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ICD-10-PCS 2027 procedure code

09D74ZZExtraction of Right Tympanic Membrane, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Extraction of Right Tympanic Membrane, 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 09D74ZZ

09D74ZZ is the ICD-10-PCS code for a extraction procedure on the right tympanic membrane using a percutaneous endoscopic approach. In ICD-10-PCS, extraction means pulling or stripping out or off all or a portion of a body part by the use of force.

In plain terms, this corresponds to other excision of middle ear, the ICD-9-CM procedure title it maps to (20.59).

For a different body part, codes include 09D84ZZ (left tympanic membrane), 09DB4ZZ (right mastoid sinus), 09DC4ZZ (left mastoid sinus), 09DL4ZZ (nasal turbinate), 09DM4ZZ (nasal septum), 09DP4ZZ (accessory sinus) and 8 more.

The same procedure with a different approach is coded 09D70ZZ (open), 09D73ZZ (percutaneous), 09D77ZZ (via natural or artificial opening) and 09D78ZZ (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
DExtraction

Pulling or stripping out or off all or a portion of a body part by the use of force

The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies

Includes: Dilation and curettage, vein stripping

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
ZNo Qualifier

Other versions of this procedure

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 →
  • 20.59Other excision of middle 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 09D74ZZ

Is 09D74ZZ a valid ICD-10-PCS code for 2027?

Yes. 09D74ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09D74ZZ an O.R. procedure?

Yes. 09D74ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09D74ZZ group to?

Depending on the principal diagnosis, 09D74ZZ can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 09D74ZZ?

The CMS GEMs map 09D74ZZ to ICD-9-CM 20.59 (Other excision of middle ear).