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ICD-10-PCS 2027 procedure code

09DX0ZZExtraction of Left Sphenoid Sinus, Open Approach

✓ Valid for 2027O.R. procedure

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 09DX0ZZ

09DX0ZZ is the ICD-10-PCS code for a extraction procedure on the left sphenoid sinus using an open 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 Sphenoidectomy, the ICD-9-CM procedure title it maps to (22.64).

For a different body part, codes include 09D70ZZ (right tympanic membrane), 09D80ZZ (left tympanic membrane), 09D90ZZ (right auditory ossicle), 09DA0ZZ (left auditory ossicle), 09DB0ZZ (right mastoid sinus), 09DC0ZZ (left mastoid sinus) and 10 more.

The same procedure with a different approach is coded 09DX3ZZ (percutaneous) and 09DX4ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 135 (Sinus and Mastoid Procedures with CC/MCC) and DRG 136 (Sinus and Mastoid Procedures without CC/MCC), under the surgical category “Sinus and Mastoid 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
XSphenoid Sinus, Left
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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.

MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Sinus and Mastoid Procedures

ICD-9-CM equivalent

Converter →
  • 22.64Sphenoidectomyapproximate

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 09DX0ZZ

Is 09DX0ZZ a valid ICD-10-PCS code for 2027?

Yes. 09DX0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09DX0ZZ an O.R. procedure?

Yes. 09DX0ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09DX0ZZ group to?

Depending on the principal diagnosis, 09DX0ZZ can group to MS-DRG 135 and MS-DRG 136.

What is the ICD-9 procedure code for 09DX0ZZ?

The CMS GEMs map 09DX0ZZ to ICD-9-CM 22.64 (Sphenoidectomy).