ICD-10-PCS 2027 procedure code
X2RX0N7Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7
Short description: Replace Aort Arch w Synth/Intralum Dev, Open, New Tech 7
Code last changed in FY2022 (effective October 1, 2021). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About X2RX0N7
X2RX0N7 is the ICD-10-PCS code for a replacement procedure on the thoracic aorta, arch using an open approach with branched synthetic substitute with intraluminal device (qualifier: new technology group 7). In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.
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 212 (Concomitant Aortic and Mitral Valve Procedures), DRG 216 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC) and DRG 217 (Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC), under the surgical categories “Major Chest Procedures”, “Concomitant Aortic and Mitral Valve Procedures”, “” and 4 more.
It was added in FY2022, effective October 1, 2021.
What each character means
- 1. Section
- XNew Technology
- 2. Body System
- 2Cardiovascular System
- 3. Operation
- RReplacement
Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part
- 4. Body Part
- XThoracic Aorta, Arch
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device / Substance / Technology
- NBranched Synthetic Substitute with Intraluminal Device
- 7. Qualifier
- 7New Technology Group 7
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 · Concomitant Aortic and Mitral Valve Procedures
MDC 05 · Diseases and Disorders of the Circulatory System
- 216Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCCRW 9.8832
- 217Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CCRW 6.8061
- 218Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCCRW 6.8061
MDC 05 · Diseases and Disorders of the Circulatory System · Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
- 219Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCCRW 7.6434
- 220Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CCRW 5.5066
- 221Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCCRW 4.7108
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
MDC 05 · Diseases and Disorders of the Circulatory System · Complex Aortic Arch Procedures
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2022 (effective 10/1/2021): Added
- No changes since FY2022.
Common questions about X2RX0N7
Is X2RX0N7 a valid ICD-10-PCS code for 2027?
- Yes. X2RX0N7 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is X2RX0N7 an O.R. procedure?
- Yes. X2RX0N7 is an O.R. procedure in MS-DRG v44.0.
What DRG does X2RX0N7 group to?
- Depending on the principal diagnosis, X2RX0N7 can group to MS-DRG 163, MS-DRG 164, MS-DRG 165, MS-DRG 212, MS-DRG 216 and MS-DRG 217.