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 02VG includes procedures performed to partially close an orifice or the lumen of the mitral valve in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs a restriction procedure on the mitral valve to reduce orifice size and alter blood flow. Accurate coding within the ICD-10-PCS 02VG group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Mitral Valve Restriction Procedure Overview

Procedures in this group involve partially closing an orifice or reducing the lumen diameter of the mitral valve within the heart and great vessels. These operations target the mitral valve to restrict flow, typically to treat regurgitation or other valvular dysfunction. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific restriction procedure performed and supports appropriate case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
V	Operation	Restriction
G	Body Part	Mitral Valve

Explore openpayer tools

View all tools

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

Customize your policy alerts

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

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Mitral Valve Restriction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
V	Operation	Restriction
G	Body Part	Mitral Valve

When to Use

Use codes from this group when an inpatient procedure intentionally restricts the mitral valve orifice or lumen as the operative objective. These codes apply when restriction is the root operation documented in the operative report for treatment of mitral valve dysfunction.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02VG0ZZ	Restriction of Mitral Valve, Open Approach
02VG3ZZ	Restriction of Mitral Valve, Percutaneous Approach
02VG4ZZ	Restriction of Mitral Valve, Percutaneous Endoscopic Approach

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
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

An elderly patient with chronic ischemic cardiomyopathy presents with progressive exertional dyspnea and echocardiography shows severe mitral regurgitation due to annular dilation; after multidisciplinary evaluation the team schedules an inpatient, planned valve restriction procedure to reduce the mitral orifice and improve leaflet coaptation and symptoms. Typical codes: 02VG0ZZ
A middle-aged patient is admitted urgently with acute heart failure exacerbation secondary to flail mitral leaflet causing sudden severe regurgitation; after stabilization and assessment that a restrictive procedure is the appropriate operative objective to reduce orifice size, the patient is taken to the operating room for an open restriction intervention. Typical codes: 02VG0ZZ
A patient with prior percutaneous mitral repair develops recurrent symptomatic regurgitation despite prior therapy; during a subsequent inpatient procedure the team performs a percutaneous endoscopic restriction to reduce the mitral valve lumen and address recurrent valve incompetence. Typical codes: 02VG4ZZ

Related Codes

02VA-HEART-RESTRICTION

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

02VL-LEFT-VENTRICLE-RESTRICTION

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

02VP-PULMONARY-TRUNK-RESTRICTION

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

02VQ-RIGHT-PULMONARY-ARTERY-PARTIAL-CLOSURE-PULMONARY-ARTERY-RIGHT

ICD-10-PCS Code For Pulmonary Artery Right: Procedure Code Group Overview

02VR-PULMONARY-ARTERY-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02VS-PULMONARY-VEIN-RIGHT-RESTRICTION

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

02VT-PULMONARY-VEIN-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

02VV-SUPERIOR-VENA-CAVA-RESTRICTION

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

02VX-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Ascending/Arch: Procedure Code Group Overview

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.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02VG0ZZ	Restriction of Mitral Valve, Open Approach
02VG3ZZ	Restriction of Mitral Valve, Percutaneous Approach
02VG4ZZ	Restriction of Mitral Valve, Percutaneous Endoscopic Approach

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
319	Other Endovascular Cardiac Valve Procedures with MCC
320	Other Endovascular Cardiac Valve Procedures without MCC

Typical Clinical Scenarios

An elderly patient with chronic ischemic cardiomyopathy presents with progressive exertional dyspnea and echocardiography shows severe mitral regurgitation due to annular dilation; after multidisciplinary evaluation the team schedules an inpatient, planned valve restriction procedure to reduce the mitral orifice and improve leaflet coaptation and symptoms. Typical codes: 02VG0ZZ
A middle-aged patient is admitted urgently with acute heart failure exacerbation secondary to flail mitral leaflet causing sudden severe regurgitation; after stabilization and assessment that a restrictive procedure is the appropriate operative objective to reduce orifice size, the patient is taken to the operating room for an open restriction intervention. Typical codes: 02VG0ZZ
A patient with prior percutaneous mitral repair develops recurrent symptomatic regurgitation despite prior therapy; during a subsequent inpatient procedure the team performs a percutaneous endoscopic restriction to reduce the mitral valve lumen and address recurrent valve incompetence. Typical codes: 02VG4ZZ

Related Codes

02VA-HEART-RESTRICTION

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

02VL-LEFT-VENTRICLE-RESTRICTION

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

02VP-PULMONARY-TRUNK-RESTRICTION

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

02VQ-RIGHT-PULMONARY-ARTERY-PARTIAL-CLOSURE-PULMONARY-ARTERY-RIGHT

ICD-10-PCS Code For Pulmonary Artery Right: Procedure Code Group Overview

02VR-PULMONARY-ARTERY-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Artery, Left: Procedure Code Group Overview

02VS-PULMONARY-VEIN-RIGHT-RESTRICTION

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

02VT-PULMONARY-VEIN-LEFT-RESTRICTION

ICD-10-PCS Code For Pulmonary Vein, Left: Procedure Code Group Overview

02VV-SUPERIOR-VENA-CAVA-RESTRICTION

ICD-10-PCS Code For Superior Vena Cava: Procedure Code Group Overview

02VW-THORACIC-AORTA-DESCENDING-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Descending: Procedure Code Group Overview

02VX-THORACIC-AORTA-RESTRICTION

ICD-10-PCS Code For Thoracic Aorta, Ascending/Arch: Procedure Code Group Overview

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 Restriction 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 Restriction Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS code group 02VG for the mitral valve?

What is the clinical intent of procedures coded to ICD-10-PCS 02VG?

Which ICD-10-PCS section and attributes apply to the 02VG code group?

How does accurate coding within 02VG affect inpatient reimbursement?

What DRG groupings might be related to procedures coded within 02VG?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS code group 02VG for the mitral valve?

What is the clinical intent of procedures coded to ICD-10-PCS 02VG?

Which ICD-10-PCS section and attributes apply to the 02VG code group?

How does accurate coding within 02VG affect inpatient reimbursement?

What DRG groupings might be related to procedures coded within 02VG?

References