ICD-10-PCS 2027 procedure code
099P40ZDrainage of Accessory Sinus with Drainage Device, Percutaneous Endoscopic Approach
Short description: Drain of Accessory Sinus with Drain Dev, 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 099P40Z
099P40Z is the ICD-10-PCS code for a drainage procedure on the accessory sinus using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.
In plain terms, this corresponds to puncture of nasal sinus for aspiration or lavage, the ICD-9-CM procedure title it maps to (22.01).
For a different body part, codes include 099040Z (right external ear), 099140Z (left external ear), 099340Z (right external auditory canal), 099440Z (left external auditory canal), 099740Z (right tympanic membrane), 099840Z (left tympanic membrane) and 16 more.
The same procedure with a different approach is coded 099P00Z (open), 099P30Z (percutaneous), 099P70Z (via natural or artificial opening) and 099P80Z (via natural or artificial opening endoscopic).
With a different device, use 099P4ZZ (no device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- 9Drainage
Taking or letting out fluids and/or gases from a body part
The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies
Includes: Thoracentesis, incision and drainage
- 4. Body Part
- PAccessory Sinus
- 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
- 0Drainage Device
Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 099040ZExternal Ear, Right
- 099140ZExternal Ear, Left
- 099340ZExternal Auditory Canal, Right
- 099440ZExternal Auditory Canal, Left
- 099740ZTympanic Membrane, Right
- 099840ZTympanic Membrane, Left
- 099B40ZMastoid Sinus, Right
- 099C40ZMastoid Sinus, Left
- 099F40ZEustachian Tube, Right
- 099G40ZEustachian Tube, Left
- 099K40ZNasal Mucosa and Soft Tissue
- 099L40ZNasal Turbinate
Different approach
Different device
ICD-9-CM equivalent
Converter →- 22.01Puncture of nasal sinus for aspiration or lavageapproximate
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 099P40Z
Is 099P40Z a valid ICD-10-PCS code for 2027?
- Yes. 099P40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 099P40Z?
- The CMS GEMs map 099P40Z to ICD-9-CM 22.01 (Puncture of nasal sinus for aspiration or lavage).