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ICD-10-PCS 2027 procedure code

09R2XKZReplacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Bi Ext Ear with Nonaut Sub, Extern 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 09R2XKZ

09R2XKZ is the ICD-10-PCS code for a replacement procedure on the bilateral external ear using an external approach with nonautologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to reconstruction of external auditory canal and construction of auricle of ear, the ICD-9-CM procedure titles it maps to (18.6 and 18.71).

For a different body part, codes include 09R0XKZ (right external ear), 09R1XKZ (left external ear) and 09RKXKZ (nasal mucosa and soft tissue).

The same procedure with a different approach is coded 09R20KZ (open).

With a different device, use 09R2X7Z (autologous tissue substitute) and 09R2XJZ (synthetic substitute).

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 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 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
RReplacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure

Includes: Total hip replacement, bone graft, free skin graft

4. Body Part
2External Ear, Bilateral

Includes: Antihelix; Antitragus; Auricle; Earlobe; Helix; Pinna; Tragus

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
KNonautologous Tissue Substitute

Includes: Acellular Hydrated Dermis; Bone bank bone graft; Cook Biodesign(R) Fistula Plug(s); Cook Biodesign(R) Hernia Graft(s); Cook Biodesign(R) Layered Graft(s); Cook Zenapro(tm) Layered Graft(s); Fish skin; Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose); MIRODERM(tm) Biologic Wound Matrix; Piscine skin; Tissue bank graft

7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different approach

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 →
  • 18.6Reconstruction of external auditory canalapproximate
  • 18.71Construction of auricle of earapproximate

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 09R2XKZ

Is 09R2XKZ a valid ICD-10-PCS code for 2027?

Yes. 09R2XKZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09R2XKZ an O.R. procedure?

Yes. 09R2XKZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09R2XKZ group to?

Depending on the principal diagnosis, 09R2XKZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 579, MS-DRG 580 and MS-DRG 581.

What is the ICD-9 procedure code for 09R2XKZ?

The CMS GEMs map 09R2XKZ to ICD-9-CM 18.6 (Reconstruction of external auditory canal) and 18.71 (Construction of auricle of ear).