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ICD-10-PCS 2027 procedure code

09B77ZXExcision of Right Tympanic Membrane, Via Natural or Artificial Opening, Diagnostic

✓ Valid for 2027O.R. procedure

Short description: Excision of Right Tympanic Membrane, Via Opening, 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 09B77ZX

09B77ZX is the ICD-10-PCS code for a excision procedure on the right tympanic membrane using a via natural or artificial opening 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 09B37ZX (right external auditory canal), 09B47ZX (left external auditory canal), 09B87ZX (left tympanic membrane), 09BF7ZX (right eustachian tube), 09BG7ZX (left eustachian tube), 09BL7ZX (nasal turbinate) and 1 more.

The same procedure with a different approach is coded 09B70ZX (open), 09B73ZX (percutaneous), 09B74ZX (percutaneous endoscopic) 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
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
ZNo Device
7. Qualifier
XDiagnostic

Other versions of this procedure

Different qualifier

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 →
  • 20.32Biopsy of middle and inner earapproximate

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 09B77ZX

Is 09B77ZX a valid ICD-10-PCS code for 2027?

Yes. 09B77ZX is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09B77ZX an O.R. procedure?

Yes. 09B77ZX is an O.R. procedure in MS-DRG v44.0.

What DRG does 09B77ZX group to?

Depending on the principal diagnosis, 09B77ZX can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 09B77ZX?

The CMS GEMs map 09B77ZX to ICD-9-CM 20.32 (Biopsy of middle and inner ear).