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ICD-10-PCS 2027 procedure code

09QK4ZZRepair Nasal Mucosa and Soft Tissue, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Repair Nasal Mucosa and Soft Tissue, 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 09QK4ZZ

09QK4ZZ is the ICD-10-PCS code for a repair procedure on the nasal mucosa and soft tissue using a percutaneous 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 other repair and plastic operations on nose, the ICD-9-CM procedure title it maps to (21.89).

For a different body part, codes include 09Q04ZZ (right external ear), 09Q14ZZ (left external ear), 09Q24ZZ (bilateral external ear), 09Q34ZZ (right external auditory canal), 09Q44ZZ (left external auditory canal), 09Q74ZZ (right tympanic membrane) and 17 more.

The same procedure with a different approach is coded 09QK0ZZ (open), 09QK3ZZ (percutaneous), 09QK8ZZ (via natural or artificial opening endoscopic) and 09QKXZZ (external).

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), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 2 more.

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
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
ZNo Device
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 →
  • 21.89Other repair and plastic operations on 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 “Repair Nose, Percutaneous Endoscopic Approach”

Common questions about 09QK4ZZ

Is 09QK4ZZ a valid ICD-10-PCS code for 2027?

Yes. 09QK4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09QK4ZZ an O.R. procedure?

Yes. 09QK4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09QK4ZZ group to?

Depending on the principal diagnosis, 09QK4ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 09QK4ZZ?

The CMS GEMs map 09QK4ZZ to ICD-9-CM 21.89 (Other repair and plastic operations on nose).