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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02RF includes procedures performed to replace biological or synthetic devices in the aortic valve. These ICD-10-PCS codes are used for inpatient documentation when aortic valve replacement is performed to restore valve function due to disease, dysfunction, or structural failure. Accurate coding within the ICD-10-PCS 02RF group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Aortic Valve Replacement Procedure Overview

Procedures in this group involve replacement of the aortic valve within the heart and great vessels, where a biological or synthetic device is implanted to take the place and function of the native valve. These operations target the heart and great vessels body system and are coded in the inpatient setting using the International Classification of Diseases, Tenth Revision, Procedure Coding System. Accurate coding captures the specific replacement performed and supports appropriate inpatient reimbursement and case mix classification.

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
F	Body Part	Aortic Valve

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

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Aortic Valve 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
F	Body Part	Aortic Valve

When to Use

Use a code from this group when an aortic valve is removed or bypassed and replaced with a prosthetic or biologic valve during an inpatient encounter. These codes apply when the primary intent of the operation is replacement of the aortic valve to restore or substitute its function.

ICD-10-PCS Codes

19 rows

ICD-10-PCS Code	Description
02RF07Z	Replacement of Aortic Valve with Autologous Tissue Substitute, Open Approach
02RF08N	Replacement of Aortic Valve with Zooplastic Tissue, using Rapid Deployment Technique, Open Approach
02RF08Z	Replacement of Aortic Valve with Zooplastic Tissue, Open Approach
02RF0JZ	Replacement of Aortic Valve with Synthetic Substitute, Open Approach
02RF0KZ	Replacement of Aortic Valve with Nonautologous Tissue Substitute, Open Approach
02RF37H	Replacement of Aortic Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RF37Z	Replacement of Aortic Valve with Autologous Tissue Substitute, Percutaneous Approach
02RF38H	Replacement of Aortic Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RF38N	Replacement of Aortic Valve with Zooplastic Tissue, using Rapid Deployment Technique, Percutaneous Approach
02RF38Z	Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Approach

Showing 1–10 of 19

DRG Codes

12 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
266	Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
267	Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An 82-year-old patient with symptomatic severe calcific aortic stenosis presents with progressive exertional dyspnea, syncope, and heart failure symptoms. After diagnostic echocardiography confirms a severely stenotic native aortic valve and the heart team determines surgical replacement is required but the patient is high surgical risk for conventional sternotomy, a percutaneous transcatheter aortic valve replacement is performed using a bioprosthetic (zooplastic) valve via a transfemoral percutaneous approach to restore valve function. Typical codes: 02RF38Z, 02RF3JZ
A 65-year-old patient with chronic aortic regurgitation and bicuspid aortic valve undergoes a planned open surgical aortic valve replacement with a mechanical prosthesis because of the patient’s anatomy and longevity considerations; the native valve is excised and a synthetic valve is implanted during a scheduled inpatient operation. Typical codes: 02RF0JZ
A 74-year-old patient who had prior transcatheter aortic valve implantation presents months later with prosthetic valve dysfunction causing severe regurgitation and heart failure; during an urgent inpatient procedure the dysfunctional bioprosthetic valve is explanted and replaced with a new bioprosthetic valve via a transapical percutaneous approach due to access considerations. Typical codes: 02RF37Z, 02RF38Z

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

02RA-HEART-REPLACEMENT

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

02RD-PAPILLARY-MUSCLE-REPLACEMENT

ICD-10-PCS Code For Papillary Muscle: 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

19 rows

ICD-10-PCS Code	Description
02RF07Z	Replacement of Aortic Valve with Autologous Tissue Substitute, Open Approach
02RF08N	Replacement of Aortic Valve with Zooplastic Tissue, using Rapid Deployment Technique, Open Approach
02RF08Z	Replacement of Aortic Valve with Zooplastic Tissue, Open Approach
02RF0JZ	Replacement of Aortic Valve with Synthetic Substitute, Open Approach
02RF0KZ	Replacement of Aortic Valve with Nonautologous Tissue Substitute, Open Approach
02RF37H	Replacement of Aortic Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RF37Z	Replacement of Aortic Valve with Autologous Tissue Substitute, Percutaneous Approach
02RF38H	Replacement of Aortic Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RF38N	Replacement of Aortic Valve with Zooplastic Tissue, using Rapid Deployment Technique, Percutaneous Approach
02RF38Z	Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Approach

Showing 1–10 of 19

DRG Codes

12 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
266	Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
267	Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

An 82-year-old patient with symptomatic severe calcific aortic stenosis presents with progressive exertional dyspnea, syncope, and heart failure symptoms. After diagnostic echocardiography confirms a severely stenotic native aortic valve and the heart team determines surgical replacement is required but the patient is high surgical risk for conventional sternotomy, a percutaneous transcatheter aortic valve replacement is performed using a bioprosthetic (zooplastic) valve via a transfemoral percutaneous approach to restore valve function. Typical codes: 02RF38Z, 02RF3JZ
A 65-year-old patient with chronic aortic regurgitation and bicuspid aortic valve undergoes a planned open surgical aortic valve replacement with a mechanical prosthesis because of the patient’s anatomy and longevity considerations; the native valve is excised and a synthetic valve is implanted during a scheduled inpatient operation. Typical codes: 02RF0JZ
A 74-year-old patient who had prior transcatheter aortic valve implantation presents months later with prosthetic valve dysfunction causing severe regurgitation and heart failure; during an urgent inpatient procedure the dysfunctional bioprosthetic valve is explanted and replaced with a new bioprosthetic valve via a transapical percutaneous approach due to access considerations. Typical codes: 02RF37Z, 02RF38Z

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

02RA-HEART-REPLACEMENT

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

02RD-PAPILLARY-MUSCLE-REPLACEMENT

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

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

Aortic Valve Replacement Procedure Overview

Code Attributes

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

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

Aortic Valve Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are represented by ICD-10-PCS code group 02RF?

What types of devices are specified within the 02RF code group for aortic valve replacement?

How does the 02RF code group capture the approach used for aortic valve replacement?

Why is accurate coding within ICD-10-PCS 02RF important for inpatient care?

Which related DRGs might be assigned when a procedure from the 02RF group is documented?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation are represented by ICD-10-PCS code group 02RF?

What types of devices are specified within the 02RF code group for aortic valve replacement?

How does the 02RF code group capture the approach used for aortic valve replacement?

Why is accurate coding within ICD-10-PCS 02RF important for inpatient care?

Which related DRGs might be assigned when a procedure from the 02RF group is documented?

References