis after prior surgical valvotomy presents with recurrent right ventricular failure and is admitted for repeat intervention; during the inpatient procedure the pulmonary valve is dilated via an open or percutaneous endoscopic approach and a drug-eluting intraluminal device is considered to reduce recurrent narrowing. Typical codes: 027H04Z, 027H44Z

Related Codes

0270-CORONARY-ARTERY-DILATION

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

0271-CORONARY-ARTERY-TWO-ARTERIES-DILATION

ICD-10-PCS Code For Coronary Artery, Two Arteries: Procedure Code Group Overview

0272-CORONARY-ARTERY-THREE-ARTERIES-DILATION

ICD-10-PCS Code For Coronary Artery, Three Arteries: Procedure Code Group Overview

0273-CORONARY-ARTERY-DILATION

ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview

027F-AORTIC-VALVE-DILATION

ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

027G-MITRAL-VALVE-DILATION

ICD-10-PCS Code For Mitral Valve: Procedure Code Group Overview

027J-TRICUSPID-VALVE-DILATION

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

027K-VENTRICLE-RIGHT-DILATION

ICD-10-PCS Code For Ventricle Right: Procedure Code Group Overview

027L-VENTRICLE-LEFT-DILATION

ICD-10-PCS Code For Ventricle Left: Procedure Code Group Overview

027P-PULMONARY-TRUNK-EXPANDING-PULMONARY-TRUNK-DILATION

ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview

Showing 1–10 of 17

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
027H04Z	Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Open Approach
027H0DZ	Dilation of Pulmonary Valve with Intraluminal Device, Open Approach
027H0ZZ	Dilation of Pulmonary Valve, Open Approach
027H34Z	Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Percutaneous Approach
027H3DZ	Dilation of Pulmonary Valve with Intraluminal Device, Percutaneous Approach
027H3ZZ	Dilation of Pulmonary Valve, Percutaneous Approach
027H44Z	Dilation of Pulmonary Valve with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach
027H4DZ	Dilation of Pulmonary Valve with Intraluminal Device, Percutaneous Endoscopic Approach
027H4ZZ	Dilation of Pulmonary Valve, Percutaneous Endoscopic Approach

DRG Codes

13 rows

DRG Code	Description
212	Concomitant Aortic and Mitral Valve Procedures
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
231	Coronary Bypass with PTCA with MCC
232	Coronary Bypass with PTCA without MCC
273	Percutaneous and Other Intracardiac Procedures with MCC

Showing 1–10 of 13

Typical Clinical Scenarios

An adult with progressive symptomatic pulmonary valve stenosis presenting with exertional dyspnea and right ventricular pressure overload is admitted electively after diagnostic catheterization confirms a fixed valvular obstruction; inpatient dilation of the pulmonary valve is performed to increase the valve orifice and improve right ventricular outflow. Typical codes: 027H3ZZ, 027H34Z
A neonate or infant with congenital pulmonary valve stenosis causing cyanosis and signs of heart failure is taken to the hospital urgently for catheter-based intervention to relieve obstruction and stabilize hemodynamics; a percutaneous dilation of the pulmonary valve (with or without placement of an intraluminal device) is performed in the inpatient setting. Typical codes: 027H3ZZ, 027H3DZ
A patient with restenosis after prior surgical valvotomy presents with recurrent right ventricular failure and is admitted for repeat intervention; during the inpatient procedure the pulmonary valve is dilated via an open or percutaneous endoscopic approach and a drug-eluting intraluminal device is considered to reduce recurrent narrowing. Typical codes: 027H04Z, 027H44Z

Related Codes

0270-CORONARY-ARTERY-DILATION

ICD-10-PCS Code For Coronary Artery: Procedure Code Group Overview

0271-CORONARY-ARTERY-TWO-ARTERIES-DILATION

ICD-10-PCS Code For Coronary Artery, Two Arteries: Procedure Code Group Overview

0272-CORONARY-ARTERY-THREE-ARTERIES-DILATION

ICD-10-PCS Code For Coronary Artery, Three Arteries: Procedure Code Group Overview

0273-CORONARY-ARTERY-DILATION

ICD-10-PCS Code For Coronary Artery, Four Or More Arteries: Procedure Code Group Overview

027F-AORTIC-VALVE-DILATION

ICD-10-PCS Code For Aortic Valve: Procedure Code Group Overview

027G-MITRAL-VALVE-DILATION

ICD-10-PCS Code For Mitral Valve: Procedure Code Group Overview

027J-TRICUSPID-VALVE-DILATION

ICD-10-PCS Code For Tricuspid Valve: Procedure Code Group Overview

027K-VENTRICLE-RIGHT-DILATION

ICD-10-PCS Code For Ventricle Right: Procedure Code Group Overview

027L-VENTRICLE-LEFT-DILATION

ICD-10-PCS Code For Ventricle Left: Procedure Code Group Overview

027P-PULMONARY-TRUNK-EXPANDING-PULMONARY-TRUNK-DILATION

ICD-10-PCS Code For Pulmonary Trunk: Procedure Code Group Overview

Showing 1–10 of 17

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview policy alerts

Pulmonary Valve Dilation Procedure Overview

Code Attributes

ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Pulmonary Valve: Procedure Code Group Overview policy alerts

Pulmonary Valve Dilation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes represent open approach dilation of the pulmonary valve?

What body system and operation are captured by the 027H code group?

Which codes apply for percutaneous pulmonary valve dilation?

How do codes in this group affect inpatient reimbursement and DRG assignment?

Which codes cover percutaneous endoscopic approaches for pulmonary valve dilation?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS codes represent open approach dilation of the pulmonary valve?

What body system and operation are captured by the 027H code group?

Which codes apply for percutaneous pulmonary valve dilation?

How do codes in this group affect inpatient reimbursement and DRG assignment?

Which codes cover percutaneous endoscopic approaches for pulmonary valve dilation?

References