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ICD-10-PCS 2027 procedure code

09PJ7KZRemoval of Nonautologous Tissue Substitute from Left Ear, Via Natural or Artificial Opening

✓ Valid for 2027O.R. procedure

Short description: Removal of Nonaut Sub from L Ear, Via Opening

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 09PJ7KZ

09PJ7KZ is the ICD-10-PCS code for a removal procedure on the left ear using a via natural or artificial opening approach with nonautologous tissue substitute. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to other operations on middle and inner ear, the ICD-9-CM procedure title it maps to (20.99).

For a different body part, codes include 09PH7KZ (right ear) and 09PK7KZ (nasal mucosa and soft tissue).

The same procedure with a different approach is coded 09PJ0KZ (open), 09PJ3KZ (percutaneous), 09PJ4KZ (percutaneous endoscopic), 09PJ8KZ (via natural or artificial opening endoscopic) and 09PJXKZ (external).

With a different device, use 09PJ70Z (drainage device), 09PJ77Z (autologous tissue substitute), 09PJ7DZ (intraluminal device), 09PJ7JZ (synthetic substitute) and 09PJ7YZ (other device).

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
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
JEar, Left
5. Approach
7Via Natural or Artificial Opening

Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure

6. Device
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

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 →
  • 20.99Other operations on middle and inner 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 09PJ7KZ

Is 09PJ7KZ a valid ICD-10-PCS code for 2027?

Yes. 09PJ7KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09PJ7KZ an O.R. procedure?

Yes. 09PJ7KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09PJ7KZ group to?

Depending on the principal diagnosis, 09PJ7KZ can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 09PJ7KZ?

The CMS GEMs map 09PJ7KZ to ICD-9-CM 20.99 (Other operations on middle and inner ear).