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ICD-10-PCS 2027 procedure code

09PY40ZRemoval of Drainage Device from Sinus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Removal of Drainage Device from Sinus, 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 09PY40Z

09PY40Z is the ICD-10-PCS code for a removal procedure on the sinus 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 sinusotomy, not otherwise specified, the ICD-9-CM procedure title it maps to (22.50).

For a different body part, codes include 09PH40Z (right ear), 09PJ40Z (left ear) and 09PK40Z (nasal mucosa and soft tissue).

The same procedure with a different approach is coded 09PY00Z (open), 09PY30Z (percutaneous) and 09PYX0Z (external).

With a different device, use 09PY4YZ (other device).

It is an operating-room procedure in the MS-DRG logic for DRG 135 (Sinus and Mastoid Procedures with CC/MCC) and DRG 136 (Sinus and Mastoid Procedures without CC/MCC), under the surgical category “Sinus and Mastoid 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
YSinus
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

Different device

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Sinus and Mastoid Procedures

ICD-9-CM equivalent

Converter →
  • 22.50Sinusotomy, not otherwise specifiedapproximate

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 09PY40Z

Is 09PY40Z a valid ICD-10-PCS code for 2027?

Yes. 09PY40Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09PY40Z an O.R. procedure?

Yes. 09PY40Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09PY40Z group to?

Depending on the principal diagnosis, 09PY40Z can group to MS-DRG 135 and MS-DRG 136.

What is the ICD-9 procedure code for 09PY40Z?

The CMS GEMs map 09PY40Z to ICD-9-CM 22.50 (Sinusotomy, not otherwise specified).