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ICD-10-PCS 2027 procedure code

09R787ZReplacement of Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Tympanic Membrane with Autol Sub, 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 09R787Z

09R787Z is the ICD-10-PCS code for a replacement procedure on the right tympanic membrane using a via natural or artificial opening endoscopic 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 operations on middle and inner ear, the ICD-9-CM procedure title it maps to (20.99).

For a different body part, codes include 09R887Z (left tympanic membrane), 09RL87Z (nasal turbinate) and 09RN87Z (nasopharynx).

The same procedure with a different approach is coded 09R707Z (open) and 09R777Z (via natural or artificial opening).

With a different device, use 09R78JZ (synthetic substitute) and 09R78KZ (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
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
7Autologous Tissue Substitute

Includes: Autograft; Cultured epidermal cell autograft; Epicel(R) cultured epidermal autograft

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 →
  • 20.99Other operations on middle and inner 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 09R787Z

Is 09R787Z a valid ICD-10-PCS code for 2027?

Yes. 09R787Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09R787Z an O.R. procedure?

Yes. 09R787Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09R787Z group to?

Depending on the principal diagnosis, 09R787Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 09R787Z?

The CMS GEMs map 09R787Z to ICD-9-CM 20.99 (Other operations on middle and inner ear).