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ICD-10-PCS 2027 procedure code

090KXZZAlteration of Nasal Mucosa and Soft Tissue, External Approach

✓ Valid for 2027O.R. procedure

Short description: Alteration of Nasal Mucosa and Soft Tissue, Extern 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 090KXZZ

090KXZZ is the ICD-10-PCS code for a alteration procedure on the nasal mucosa and soft tissue using an external approach. In ICD-10-PCS, alteration means modifying the anatomic structure of a body part without affecting the function of the body part.

In plain terms, this corresponds to limited rhinoplasty, the ICD-9-CM procedure title it maps to (21.86).

For a different body part, codes include 0900XZZ (right external ear), 0901XZZ (left external ear) and 0902XZZ (bilateral external ear).

The same procedure with a different approach is coded 090K0ZZ (open), 090K3ZZ (percutaneous) and 090K4ZZ (percutaneous endoscopic).

With a different device, use 090KX7Z (autologous tissue substitute), 090KXJZ (synthetic substitute) and 090KXKZ (nonautologous tissue substitute).

It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 2 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
9Ear, Nose, Sinus
3. Operation
0Alteration

Modifying the anatomic structure of a body part without affecting the function of the body part

Principal purpose is to improve appearance

Includes: Face lift, breast augmentation

4. Body Part
KNasal Mucosa and Soft Tissue

Includes: Columella; External naris; Greater alar cartilage; Internal naris; Lateral nasal cartilage; Lesser alar cartilage; Nasal cavity; Nostril

5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 21.86Limited rhinoplastyapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2018 (effective 10/1/2017): Title revised — was “Alteration of Nose, External Approach”

Common questions about 090KXZZ

Is 090KXZZ a valid ICD-10-PCS code for 2027?

Yes. 090KXZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 090KXZZ an O.R. procedure?

Yes. 090KXZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 090KXZZ group to?

Depending on the principal diagnosis, 090KXZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 090KXZZ?

The CMS GEMs map 090KXZZ to ICD-9-CM 21.86 (Limited rhinoplasty).