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 02RH includes procedures performed to replace pulmonary valve structures in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a pulmonary valve is surgically replaced with a biological or synthetic prosthesis. Accurate coding within the ICD-10-PCS 02RH 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 Replacement Procedure Overview

Procedures in this group involve surgically replacing the pulmonary valve in the heart and great vessels, typically via a transapical approach that provides direct access to the valve. These operations target the cardiovascular system and restore valve function using biological or synthetic prostheses. Accurate ICD-10-PCS coding of these procedures is important for inpatient reimbursement because it documents the specific replacement performed and supports appropriate 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
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 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
H	Body Part	Pulmonary Valve

When to Use

Use a code from this group when the clinical documentation indicates the pulmonary valve was replaced during the inpatient encounter. Select the specific ICD-10-PCS code that matches the type of prosthesis and the documented approach for the replacement.

ICD-10-PCS Codes

18 rows

ICD-10-PCS Code	Description
02RH07Z	Replacement of Pulmonary Valve with Autologous Tissue Substitute, Open Approach
02RH08Z	Replacement of Pulmonary Valve with Zooplastic Tissue, Open Approach
02RH0JZ	Replacement of Pulmonary Valve with Synthetic Substitute, Open Approach
02RH0KZ	Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Open Approach
02RH37H	Replacement of Pulmonary Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RH37Z	Replacement of Pulmonary Valve with Autologous Tissue Substitute, Percutaneous Approach
02RH38H	Replacement of Pulmonary Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RH38L	Replacement of Pulmonary Valve with Zooplastic Tissue, In Existing Conduit, Percutaneous Approach
02RH38M	Replacement of Pulmonary Valve with Zooplastic Tissue, Native Site, Percutaneous Approach
02RH38Z	Replacement of Pulmonary Valve with Zooplastic Tissue, Percutaneous Approach

Showing 1–10 of 18

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

An adult with severe pulmonary valve stenosis and right ventricular failure presents electively after multidisciplinary evaluation for symptomatic relief and long-term hemodynamic improvement; imaging confirms native pulmonary valve destruction unsuitable for repair, so surgical replacement via transapical access with a biological or synthetic prosthesis is planned. Typical codes: 02RH37Z, 02RH3JZ
A pediatric patient with congenital pulmonary valve regurgitation and progressive exercise intolerance is admitted for staged operative management after failed catheter-based balloon valvuloplasty; the team elects transapical replacement of the native pulmonary valve using a nonautologous tissue conduit to restore valve competence. Typical codes: 02RH3KH, 02RH38M
A postoperative inpatient develops prosthetic valve dysfunction of a previously placed pulmonary conduit with worsening hypoxemia and right-sided heart failure; urgent transapical percutaneous replacement of the existing conduit valve is performed to address the failed prosthesis. Typical codes: 02RH38L, 02RH3JH

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

02RG-MITRAL-VALVE-REPLACEMENT

ICD-10-PCS Code For Mitral 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

18 rows

ICD-10-PCS Code	Description
02RH07Z	Replacement of Pulmonary Valve with Autologous Tissue Substitute, Open Approach
02RH08Z	Replacement of Pulmonary Valve with Zooplastic Tissue, Open Approach
02RH0JZ	Replacement of Pulmonary Valve with Synthetic Substitute, Open Approach
02RH0KZ	Replacement of Pulmonary Valve with Nonautologous Tissue Substitute, Open Approach
02RH37H	Replacement of Pulmonary Valve with Autologous Tissue Substitute, Transapical, Percutaneous Approach
02RH37Z	Replacement of Pulmonary Valve with Autologous Tissue Substitute, Percutaneous Approach
02RH38H	Replacement of Pulmonary Valve with Zooplastic Tissue, Transapical, Percutaneous Approach
02RH38L	Replacement of Pulmonary Valve with Zooplastic Tissue, In Existing Conduit, Percutaneous Approach
02RH38M	Replacement of Pulmonary Valve with Zooplastic Tissue, Native Site, Percutaneous Approach
02RH38Z	Replacement of Pulmonary Valve with Zooplastic Tissue, Percutaneous Approach

Showing 1–10 of 18

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

An adult with severe pulmonary valve stenosis and right ventricular failure presents electively after multidisciplinary evaluation for symptomatic relief and long-term hemodynamic improvement; imaging confirms native pulmonary valve destruction unsuitable for repair, so surgical replacement via transapical access with a biological or synthetic prosthesis is planned. Typical codes: 02RH37Z, 02RH3JZ
A pediatric patient with congenital pulmonary valve regurgitation and progressive exercise intolerance is admitted for staged operative management after failed catheter-based balloon valvuloplasty; the team elects transapical replacement of the native pulmonary valve using a nonautologous tissue conduit to restore valve competence. Typical codes: 02RH3KH, 02RH38M
A postoperative inpatient develops prosthetic valve dysfunction of a previously placed pulmonary conduit with worsening hypoxemia and right-sided heart failure; urgent transapical percutaneous replacement of the existing conduit valve is performed to address the failed prosthesis. Typical codes: 02RH38L, 02RH3JH

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

02RG-MITRAL-VALVE-REPLACEMENT

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

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

Pulmonary Valve Replacement 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 Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system apply to pulmonary valve replacement in this group?

What approaches and prosthesis types are captured in the 02RH code group?

How should these ICD-10-PCS codes be used for inpatient documentation and reimbursement?

Which specific code denotes replacement of the pulmonary valve with a synthetic substitute using a transapical, percutaneous approach?

What DRG categories are related to procedures in the 02RH pulmonary valve replacement group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS section and body system apply to pulmonary valve replacement in this group?

What approaches and prosthesis types are captured in the 02RH code group?

How should these ICD-10-PCS codes be used for inpatient documentation and reimbursement?

Which specific code denotes replacement of the pulmonary valve with a synthetic substitute using a transapical, percutaneous approach?

What DRG categories are related to procedures in the 02RH pulmonary valve replacement group?

References