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ICD-10-PCS 2027 procedure code

09PK40ZRemoval of Drainage Device from Nasal Mucosa and Soft Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027

Short description: Removal of Drain Dev from Nose Sft Tiss, Perc Endo Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 09PK40Z

09PK40Z is the ICD-10-PCS code for a removal procedure on the nasal mucosa and soft tissue using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, removal means taking out or off a device from a body part.

In plain terms, this corresponds to incision of nose, the ICD-9-CM procedure title it maps to (21.1).

For a different body part, codes include 09PH40Z (right ear), 09PJ40Z (left ear) and 09PY40Z (sinus).

The same procedure with a different approach is coded 09PK00Z (open), 09PK30Z (percutaneous), 09PK70Z (via natural or artificial opening), 09PK80Z (via natural or artificial opening endoscopic) and 09PKX0Z (external).

With a different device, use 09PK47Z (autologous tissue substitute), 09PK4DZ (intraluminal device), 09PK4JZ (synthetic substitute), 09PK4KZ (nonautologous tissue substitute) and 09PK4YZ (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
KNasal Mucosa and Soft Tissue

Includes: Columella; External naris; Greater alar cartilage; Internal naris; Lateral nasal cartilage; Lesser alar cartilage; Nasal cavity; Nostril

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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 21.1Incision of noseapproximate

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)
  • FY2018 (effective 10/1/2017): Title revised — was “Removal of Drainage Device from Nose, Percutaneous Endoscopic Approach”

Common questions about 09PK40Z

Is 09PK40Z a valid ICD-10-PCS code for 2027?

Yes. 09PK40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 09PK40Z?

The CMS GEMs map 09PK40Z to ICD-9-CM 21.1 (Incision of nose).