ICD-10-PCS 2027 procedure code
02HN4YZInsertion of Other Device into Pericardium, Percutaneous Endoscopic Approach
Short description: Insertion of Oth Dev into Pericardium, Perc Endo Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 02HN4YZ
02HN4YZ is the ICD-10-PCS code for a insertion procedure on the pericardium using a percutaneous endoscopic approach with other device. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.
In plain terms, this corresponds to other repair of heart and pericardium, the ICD-9-CM procedure title it maps to (37.49).
For a different body part, codes include 02H04YZ (coronary artery, one artery), 02H14YZ (coronary artery, two arteries), 02H24YZ (coronary artery, three arteries), 02H34YZ (coronary artery, four or more arteries), 02H44YZ (coronary vein), 02H64YZ (right atrium) and 11 more.
The same procedure with a different approach is coded 02HN0YZ (open) and 02HN3YZ (percutaneous).
With a different device, use 02HN40Z (monitoring device, pressure sensor), 02HN42Z (monitoring device), 02HN4JZ (cardiac lead, pacemaker), 02HN4KZ (cardiac lead, defibrillator) and 02HN4MZ (cardiac lead).
It is an operating-room procedure in the MS-DRG logic for DRG 163 (Major Chest Procedures with MCC), DRG 164 (Major Chest Procedures with CC), DRG 165 (Major Chest Procedures without CC/MCC), DRG 270 (Other Major Cardiovascular Procedures with MCC), DRG 271 (Other Major Cardiovascular Procedures with CC) and DRG 272 (Other Major Cardiovascular Procedures without CC/MCC), under the surgical categories “Major Chest Procedures”, “Other Major Cardiovascular Procedures”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.
It was added in FY2018, effective October 1, 2017.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 2Heart and Great Vessels
- 3. Operation
- HInsertion
Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part
Includes: Insertion of radioactive implant, insertion of central venous catheter
- 4. Body Part
- NPericardium
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- YOther Device
Includes: Alfapump(R) system
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 02H04YZCoronary Artery, One Artery
- 02H14YZCoronary Artery, Two Arteries
- 02H24YZCoronary Artery, Three Arteries
- 02H34YZCoronary Artery, Four or More Arteries
- 02H44YZCoronary Vein
- 02H64YZAtrium, Right
- 02H74YZAtrium, Left
- 02HA4YZHeart
- 02HK4YZVentricle, Right
- 02HL4YZVentricle, Left
- 02HP4YZPulmonary Trunk
- 02HQ4YZPulmonary Artery, Right
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 04 · Diseases and Disorders of the Respiratory System · Major Chest Procedures
MDC 05 · Diseases and Disorders of the Circulatory System · Other Major Cardiovascular Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Lymphoma and Leukemia with Major O.R. Procedures
MDC 17 · Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms · Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
- 826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCCRW 4.7581
- 827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CCRW 2.3896
- 828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCCRW 1.6955
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 37.49Other repair of heart and pericardiumapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 02HN4YZ
Is 02HN4YZ a valid ICD-10-PCS code for 2027?
- Yes. 02HN4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 02HN4YZ an O.R. procedure?
- Yes. 02HN4YZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 02HN4YZ group to?
- Depending on the principal diagnosis, 02HN4YZ can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 270, MS-DRG 271 and MS-DRG 272.
What is the ICD-9 procedure code for 02HN4YZ?
- The CMS GEMs map 02HN4YZ to ICD-9-CM 37.49 (Other repair of heart and pericardium).