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ICD-10-PCS 2027 procedure code

09R78KZReplacement of Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Replacement of Right Tympanic Membrane with Nonaut 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 09R78KZ

09R78KZ 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 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 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 09R88KZ (left tympanic membrane), 09RL8KZ (nasal turbinate) and 09RN8KZ (nasopharynx).

The same procedure with a different approach is coded 09R70KZ (open) and 09R77KZ (via natural or artificial opening).

With a different device, use 09R787Z (autologous tissue substitute) and 09R78JZ (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) 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
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

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 09R78KZ

Is 09R78KZ a valid ICD-10-PCS code for 2027?

Yes. 09R78KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09R78KZ an O.R. procedure?

Yes. 09R78KZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09R78KZ group to?

Depending on the principal diagnosis, 09R78KZ can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 09R78KZ?

The CMS GEMs map 09R78KZ to ICD-9-CM 20.99 (Other operations on middle and inner ear).