Skip to content
Dx

ICD-10-PCS 2027 procedure code

09RK07ZReplacement of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Nose Sft Tiss with Autol Sub, Open 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 09RK07Z

09RK07Z is the ICD-10-PCS code for a replacement procedure on the nasal mucosa and soft tissue 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 total nasal reconstruction, the ICD-9-CM procedure title it maps to (21.83).

For a different body part, codes include 09R007Z (right external ear), 09R107Z (left external ear), 09R207Z (bilateral external ear), 09R507Z (right middle ear), 09R607Z (left middle ear), 09R707Z (right tympanic membrane) and 8 more.

The same procedure with a different approach is coded 09RKX7Z (external).

With a different device, use 09RK0JZ (synthetic substitute) and 09RK0KZ (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), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 361 (Other Circulatory System O.R. Procedures with MCC), DRG 362 (Other Circulatory System O.R. Procedures without MCC) and DRG 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Circulatory System O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures” and 3 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
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
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 approach

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 05 · Diseases and Disorders of the Circulatory System · Other Circulatory System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 21.83Total nasal reconstructionapproximate

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 “Replacement of Nose with Autologous Tissue Substitute, Open Approach”

Common questions about 09RK07Z

Is 09RK07Z a valid ICD-10-PCS code for 2027?

Yes. 09RK07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09RK07Z an O.R. procedure?

Yes. 09RK07Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09RK07Z group to?

Depending on the principal diagnosis, 09RK07Z can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 361, MS-DRG 362 and MS-DRG 515.

What is the ICD-9 procedure code for 09RK07Z?

The CMS GEMs map 09RK07Z to ICD-9-CM 21.83 (Total nasal reconstruction).