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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 02YA includes procedures performed to transplant heart tissues in the heart and great vessels. These ICD-10-PCS codes are used for inpatient documentation when a patient receives a heart or portion of a heart taken from another individual or animal to replace diseased cardiac tissue. Accurate coding within the ICD-10-PCS 02YA group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Heart Transplantation Procedure Overview

This group includes procedures that transplant a heart or portion of a heart from another individual or animal into a patient, targeting the heart and great vessels within the cardiovascular system. These procedures involve removing a diseased heart and replacing it with a donor heart to restore circulation and cardiac function. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it captures the specific transplantation operation 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
Y	Operation	Transplantation
A	Body Part	Heart

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

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Heart Transplantation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
2	Body System	Heart and Great Vessels
Y	Operation	Transplantation
A	Body Part	Heart

When to Use

Use a code from this group when a patient undergoes implantation of a donor heart or heart tissue sourced from another individual or animal to take over the function of the native heart. These codes apply to inpatient encounters documenting heart transplantation procedures for replacement of cardiac function.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
02YA0Z0	Transplantation of Heart, Allogeneic, Open Approach
02YA0Z1	Transplantation of Heart, Syngeneic, Open Approach
02YA0Z2	Transplantation of Heart, Zooplastic, Open Approach

DRG Codes

2 rows

DRG Code	Description
001	Heart Transplant or Implant of Heart Assist System with MCC
002	Heart Transplant or Implant of Heart Assist System without MCC

Typical Clinical Scenarios

A 58-year-old patient with end-stage ischemic cardiomyopathy presents for a planned inpatient admission after evaluation for advanced heart failure; they have progressive dyspnea on minimal exertion, refractory to medical therapy and listed for organ transplant. In the operating room the native heart is explanted and a donor human heart is implanted via an open median sternotomy to restore cardiac function. Typical codes: 02YA0Z0, 02YA0Z1
A 35-year-old patient with fulminant myocarditis develops rapidly progressive cardiogenic shock requiring emergent transfer to the transplant center on mechanical circulatory support; after stabilization, the decision is made to perform an urgent orthotopic heart transplant. The procedure involves removal of the diseased heart and implantation of a matched donor heart using an open approach during the same inpatient episode. Typical codes: 02YA0Z0, 02YA0Z1
A 22-year-old patient with congenital heart disease who previously received a xenograft valve now presents with irreversible bi-ventricular failure and is admitted for elective transplantation evaluation; following organ availability, the surgical team replaces the failing native heart with a donor heart via open surgery to address end-stage cardiac dysfunction. Typical codes: 02YA0Z0, 02YA0Z2

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

3 rows

ICD-10-PCS Code	Description
02YA0Z0	Transplantation of Heart, Allogeneic, Open Approach
02YA0Z1	Transplantation of Heart, Syngeneic, Open Approach
02YA0Z2	Transplantation of Heart, Zooplastic, Open Approach

DRG Codes

2 rows

DRG Code	Description
001	Heart Transplant or Implant of Heart Assist System with MCC
002	Heart Transplant or Implant of Heart Assist System without MCC

Typical Clinical Scenarios

A 58-year-old patient with end-stage ischemic cardiomyopathy presents for a planned inpatient admission after evaluation for advanced heart failure; they have progressive dyspnea on minimal exertion, refractory to medical therapy and listed for organ transplant. In the operating room the native heart is explanted and a donor human heart is implanted via an open median sternotomy to restore cardiac function. Typical codes: 02YA0Z0, 02YA0Z1
A 35-year-old patient with fulminant myocarditis develops rapidly progressive cardiogenic shock requiring emergent transfer to the transplant center on mechanical circulatory support; after stabilization, the decision is made to perform an urgent orthotopic heart transplant. The procedure involves removal of the diseased heart and implantation of a matched donor heart using an open approach during the same inpatient episode. Typical codes: 02YA0Z0, 02YA0Z1
A 22-year-old patient with congenital heart disease who previously received a xenograft valve now presents with irreversible bi-ventricular failure and is admitted for elective transplantation evaluation; following organ availability, the surgical team replaces the failing native heart with a donor heart via open surgery to address end-stage cardiac dysfunction. Typical codes: 02YA0Z0, 02YA0Z2

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 Heart: Procedure Code Group Overview

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Heart Transplantation Procedure Overview

Code Attributes

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

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

Heart Transplantation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

What procedures are included in ICD-10-PCS code group 02YA?

What are the specific ICD-10-PCS codes listed in this group?

Which section and body system do these codes belong to in ICD-10-PCS?

How does accurate coding within 02YA affect reimbursement?

Which DRGs are related to heart transplantation procedures in this group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

What procedures are included in ICD-10-PCS code group 02YA?

What are the specific ICD-10-PCS codes listed in this group?

Which section and body system do these codes belong to in ICD-10-PCS?

How does accurate coding within 02YA affect reimbursement?

Which DRGs are related to heart transplantation procedures in this group?

References