ICD-10-PCS 2027 procedure code
09PH4JZRemoval of Synthetic Substitute from Right Ear, Percutaneous Endoscopic Approach
Short description: Removal of Synth Sub from R Ear, 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 09PH4JZ
09PH4JZ is the ICD-10-PCS code for a removal procedure on the right ear using a percutaneous endoscopic approach with synthetic substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to other incision of external ear, the ICD-9-CM procedure title it maps to (18.09).
For a different body part, codes include 09PJ4JZ (left ear) and 09PK4JZ (nasal mucosa and soft tissue).
The same procedure with a different approach is coded 09PH0JZ (open), 09PH3JZ (percutaneous), 09PH7JZ (via natural or artificial opening), 09PH8JZ (via natural or artificial opening endoscopic) and 09PHXJZ (external).
With a different device, use 09PH40Z (drainage device), 09PH47Z (autologous tissue substitute), 09PH4DZ (intraluminal device), 09PH4KZ (nonautologous tissue substitute) and 09PH4YZ (other device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
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
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 4. Body Part
- HEar, 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
ICD-9-CM equivalent
Converter →- 18.09Other incision of external 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 09PH4JZ
Is 09PH4JZ a valid ICD-10-PCS code for 2027?
- Yes. 09PH4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 09PH4JZ?
- The CMS GEMs map 09PH4JZ to ICD-9-CM 18.09 (Other incision of external ear).