ICD-10-PCS 2027 procedure code
09574ZZDestruction of Right Tympanic Membrane, Percutaneous Endoscopic Approach
Short description: Destruction of Right Tympanic Membrane, Perc Endo Approach
Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 09574ZZ
09574ZZ is the ICD-10-PCS code for a destruction procedure on the right tympanic membrane using a percutaneous endoscopic approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.
In plain terms, this corresponds to other excision of middle ear, the ICD-9-CM procedure title it maps to (20.59).
For a different body part, codes include 09504ZZ (right external ear), 09514ZZ (left external ear), 09534ZZ (right external auditory canal), 09544ZZ (left external auditory canal), 09584ZZ (left tympanic membrane), 095B4ZZ (right mastoid sinus) and 16 more.
The same procedure with a different approach is coded 09570ZZ (open), 09573ZZ (percutaneous), 09577ZZ (via natural or artificial opening) and 09578ZZ (via natural or artificial opening endoscopic).
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) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical category “Other Ear, Nose, Mouth and Throat O.R. Procedures”.
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
- 5Destruction
Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent
None of the body part is physically taken out
Includes: Fulguration of rectal polyp, cautery of skin lesion
- 4. Body Part
- 7Tympanic Membrane, Right
- 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 09504ZZExternal Ear, Right
- 09514ZZExternal Ear, Left
- 09534ZZExternal Auditory Canal, Right
- 09544ZZExternal Auditory Canal, Left
- 09584ZZTympanic Membrane, Left
- 095B4ZZMastoid Sinus, Right
- 095C4ZZMastoid Sinus, Left
- 095F4ZZEustachian Tube, Right
- 095G4ZZEustachian Tube, Left
- 095K4ZZNasal Mucosa and Soft Tissue
- 095L4ZZNasal Turbinate
- 095M4ZZNasal Septum
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
ICD-9-CM equivalent
Converter →- 20.59Other excision of middle earapproximate
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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 09574ZZ
Is 09574ZZ a valid ICD-10-PCS code for 2027?
- Yes. 09574ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09574ZZ an O.R. procedure?
- Yes. 09574ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09574ZZ group to?
- Depending on the principal diagnosis, 09574ZZ can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 09574ZZ?
- The CMS GEMs map 09574ZZ to ICD-9-CM 20.59 (Other excision of middle ear).