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

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

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Mitral Valve Replacement Procedure Overview

Procedures in this group involve replacing all or part of the mitral valve with biological or synthetic material and target the heart and great vessels. These replacement operations restore valve function when the mitral valve is diseased or damaged. Accurate ICD-10-PCS coding matters for inpatient reimbursement because it captures the specific operation performed and supports appropriate payment and clinical documentation.

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
G	Body Part	Mitral Valve

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

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Mitral 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
G	Body Part	Mitral Valve

When to Use

Use a code from this group when the mitral valve is surgically replaced due to severe regurgitation, stenosis, infection, or structural failure requiring valve substitution. Select the specific ICD-10-PCS code based on the type of material used and any approach or device details documented in the operative record.

ICD-10-PCS Codes

16 rows

ICD-10-PCS Code	Description
02RG07Z	Replacement of Mitral Valve with Autologous Tissue Substitute, Open Approach
02RG08Z	Replacement of Mitral Valve with Zooplastic Tissue, Open Approach
02RG0JZ	Replacement of Mitral Valve with Synthetic Substitute, Open Approach
02RG0KZ	Replacement of Mitral Valve with Nonautologous Tissue Substitute, Open Approach
02RG37H	Replacement of Mitral Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RG37Z	Replacement of Mitral Valve with Autologous Tissue Substitute, Percutaneous Approach
02RG38H	Replacement of Mitral Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RG38Z	Replacement of Mitral Valve with Zooplastic Tissue, Percutaneous Approach
02RG3JH	Replacement of Mitral Valve with Synthetic Substitute, Transapical, Percutaneous Approach
02RG3JZ	Replacement of Mitral Valve with Synthetic Substitute, Percutaneous Approach

Showing 1–10 of 16

DRG Codes

9 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

Typical Clinical Scenarios

A 72-year-old patient with long-standing rheumatic mitral stenosis and progressive exertional dyspnea is admitted for an elective surgical mitral valve replacement after echocardiography shows severe leaflet fusion and left atrial enlargement; the planned open-heart operation replaces the diseased valve with a bioprosthetic (nonautologous tissue) valve to restore valve function. Typical codes: 02RG0KZ, 02RG07Z
A 65-year-old patient presents urgently with acute severe mitral regurgitation from chordae tendineae rupture causing pulmonary edema and cardiogenic shock; after stabilization, the heart team performs a transapical percutaneous mitral valve replacement using a synthetic prosthesis due to hemodynamic instability and anatomy unsuitable for repair. Typical codes: 02RG3JH, 02RG3JZ
A 58-year-old patient with a failing prior bioprosthetic mitral valve (structural valve deterioration with symptomatic regurgitation) is admitted for a planned percutaneous endoscopic valve-in-valve replacement using an autologous or synthetic substitute to correct prosthetic dysfunction and avoid repeat sternotomy. Typical codes: 02RG47Z, 02RG4JZ

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

02RF-AORTIC-VALVE-REPLACEMENT

ICD-10-PCS Code For Aortic 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

16 rows

ICD-10-PCS Code	Description
02RG07Z	Replacement of Mitral Valve with Autologous Tissue Substitute, Open Approach
02RG08Z	Replacement of Mitral Valve with Zooplastic Tissue, Open Approach
02RG0JZ	Replacement of Mitral Valve with Synthetic Substitute, Open Approach
02RG0KZ	Replacement of Mitral Valve with Nonautologous Tissue Substitute, Open Approach
02RG37H	Replacement of Mitral Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RG37Z	Replacement of Mitral Valve with Autologous Tissue Substitute, Percutaneous Approach
02RG38H	Replacement of Mitral Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RG38Z	Replacement of Mitral Valve with Zooplastic Tissue, Percutaneous Approach
02RG3JH	Replacement of Mitral Valve with Synthetic Substitute, Transapical, Percutaneous Approach
02RG3JZ	Replacement of Mitral Valve with Synthetic Substitute, Percutaneous Approach

Showing 1–10 of 16

DRG Codes

9 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

Typical Clinical Scenarios

A 72-year-old patient with long-standing rheumatic mitral stenosis and progressive exertional dyspnea is admitted for an elective surgical mitral valve replacement after echocardiography shows severe leaflet fusion and left atrial enlargement; the planned open-heart operation replaces the diseased valve with a bioprosthetic (nonautologous tissue) valve to restore valve function. Typical codes: 02RG0KZ, 02RG07Z
A 65-year-old patient presents urgently with acute severe mitral regurgitation from chordae tendineae rupture causing pulmonary edema and cardiogenic shock; after stabilization, the heart team performs a transapical percutaneous mitral valve replacement using a synthetic prosthesis due to hemodynamic instability and anatomy unsuitable for repair. Typical codes: 02RG3JH, 02RG3JZ
A 58-year-old patient with a failing prior bioprosthetic mitral valve (structural valve deterioration with symptomatic regurgitation) is admitted for a planned percutaneous endoscopic valve-in-valve replacement using an autologous or synthetic substitute to correct prosthetic dysfunction and avoid repeat sternotomy. Typical codes: 02RG47Z, 02RG4JZ

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

02RF-AORTIC-VALVE-REPLACEMENT

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

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

Mitral Valve Replacement Procedure Overview

Code Attributes

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

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

Mitral Valve Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 02RG?

What is the clinical purpose of procedures coded in 02RG?

How does correct coding in 02RG affect inpatient reimbursement?

What are example codes for open approach mitral valve replacement in 02RG?

Which DRGs relate to procedures in the 02RG code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 02RG?

What is the clinical purpose of procedures coded in 02RG?

How does correct coding in 02RG affect inpatient reimbursement?

What are example codes for open approach mitral valve replacement in 02RG?

Which DRGs relate to procedures in the 02RG code group?

References