ICD-10-PCS Code For Heart: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02RA includes procedures performed to replace biological or synthetic material that takes the place and/or function of all or a portion of the heart. These ICD-10-PCS codes are used for inpatient documentation when a replacement of heart tissue or cardiac structures is performed to restore cardiac function. Accurate coding within the ICD-10-PCS 02RA group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and supports clinical documentation accuracy.

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Heart Replacement Procedure Overview

This group includes procedures that replace all or part of the heart using biological or synthetic material and target the heart and great vessels. These replacement procedures involve removing or substituting heart tissue or structures to restore or take over cardiac function. They are coded in the inpatient setting using the International Classification of Diseases, Tenth Revision, Procedure Coding System and accurate coding affects case mix and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
R	Operation	Replacement
A	Body Part	Heart

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ICD-10-PCS Code For Heart: Procedure Code Group Overview

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Heart Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
R	Operation	Replacement
A	Body Part	Heart

When to Use

Use a code from this group when the operative procedure removes and replaces all or a portion of the heart with biological or synthetic material. These codes apply when the replacement is performed in the inpatient setting and documentation supports the extent and type of replacement.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
02RA0LZ	Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach
02RA0MZ	Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach

DRG Codes

2 rows

DRG Code	Description
001	Heart Transplant or Implant of Heart Assist System with MCC
002	Heart Transplant or Implant of Heart Assist System without MCC

Typical Clinical Scenarios

An adult patient with end-stage biventricular heart failure is admitted urgently for evaluation after failing maximal medical therapy and mechanical circulatory support. The heart is deemed nonfunctional and the surgical team plans an open replacement of the entire heart using a biologic and synthetic composite substitute to restore circulatory function; this is performed in the inpatient operative setting. Typical codes: 02RA0LZ
A middle-aged patient with a congenital cardiac anomaly presenting electively for scheduled open replacement of a damaged portion of the heart using a synthetic pneumatic device to restore hemodynamic function. The procedure is planned after preoperative workup and admitted on the day of surgery for an open replacement of the affected heart structure with a synthetic substitute. Typical codes: 02RA0MZ
A postoperative patient with a failing prior cardiac repair and progressive cardiac dysfunction is taken back to the operating room emergently for removal of the damaged native portion and open replacement with a biologic and synthetic autoregulated electrohydraulic device to reestablish effective cardiac output. This inpatient reoperation addresses complications of prior interventions and replaces the nonfunctional heart tissue. Typical codes: 02RA0LZ

Related Codes

02R5-ATRIAL-SEPTUM-REPLACEMENT

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

02R6-ATRIUM-RIGHT-REPLACEMENT

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

02R7-LEFT-ATRIUM-REPLACEMENT

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

02R9-CHORDAE-TENDINEAE-REPLACEMENT

ICD-10-PCS Code For Chordae Tendineae: Procedure Code Group Overview

02RD-PAPILLARY-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

02RF-AORTIC-VALVE-REPLACEMENT

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

02RG-MITRAL-VALVE-REPLACEMENT

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

02RH-TRANSAPICAL-REPLACEMENT-PULMONARY-VALVE-REPLACEMENT

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

02RJ-TRICUSPID-VALVE-REPLACEMENT

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

02RK-VENTRICLE-RIGHT-REPLACEMENT

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

Showing 1–10 of 21

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

2 rows

ICD-10-PCS Code	Description
02RA0LZ	Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach
02RA0MZ	Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach

DRG Codes

2 rows

DRG Code	Description
001	Heart Transplant or Implant of Heart Assist System with MCC
002	Heart Transplant or Implant of Heart Assist System without MCC

Typical Clinical Scenarios

An adult patient with end-stage biventricular heart failure is admitted urgently for evaluation after failing maximal medical therapy and mechanical circulatory support. The heart is deemed nonfunctional and the surgical team plans an open replacement of the entire heart using a biologic and synthetic composite substitute to restore circulatory function; this is performed in the inpatient operative setting. Typical codes: 02RA0LZ
A middle-aged patient with a congenital cardiac anomaly presenting electively for scheduled open replacement of a damaged portion of the heart using a synthetic pneumatic device to restore hemodynamic function. The procedure is planned after preoperative workup and admitted on the day of surgery for an open replacement of the affected heart structure with a synthetic substitute. Typical codes: 02RA0MZ
A postoperative patient with a failing prior cardiac repair and progressive cardiac dysfunction is taken back to the operating room emergently for removal of the damaged native portion and open replacement with a biologic and synthetic autoregulated electrohydraulic device to reestablish effective cardiac output. This inpatient reoperation addresses complications of prior interventions and replaces the nonfunctional heart tissue. Typical codes: 02RA0LZ

Related Codes

02R5-ATRIAL-SEPTUM-REPLACEMENT

ICD-10-PCS Code For Atrial Septum: Procedure Code Group Overview

02R6-ATRIUM-RIGHT-REPLACEMENT

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

02R7-LEFT-ATRIUM-REPLACEMENT

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

02R9-CHORDAE-TENDINEAE-REPLACEMENT

ICD-10-PCS Code For Chordae Tendineae: Procedure Code Group Overview

02RD-PAPILLARY-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Papillary Muscle: Procedure Code Group Overview

02RF-AORTIC-VALVE-REPLACEMENT

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

02RG-MITRAL-VALVE-REPLACEMENT

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

02RH-TRANSAPICAL-REPLACEMENT-PULMONARY-VALVE-REPLACEMENT

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

02RJ-TRICUSPID-VALVE-REPLACEMENT

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

02RK-VENTRICLE-RIGHT-REPLACEMENT

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

Showing 1–10 of 21

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 Heart: Procedure Code Group Overview

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

Heart Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Heart: Procedure Code Group Overview

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

Heart Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 02RA?

Which ICD-10-PCS codes are listed in this 02RA group?

What section, body system, and operation attributes apply to 02RA codes?

How does accurate coding in the 02RA group affect inpatient reimbursement?

Which related DRGs are associated with heart replacement procedures in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in ICD-10-PCS code group 02RA?

Which ICD-10-PCS codes are listed in this 02RA group?

What section, body system, and operation attributes apply to 02RA codes?

How does accurate coding in the 02RA group affect inpatient reimbursement?

Which related DRGs are associated with heart replacement procedures in this group?

References