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ICD-10-PCS 2027 procedure code

09RL87ZReplacement of Nasal Turbinate with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Replacement of Nasal Turbinate 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 09RL87Z

09RL87Z is the ICD-10-PCS code for a replacement procedure on the nasal turbinate 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 nose, the ICD-9-CM procedure title it maps to (21.99).

For a different body part, codes include 09R787Z (right tympanic membrane), 09R887Z (left tympanic membrane) and 09RN87Z (nasopharynx).

The same procedure with a different approach is coded 09RL07Z (open), 09RL37Z (percutaneous), 09RL47Z (percutaneous endoscopic) and 09RL77Z (via natural or artificial opening).

With a different device, use 09RL8JZ (synthetic substitute) and 09RL8KZ (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 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
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 →
  • 21.99Other operations on noseapproximate

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 09RL87Z

Is 09RL87Z a valid ICD-10-PCS code for 2027?

Yes. 09RL87Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09RL87Z an O.R. procedure?

Yes. 09RL87Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09RL87Z group to?

Depending on the principal diagnosis, 09RL87Z 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 09RL87Z?

The CMS GEMs map 09RL87Z to ICD-9-CM 21.99 (Other operations on nose).