ICD-10-PCS 2027 procedure code
09RL0KZReplacement of Nasal Turbinate with Nonautologous Tissue Substitute, Open Approach
Short description: Replace of Nasal Turbinate with Nonaut 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 09RL0KZ
09RL0KZ is the ICD-10-PCS code for a replacement procedure on the nasal turbinate using an open 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 nose, the ICD-9-CM procedure title it maps to (21.99).
For a different body part, codes include 09R00KZ (right external ear), 09R10KZ (left external ear), 09R20KZ (bilateral external ear), 09R50KZ (right middle ear), 09R60KZ (left middle ear), 09R70KZ (right tympanic membrane) and 8 more.
The same procedure with a different approach is coded 09RL3KZ (percutaneous), 09RL4KZ (percutaneous endoscopic), 09RL7KZ (via natural or artificial opening) and 09RL8KZ (via natural or artificial opening endoscopic).
With a different device, use 09RL07Z (autologous tissue substitute) and 09RL0JZ (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
- LNasal Turbinate
Includes: Inferior turbinate; Middle turbinate; Nasal concha; Superior turbinate
- 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
- 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 body part
- 09R00KZExternal Ear, Right
- 09R10KZExternal Ear, Left
- 09R20KZExternal Ear, Bilateral
- 09R50KZMiddle Ear, Right
- 09R60KZMiddle Ear, Left
- 09R70KZTympanic Membrane, Right
- 09R80KZTympanic Membrane, Left
- 09R90KZAuditory Ossicle, Right
- 09RA0KZAuditory Ossicle, Left
- 09RD0KZInner Ear, Right
- 09RE0KZInner Ear, Left
- 09RK0KZNasal Mucosa and Soft Tissue
Different approach
Different device
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
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 21.99Other operations on noseapproximate
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 09RL0KZ
Is 09RL0KZ a valid ICD-10-PCS code for 2027?
- Yes. 09RL0KZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09RL0KZ an O.R. procedure?
- Yes. 09RL0KZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09RL0KZ group to?
- Depending on the principal diagnosis, 09RL0KZ 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 09RL0KZ?
- The CMS GEMs map 09RL0KZ to ICD-9-CM 21.99 (Other operations on nose).