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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02UD includes procedures performed to supplement structures in the papillary muscle. These ICD-10-PCS codes are used for inpatient documentation when a surgeon places biological or synthetic material on the papillary muscle to reinforce or augment its function during cardiac surgery. Accurate coding within the ICD-10-PCS 02UD group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Papillary Muscle Supplement Procedure Overview

Procedures in this group involve supplementing the papillary muscle of the heart and great vessels using biological or synthetic material to reinforce or augment its function. These procedures target the heart and great vessels body system and are performed to improve papillary muscle support and mitral valve competence. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific supplement procedure performed and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
U	Operation	Supplement
D	Body Part	Papillary Muscle

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

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Papillary Muscle Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
U	Operation	Supplement
D	Body Part	Papillary Muscle

When to Use

Use a code from this group when material is placed on the papillary muscle during an inpatient cardiac procedure to improve muscle support or valve function. These codes apply when the primary action is supplementing the papillary muscle rather than replacing, repairing, or repositioning it.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
02UD07Z	Supplement Papillary Muscle with Autologous Tissue Substitute, Open Approach
02UD08Z	Supplement Papillary Muscle with Zooplastic Tissue, Open Approach
02UD0JZ	Supplement Papillary Muscle with Synthetic Substitute, Open Approach
02UD0KZ	Supplement Papillary Muscle with Nonautologous Tissue Substitute, Open Approach
02UD37Z	Supplement Papillary Muscle with Autologous Tissue Substitute, Percutaneous Approach
02UD38Z	Supplement Papillary Muscle with Zooplastic Tissue, Percutaneous Approach
02UD3JZ	Supplement Papillary Muscle with Synthetic Substitute, Percutaneous Approach
02UD3KZ	Supplement Papillary Muscle with Nonautologous Tissue Substitute, Percutaneous Approach
02UD47Z	Supplement Papillary Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
02UD48Z	Supplement Papillary Muscle with Zooplastic Tissue, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

Elderly patient with chronic ischemic cardiomyopathy presents electively for mitral valve repair due to progressive functional mitral regurgitation and papillary muscle tethering confirmed on preoperative echocardiography; during planned open-heart surgery the surgeon augments the dysfunctional papillary muscle with biological or synthetic material to restore leaflet coaptation and improve valve competence, performed as a scheduled inpatient cardiac operation. Typical codes: 02UD07Z, 02UD0JZ
Middle-aged patient admitted urgently after an acute inferior myocardial infarction develops papillary muscle dysfunction with severe mitral regurgitation and pulmonary edema; during the same hospitalization, the cardiac surgeon performs an open supplement to the papillary muscle with synthetic or autologous tissue substitute to stabilize papillary geometry and reduce regurgitation as part of the operative management. Typical codes: 02UD07Z, 02UD0JZ
Patient with prior mitral valve repair presents months later with recurrent mitral regurgitation due to papillary muscle dehiscence or remodeling identified on transesophageal echocardiography; during a corrective inpatient procedure the surgeon supplements the papillary muscle percutaneously or via a minimally invasive endoscopic approach using a nonautologous or synthetic substitute to augment support and avoid full valve replacement. Typical codes: 02UD3KZ, 02UD4JZ

Related Codes

02U0-CORONARY-ARTERY-SUPPLEMENT

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

02U1-CORONARY-ARTERY-SUPPLEMENT

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

02U2-CORONARY-ARTERY-SUPPLEMENT

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

02U3-CORONARY-ARTERY-SUPPLEMENT

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

02U5-ATRIAL-SEPTUM-SUPPLEMENT

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

02U6-ATRIUM-RIGHT-SUPPLEMENT

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

02U7-LEFT-ATRIUM-SUPPLEMENT

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

02U9-CHORDAE-TENDINEAE-SUPPLEMENT

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

02UA-HEART-SUPPLEMENT

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

02UF-AORTIC-VALVE-SUPPLEMENT

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

Showing 1–10 of 25

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

12 rows

ICD-10-PCS Code	Description
02UD07Z	Supplement Papillary Muscle with Autologous Tissue Substitute, Open Approach
02UD08Z	Supplement Papillary Muscle with Zooplastic Tissue, Open Approach
02UD0JZ	Supplement Papillary Muscle with Synthetic Substitute, Open Approach
02UD0KZ	Supplement Papillary Muscle with Nonautologous Tissue Substitute, Open Approach
02UD37Z	Supplement Papillary Muscle with Autologous Tissue Substitute, Percutaneous Approach
02UD38Z	Supplement Papillary Muscle with Zooplastic Tissue, Percutaneous Approach
02UD3JZ	Supplement Papillary Muscle with Synthetic Substitute, Percutaneous Approach
02UD3KZ	Supplement Papillary Muscle with Nonautologous Tissue Substitute, Percutaneous Approach
02UD47Z	Supplement Papillary Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
02UD48Z	Supplement Papillary Muscle with Zooplastic Tissue, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

2 rows

DRG Code	Description
228	Other Cardiothoracic Procedures with MCC
229	Other Cardiothoracic Procedures without MCC

Typical Clinical Scenarios

Elderly patient with chronic ischemic cardiomyopathy presents electively for mitral valve repair due to progressive functional mitral regurgitation and papillary muscle tethering confirmed on preoperative echocardiography; during planned open-heart surgery the surgeon augments the dysfunctional papillary muscle with biological or synthetic material to restore leaflet coaptation and improve valve competence, performed as a scheduled inpatient cardiac operation. Typical codes: 02UD07Z, 02UD0JZ
Middle-aged patient admitted urgently after an acute inferior myocardial infarction develops papillary muscle dysfunction with severe mitral regurgitation and pulmonary edema; during the same hospitalization, the cardiac surgeon performs an open supplement to the papillary muscle with synthetic or autologous tissue substitute to stabilize papillary geometry and reduce regurgitation as part of the operative management. Typical codes: 02UD07Z, 02UD0JZ
Patient with prior mitral valve repair presents months later with recurrent mitral regurgitation due to papillary muscle dehiscence or remodeling identified on transesophageal echocardiography; during a corrective inpatient procedure the surgeon supplements the papillary muscle percutaneously or via a minimally invasive endoscopic approach using a nonautologous or synthetic substitute to augment support and avoid full valve replacement. Typical codes: 02UD3KZ, 02UD4JZ

Related Codes

02U0-CORONARY-ARTERY-SUPPLEMENT

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

02U1-CORONARY-ARTERY-SUPPLEMENT

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

02U2-CORONARY-ARTERY-SUPPLEMENT

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

02U3-CORONARY-ARTERY-SUPPLEMENT

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

02U5-ATRIAL-SEPTUM-SUPPLEMENT

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

02U6-ATRIUM-RIGHT-SUPPLEMENT

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

02U7-LEFT-ATRIUM-SUPPLEMENT

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

02U9-CHORDAE-TENDINEAE-SUPPLEMENT

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

02UA-HEART-SUPPLEMENT

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

02UF-AORTIC-VALVE-SUPPLEMENT

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

Showing 1–10 of 25

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 Papillary Muscle: Procedure Code Group Overview

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

Papillary Muscle Supplement Procedure Overview

Code Attributes

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

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

Papillary Muscle Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 02UD target?

What approaches are represented in the 02UD code group and how are they distinguished?

What types of material substitutes are coded within 02UD procedures?

Why is accurate coding in code group 02UD important for inpatient reimbursement?

Which DRGs relate to procedures in the 02UD group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 02UD target?

What approaches are represented in the 02UD code group and how are they distinguished?

What types of material substitutes are coded within 02UD procedures?

Why is accurate coding in code group 02UD important for inpatient reimbursement?

Which DRGs relate to procedures in the 02UD group?

References