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ICD-10-PCS 2027 procedure code

09S04ZZReposition Right External Ear, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Reposition Right External Ear, Perc Endo 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 09S04ZZ

09S04ZZ is the ICD-10-PCS code for a reposition procedure on the right external ear using a percutaneous endoscopic approach. In ICD-10-PCS, reposition means moving to its normal location, or other suitable location, all or a portion of a body part.

In plain terms, this corresponds to other plastic repair of external ear, the ICD-9-CM procedure title it maps to (18.79).

For a different body part, codes include 09S14ZZ (left external ear), 09S24ZZ (bilateral external ear), 09S74ZZ (right tympanic membrane), 09S84ZZ (left tympanic membrane), 09S94ZZ (right auditory ossicle), 09SA4ZZ (left auditory ossicle) and 5 more.

The same procedure with a different approach is coded 09S00ZZ (open) and 09S0XZZ (external).

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
SReposition

Moving to its normal location, or other suitable location, all or a portion of a body part

The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location

Includes: Reposition of undescended testicle, fracture reduction

4. Body Part
0External Ear, Right
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
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.

ICD-9-CM equivalent

Converter →
  • 18.79Other plastic repair of external 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 09S04ZZ

Is 09S04ZZ a valid ICD-10-PCS code for 2027?

Yes. 09S04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09S04ZZ an O.R. procedure?

Yes. 09S04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09S04ZZ group to?

Depending on the principal diagnosis, 09S04ZZ 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 09S04ZZ?

The CMS GEMs map 09S04ZZ to ICD-9-CM 18.79 (Other plastic repair of external ear).