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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X2RJ includes procedures performed to replace valves or valve prostheses in the tricuspid valve. These ICD-10-PCS codes are used for inpatient documentation when a percutaneous tricuspid valve replacement with a bioprosthetic device is performed. Accurate coding within the ICD-10-PCS X2RJ group is essential for proper inpatient reimbursement, as it captures the specific replacement procedure performed and determines appropriate case mix and payment.

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Tricuspid Valve Replacement Procedure Overview

Procedures in the ICD-10 PCS X2RJ group involve replacement of the tricuspid valve using a bioprosthetic device and target the cardiovascular system. These inpatient percutaneous replacement procedures physically take the place and function of the native tricuspid valve. Accurate ICD-10-PCS coding ensures the procedure performed is captured for clinical records and supports appropriate inpatient reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
R	Operation	Replacement
J	Body Part	Tricuspid Valve

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

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Tricuspid Valve Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
2	Body System	Cardiovascular System
R	Operation	Replacement
J	Body Part	Tricuspid Valve

When to Use

Use a code from this group when a patient undergoes an inpatient percutaneous replacement of the tricuspid valve with a bioprosthetic prosthesis. Select the specific code when documentation confirms the replacement operation, tricuspid valve as the targeted body part, and the percutaneous approach.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2RJ3RA	Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10

DRG Codes

2 rows

DRG Code	Description
266	Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
267	Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC

Typical Clinical Scenarios

An elderly patient with chronic right-sided heart failure secondary to severe tricuspid regurgitation from degenerative leaflet disease presents for planned inpatient transcatheter valve replacement after failure of medical therapy and progressive symptoms (fatigue, edema, hepatomegaly). The patient is admitted electively to the cardiac unit for percutaneous implantation of a bioprosthetic tricuspid valve to restore valve competence and improve hemodynamics. Typical codes: X2RJ3RA
A middle-aged patient with prior tricuspid valve repair who develops worsening symptomatic recurrent tricuspid regurgitation and progressive right ventricular dilation is scheduled for inpatient percutaneous replacement of the failed repair with a bioprosthetic valve; the procedure is performed electively due to declining functional status and imaging evidence of repair failure. The inpatient procedure replaces the native/previously repaired tricuspid apparatus with a bioprosthetic device via percutaneous access to correct regurgitation and prevent further right heart dysfunction. Typical codes: X2RJ3RA
An unstable patient admitted through the emergency department with acute decompensated right heart failure and severe tricuspid regurgitation due to acute leaflet disruption is taken urgently to the catheterization lab for percutaneous tricuspid valve replacement with a bioprosthetic prosthesis to stabilize hemodynamics. The inpatient percutaneous replacement is performed as a timely intervention to restore valve function and address refractory congestion and hypotension. Typical codes: X2RJ3RA

Related Codes

X2R5-RIGHT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

X2R6-LEFT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview

X2R7-RIGHT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

X2R8-LEFT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

X2RX-THORACIC-AORTA-ARCH-REPLACEMENT

ICD-10-PCS Code For Thoracic Aorta, 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.

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When to Use

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X2RJ3RA	Replacement of Tricuspid Valve with Multi-plane Flex Technology Bioprosthetic Valve, Percutaneous Approach, New Technology Group 10

DRG Codes

2 rows

DRG Code	Description
266	Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
267	Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC

Typical Clinical Scenarios

An elderly patient with chronic right-sided heart failure secondary to severe tricuspid regurgitation from degenerative leaflet disease presents for planned inpatient transcatheter valve replacement after failure of medical therapy and progressive symptoms (fatigue, edema, hepatomegaly). The patient is admitted electively to the cardiac unit for percutaneous implantation of a bioprosthetic tricuspid valve to restore valve competence and improve hemodynamics. Typical codes: X2RJ3RA
A middle-aged patient with prior tricuspid valve repair who develops worsening symptomatic recurrent tricuspid regurgitation and progressive right ventricular dilation is scheduled for inpatient percutaneous replacement of the failed repair with a bioprosthetic valve; the procedure is performed electively due to declining functional status and imaging evidence of repair failure. The inpatient procedure replaces the native/previously repaired tricuspid apparatus with a bioprosthetic device via percutaneous access to correct regurgitation and prevent further right heart dysfunction. Typical codes: X2RJ3RA
An unstable patient admitted through the emergency department with acute decompensated right heart failure and severe tricuspid regurgitation due to acute leaflet disruption is taken urgently to the catheterization lab for percutaneous tricuspid valve replacement with a bioprosthetic prosthesis to stabilize hemodynamics. The inpatient percutaneous replacement is performed as a timely intervention to restore valve function and address refractory congestion and hypotension. Typical codes: X2RJ3RA

Related Codes

X2R5-RIGHT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Upper Extremity: Procedure Code Group Overview

X2R6-LEFT-UPPER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Upper Extremity: Procedure Code Group Overview

X2R7-RIGHT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Right Lower Extremity: Procedure Code Group Overview

X2R8-LEFT-LOWER-EXTREMITY-REPLACEMENT

ICD-10-PCS Code For Left Lower Extremity: Procedure Code Group Overview

X2RX-THORACIC-AORTA-ARCH-REPLACEMENT

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

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

Tricuspid Valve Replacement Procedure Overview

Code Attributes

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

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

Tricuspid Valve Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents percutaneous tricuspid valve replacement with the Multi-plane Flex Technology bioprosthetic valve?

What procedures are captured by the ICD-10-PCS X2RJ code group?

In what clinical setting are `X2RJ` codes used for documentation?

What are the relevant DRGs associated with procedures coded in the X2RJ group?

What code attributes define the X2RJ procedure group in ICD-10-PCS?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code represents percutaneous tricuspid valve replacement with the Multi-plane Flex Technology bioprosthetic valve?

What procedures are captured by the ICD-10-PCS X2RJ code group?

In what clinical setting are `X2RJ` codes used for documentation?

What are the relevant DRGs associated with procedures coded in the X2RJ group?

What code attributes define the X2RJ procedure group in ICD-10-PCS?

References