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ICD-10-PCS 2027 procedure code

099S4ZXDrainage of Right Frontal Sinus, Percutaneous Endoscopic Approach, Diagnostic

✓ Valid for 2027

Short description: Drainage of Right Frontal Sinus, Perc Endo Approach, Diagn

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 099S4ZX

099S4ZX is the ICD-10-PCS code for a drainage procedure on the right frontal sinus using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to closed [endoscopic] [needle] biopsy of nasal sinus, the ICD-9-CM procedure title it maps to (22.11).

For a different body part, codes include 09904ZX (right external ear), 09914ZX (left external ear), 09934ZX (right external auditory canal), 09944ZX (left external auditory canal), 09974ZX (right tympanic membrane), 09984ZX (left tympanic membrane) and 16 more.

The same procedure with a different approach is coded 099S0ZX (open), 099S3ZX (percutaneous), 099S7ZX (via natural or artificial opening) and 099S8ZX (via natural or artificial opening endoscopic).

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
SFrontal Sinus, 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
XDiagnostic

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 22.11Closed [endoscopic] [needle] biopsy of nasal sinusapproximate

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)
  • No changes since FY2016.

Common questions about 099S4ZX

Is 099S4ZX a valid ICD-10-PCS code for 2027?

Yes. 099S4ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 099S4ZX?

The CMS GEMs map 099S4ZX to ICD-9-CM 22.11 (Closed [endoscopic] [needle] biopsy of nasal sinus).