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ICD-10-PCS 2027 procedure code

09RM07ZReplacement of Nasal Septum with Autologous Tissue Substitute, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Replacement of Nasal Septum with Autol 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 09RM07Z

09RM07Z is the ICD-10-PCS code for a replacement procedure on the nasal septum 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 other septoplasty, the ICD-9-CM procedure title it maps to (21.88).

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 09RM37Z (percutaneous) and 09RM47Z (percutaneous endoscopic).

With a different device, use 09RM0JZ (synthetic substitute) and 09RM0KZ (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 515 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC), DRG 516 (Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC) and DRG 517 (Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Musculoskeletal System and Connective Tissue O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures” and 2 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
MNasal Septum

Includes: Quadrangular cartilage; Septal cartilage; Vomer bone

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

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 →
  • 21.88Other septoplastyapproximate

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 09RM07Z

Is 09RM07Z a valid ICD-10-PCS code for 2027?

Yes. 09RM07Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09RM07Z an O.R. procedure?

Yes. 09RM07Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09RM07Z group to?

Depending on the principal diagnosis, 09RM07Z can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 515, MS-DRG 516 and MS-DRG 517.

What is the ICD-9 procedure code for 09RM07Z?

The CMS GEMs map 09RM07Z to ICD-9-CM 21.88 (Other septoplasty).