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ICD 10 Code 02RX4KZ

Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
“Replace Thor Aorta Asc w Nonaut Sub, Perc Endo” for short

02RX4KZ is a valid billable ICD-10 procedure code for Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach. It is found in the 2025 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2024 - Sep 30, 2025.

Replacement involves:
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. The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Percutaneous Endoscopic approach involves:
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

Replacement includes:

  • Total hip replacement, bone graft, free skin graft

Thoracic Aorta, Ascending/Arch body part includes:

  • Aortic arch
  • Aortic isthmus
  • Ascending aorta
  • Juxtaductal aorta

Nonautologous Tissue Substitute device includes:

  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Fish skin
  • Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose)
  • MIRODERM(tm) Biologic Wound Matrix
  • Piscine skin
  • Tissue bank graft
MS-DRG - Medicare Severity-Diagnosis Related Group
  • MDC 04 Diseases & Disorders of the Respiratory System
    Major Chest Procedures
    • DRG 163 - MAJOR CHEST PROCEDURES WITH MCC
    • DRG 164 - MAJOR CHEST PROCEDURES WITH CC
    • DRG 165 - MAJOR CHEST PROCEDURES WITHOUT CC/MCC
  • MDC 05 Diseases & Disorders of the Circulatory System
    Cardiac Valve and Other Major Cardiothoracic Procedures
    • DRG 216 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
    • DRG 217 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
    • DRG 218 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
    • DRG 219 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
    • DRG 220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
    • DRG 221 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
  • MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
    Other O.R. Procedures for Injuries
    • DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
    • DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC
    • DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
  • MDC 24 Multiple Significant Trauma
    Other Procedures for Multiple Significant Trauma
    • DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
    • DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
    • DRG 959 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

ICD-10-PCS code structure for 02RX4KZ — See Table View

1: Section 0 Medical and Surgical
2: Body System 2 Heart and Great Vessels
3: Root Operation R Replacement
4: Body Part X Thoracic Aorta, Ascending/Arch
5: Approach 4 Percutaneous Endoscopic
6: Device K Nonautologous Tissue Substitute
7: Qualifier Z No Qualifier

See also

  • The ICD-10-PCS Index of common procedure terms.
  • Medical and Surgical terms in the ICD-10-PCS Definitions table. These definitions may also provide additional explanation and/or examples within this section.
  • The ICD-10-PCS Device Aggregation Table containing entries that correlate a specific ICD-10-PCS device value with a general device value to be used in tables containing only general device values.