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ICD-10-PCS 2027 procedure code

09PKXJZRemoval of Synthetic Substitute from Nasal Mucosa and Soft Tissue, External Approach

✓ Valid for 2027

Short description: Removal of Synth Sub from Nose Sft Tiss, Extern 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 09PKXJZ

09PKXJZ is the ICD-10-PCS code for a removal procedure on the nasal mucosa and soft tissue using an external 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 removal of other therapeutic device from head and neck, the ICD-9-CM procedure title it maps to (97.39).

For a different body part, codes include 09PHXJZ (right ear) and 09PJXJZ (left ear).

The same procedure with a different approach is coded 09PK0JZ (open), 09PK3JZ (percutaneous), 09PK4JZ (percutaneous endoscopic), 09PK7JZ (via natural or artificial opening) and 09PK8JZ (via natural or artificial opening endoscopic).

With a different device, use 09PKX0Z (drainage device), 09PKX7Z (autologous tissue substitute), 09PKXDZ (intraluminal device) and 09PKXKZ (nonautologous tissue substitute).

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
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

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

ICD-9-CM equivalent

Converter →
  • 97.39Removal of other therapeutic device from head and neckapproximate

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 Synthetic Substitute from Nose, External Approach”

Common questions about 09PKXJZ

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

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

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

The CMS GEMs map 09PKXJZ to ICD-9-CM 97.39 (Removal of other therapeutic device from head and neck).