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ICD-10-PCS 2027 procedure code

09T04ZZResection of Right External Ear, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Resection of 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 09T04ZZ

09T04ZZ is the ICD-10-PCS code for a resection procedure on the right external ear using a percutaneous endoscopic approach. In ICD-10-PCS, resection means cutting out or off, without replacement, all of a body part.

In plain terms, this corresponds to radical excision of lesion of external ear and other excision of external ear, the ICD-9-CM procedure titles it maps to (18.31 and 18.39).

For a different body part, codes include 09T14ZZ (left external ear), 09T74ZZ (right tympanic membrane), 09T84ZZ (left tympanic membrane), 09TB4ZZ (right mastoid sinus), 09TC4ZZ (left mastoid sinus), 09TF4ZZ (right eustachian tube) and 14 more.

The same procedure with a different approach is coded 09T00ZZ (open) and 09T0XZZ (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
TResection

Cutting out or off, without replacement, all of a body part

Includes: Total nephrectomy, total lobectomy of lung

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 →
  • 18.31Radical excision of lesion of external earapproximate
  • 18.39Other excision 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 09T04ZZ

Is 09T04ZZ a valid ICD-10-PCS code for 2027?

Yes. 09T04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09T04ZZ an O.R. procedure?

Yes. 09T04ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 09T04ZZ group to?

Depending on the principal diagnosis, 09T04ZZ 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 09T04ZZ?

The CMS GEMs map 09T04ZZ to ICD-9-CM 18.31 (Radical excision of lesion of external ear) and 18.39 (Other excision of external ear).