ICD-10-PCS 2027 procedure code
09R607ZReplacement of Left Middle Ear with Autologous Tissue Substitute, Open Approach
Short description: Replacement of Left Middle Ear with Autol Sub, Open 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 09R607Z
09R607Z is the ICD-10-PCS code for a replacement procedure on the left middle ear using an open approach with autologous 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 other repair of middle ear, the ICD-9-CM procedure title it maps to (19.9).
For a different body part, codes include 09R007Z (right external ear), 09R107Z (left external ear), 09R207Z (bilateral external ear), 09R507Z (right middle ear), 09R707Z (right tympanic membrane), 09R807Z (left tympanic membrane) and 8 more.
With a different device, use 09R60JZ (synthetic substitute) and 09R60KZ (nonautologous tissue 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) 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
- 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
- 6Middle Ear, Left
Includes: Oval window; Tympanic cavity
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- 7Autologous Tissue Substitute
Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 09R007ZExternal Ear, Right
- 09R107ZExternal Ear, Left
- 09R207ZExternal Ear, Bilateral
- 09R507ZMiddle Ear, Right
- 09R707ZTympanic Membrane, Right
- 09R807ZTympanic Membrane, Left
- 09R907ZAuditory Ossicle, Right
- 09RA07ZAuditory Ossicle, Left
- 09RD07ZInner Ear, Right
- 09RE07ZInner Ear, Left
- 09RK07ZNasal Mucosa and Soft Tissue
- 09RL07ZNasal Turbinate
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 →- 19.9Other repair of middle earapproximate
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 09R607Z
Is 09R607Z a valid ICD-10-PCS code for 2027?
- Yes. 09R607Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09R607Z an O.R. procedure?
- Yes. 09R607Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 09R607Z group to?
- Depending on the principal diagnosis, 09R607Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.
What is the ICD-9 procedure code for 09R607Z?
- The CMS GEMs map 09R607Z to ICD-9-CM 19.9 (Other repair of middle ear).