ICD-10-PCS 2027 procedure code
09Q78ZZRepair Right Tympanic Membrane, Via Natural or Artificial Opening Endoscopic
Short description: Repair Right Tympanic Membrane, Endo
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 09Q78ZZ
09Q78ZZ is the ICD-10-PCS code for a repair procedure on the right tympanic membrane using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.
In plain terms, this corresponds to Myringoplasty, the ICD-9-CM procedure title it maps to (19.4).
For a different body part, codes include 09Q38ZZ (right external auditory canal), 09Q48ZZ (left external auditory canal), 09Q58ZZ (right middle ear), 09Q68ZZ (left middle ear), 09Q88ZZ (left tympanic membrane), 09Q98ZZ (right auditory ossicle) and 20 more.
The same procedure with a different approach is coded 09Q70ZZ (open), 09Q73ZZ (percutaneous), 09Q74ZZ (percutaneous endoscopic) and 09Q77ZZ (via natural or artificial opening).
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
- QRepair
Restoring, to the extent possible, a body part to its normal anatomic structure and function
Used only when the method to accomplish the repair is not one of the other root operations
Includes: Colostomy takedown, suture of laceration
- 4. Body Part
- 7Tympanic Membrane, Right
- 5. Approach
- 8Via Natural or Artificial Opening Endoscopic
Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 09Q38ZZExternal Auditory Canal, Right
- 09Q48ZZExternal Auditory Canal, Left
- 09Q58ZZMiddle Ear, Right
- 09Q68ZZMiddle Ear, Left
- 09Q88ZZTympanic Membrane, Left
- 09Q98ZZAuditory Ossicle, Right
- 09QA8ZZAuditory Ossicle, Left
- 09QB8ZZMastoid Sinus, Right
- 09QC8ZZMastoid Sinus, Left
- 09QD8ZZInner Ear, Right
- 09QE8ZZInner Ear, Left
- 09QF8ZZEustachian Tube, Right
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 · Other Ear, Nose, Mouth and Throat O.R. Procedures
ICD-9-CM equivalent
Converter →- 19.4Myringoplastyapproximate
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 09Q78ZZ
Is 09Q78ZZ a valid ICD-10-PCS code for 2027?
- Yes. 09Q78ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09Q78ZZ an O.R. procedure?
- Yes. 09Q78ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09Q78ZZ group to?
- Depending on the principal diagnosis, 09Q78ZZ can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 09Q78ZZ?
- The CMS GEMs map 09Q78ZZ to ICD-9-CM 19.4 (Myringoplasty).