ICD-10-PCS 2027 procedure code
09B78ZZExcision of Right Tympanic Membrane, Via Natural or Artificial Opening Endoscopic
Short description: Excision of Right Tympanic Membrane, Endo
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 09B78ZZ
09B78ZZ is the ICD-10-PCS code for a excision procedure on the right tympanic membrane using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.
In plain terms, this corresponds to excision of lesion of middle ear, the ICD-9-CM procedure title it maps to (20.51).
For a different body part, codes include 09B38ZZ (right external auditory canal), 09B48ZZ (left external auditory canal), 09B58ZZ (right middle ear), 09B68ZZ (left middle ear), 09B88ZZ (left tympanic membrane), 09B98ZZ (right auditory ossicle) and 20 more.
The same procedure with a different approach is coded 09B70ZZ (open), 09B73ZZ (percutaneous), 09B74ZZ (percutaneous endoscopic) and 09B77ZZ (via natural or artificial opening).
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
- 8Via Natural or Artificial Opening Endoscopic
Entry of instrumentation through a natural or artificial external opening 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
- 09B38ZZExternal Auditory Canal, Right
- 09B48ZZExternal Auditory Canal, Left
- 09B58ZZMiddle Ear, Right
- 09B68ZZMiddle Ear, Left
- 09B88ZZTympanic Membrane, Left
- 09B98ZZAuditory Ossicle, Right
- 09BA8ZZAuditory Ossicle, Left
- 09BB8ZZMastoid Sinus, Right
- 09BC8ZZMastoid Sinus, Left
- 09BD8ZZInner Ear, Right
- 09BE8ZZInner Ear, Left
- 09BF8ZZEustachian Tube, Right
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 →- 20.51Excision of lesion 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 09B78ZZ
Is 09B78ZZ a valid ICD-10-PCS code for 2027?
- Yes. 09B78ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09B78ZZ an O.R. procedure?
- Yes. 09B78ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09B78ZZ group to?
- Depending on the principal diagnosis, 09B78ZZ can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 09B78ZZ?
- The CMS GEMs map 09B78ZZ to ICD-9-CM 20.51 (Excision of lesion of middle ear).