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ICD-10-PCS 2027 procedure code

09HD46ZInsertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Insert Mult Chan Cochl Prosth in R Inner Ear, Perc 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 09HD46Z

09HD46Z is the ICD-10-PCS code for a insertion procedure on the right inner ear using a percutaneous endoscopic approach with hearing device, multiple channel cochlear prosthesis. In ICD-10-PCS, insertion means putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part.

In plain terms, this corresponds to implantation or replacement of cochlear prosthetic device, multiple channel, the ICD-9-CM procedure title it maps to (20.98).

For a different body part, codes include 09HE46Z (left inner ear).

The same procedure with a different approach is coded 09HD06Z (open) and 09HD36Z (percutaneous).

With a different device, use 09HD41Z (radioactive element), 09HD44Z (hearing device, bone conduction), 09HD45Z (hearing device, single channel cochlear prosthesis) and 09HD4SZ (hearing device).

It is an operating-room procedure in the MS-DRG logic for DRG 140 (Major Head and Neck Procedures with MCC), DRG 141 (Major Head and Neck Procedures with CC) and DRG 142 (Major Head and Neck Procedures without CC/MCC), under the surgical category “Major Head and Neck 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
HInsertion

Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part

Includes: Insertion of radioactive implant, insertion of central venous catheter

4. Body Part
DInner Ear, 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
6Hearing Device, Multiple Channel Cochlear Prosthesis
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different body part

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 →
  • 20.98Implantation or replacement of cochlear prosthetic device, multiple channelapproximate

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 09HD46Z

Is 09HD46Z a valid ICD-10-PCS code for 2027?

Yes. 09HD46Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09HD46Z an O.R. procedure?

Yes. 09HD46Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09HD46Z group to?

Depending on the principal diagnosis, 09HD46Z can group to MS-DRG 140, MS-DRG 141 and MS-DRG 142.

What is the ICD-9 procedure code for 09HD46Z?

The CMS GEMs map 09HD46Z to ICD-9-CM 20.98 (Implantation or replacement of cochlear prosthetic device, multiple channel).