ICD-10-PCS 2027 procedure code
09B74ZXExcision of Right Tympanic Membrane, Percutaneous Endoscopic Approach, Diagnostic
Short description: Excision of R Tympanic Membrane, 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 09B74ZX
09B74ZX is the ICD-10-PCS code for a excision procedure on the right tympanic membrane using a percutaneous endoscopic approach (qualifier: diagnostic). In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to biopsy of middle and inner ear, the ICD-9-CM procedure title it maps to (20.32).
For a different body part, codes include 09B04ZX (right external ear), 09B14ZX (left external ear), 09B34ZX (right external auditory canal), 09B44ZX (left external auditory canal), 09B84ZX (left tympanic membrane), 09BB4ZX (right mastoid sinus) and 16 more.
The same procedure with a different approach is coded 09B70ZX (open), 09B73ZX (percutaneous), 09B77ZX (via natural or artificial opening) and 09B78ZX (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
- BExcision
Cutting out or off, without replacement, a portion of a body part
The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies
Includes: Partial nephrectomy, liver biopsy
- 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
- XDiagnostic
Other versions of this procedure
Different body part
- 09B04ZXExternal Ear, Right
- 09B14ZXExternal Ear, Left
- 09B34ZXExternal Auditory Canal, Right
- 09B44ZXExternal Auditory Canal, Left
- 09B84ZXTympanic Membrane, Left
- 09BB4ZXMastoid Sinus, Right
- 09BC4ZXMastoid Sinus, Left
- 09BF4ZXEustachian Tube, Right
- 09BG4ZXEustachian Tube, Left
- 09BK4ZXNasal Mucosa and Soft Tissue
- 09BL4ZXNasal Turbinate
- 09BM4ZXNasal Septum
Different approach
Different qualifier
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 →- 20.32Biopsy of middle and inner 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 09B74ZX
Is 09B74ZX a valid ICD-10-PCS code for 2027?
- Yes. 09B74ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09B74ZX an O.R. procedure?
- Yes. 09B74ZX is an O.R. procedure in MS-DRG v44.0.
What DRG does 09B74ZX group to?
- Depending on the principal diagnosis, 09B74ZX can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 09B74ZX?
- The CMS GEMs map 09B74ZX to ICD-9-CM 20.32 (Biopsy of middle and inner ear).