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ICD-10-PCS 2027 procedure code

09U2X7ZSupplement Bilateral External Ear with Autologous Tissue Substitute, External Approach

✓ Valid for 2027O.R. procedure

Short description: Supplement Bi Ext Ear with Autol Sub, Extern 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 09U2X7Z

09U2X7Z is the ICD-10-PCS code for a supplement procedure on the bilateral external ear using an external approach with autologous tissue substitute. In ICD-10-PCS, supplement means putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part.

In plain terms, this corresponds to reconstruction of external auditory canal, the ICD-9-CM procedure title it maps to (18.6).

For a different body part, codes include 09U0X7Z (right external ear), 09U1X7Z (left external ear) and 09UKX7Z (nasal mucosa and soft tissue).

The same procedure with a different approach is coded 09U207Z (open).

With a different device, use 09U2XJZ (synthetic substitute) and 09U2XKZ (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
USupplement

Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

4. Body Part
2External Ear, Bilateral

Includes: Antihelix; Antitragus; Auricle; Earlobe; Helix; Pinna; Tragus

5. Approach
XExternal

Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane

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

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 →
  • 18.6Reconstruction of external auditory canalapproximate

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 09U2X7Z

Is 09U2X7Z a valid ICD-10-PCS code for 2027?

Yes. 09U2X7Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09U2X7Z an O.R. procedure?

Yes. 09U2X7Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09U2X7Z group to?

Depending on the principal diagnosis, 09U2X7Z 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 09U2X7Z?

The CMS GEMs map 09U2X7Z to ICD-9-CM 18.6 (Reconstruction of external auditory canal).