ICD-10-PCS 2027 procedure code
09SM0ZZReposition Nasal Septum, 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 09SM0ZZ
09SM0ZZ is the ICD-10-PCS code for a reposition procedure on the nasal septum using an open 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 septoplasty, the ICD-9-CM procedure title it maps to (21.88).
For a different body part, codes include 09S00ZZ (right external ear), 09S10ZZ (left external ear), 09S20ZZ (bilateral external ear), 09S70ZZ (right tympanic membrane), 09S80ZZ (left tympanic membrane), 09S90ZZ (right auditory ossicle) and 5 more.
The same procedure with a different approach is coded 09SM4ZZ (percutaneous endoscopic).
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
- 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
- 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
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 09S00ZZExternal Ear, Right
- 09S10ZZExternal Ear, Left
- 09S20ZZExternal Ear, Bilateral
- 09S70ZZTympanic Membrane, Right
- 09S80ZZTympanic Membrane, Left
- 09S90ZZAuditory Ossicle, Right
- 09SA0ZZAuditory Ossicle, Left
- 09SF0ZZEustachian Tube, Right
- 09SG0ZZEustachian Tube, Left
- 09SK0ZZNasal Mucosa and Soft Tissue
- 09SL0ZZNasal Turbinate
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 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Other Musculoskeletal System and Connective Tissue 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 →- 21.88Other septoplastyapproximate
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 09SM0ZZ
Is 09SM0ZZ a valid ICD-10-PCS code for 2027?
- Yes. 09SM0ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09SM0ZZ an O.R. procedure?
- Yes. 09SM0ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09SM0ZZ group to?
- Depending on the principal diagnosis, 09SM0ZZ 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 09SM0ZZ?
- The CMS GEMs map 09SM0ZZ to ICD-9-CM 21.88 (Other septoplasty).