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ICD-10-PCS 2027 procedure code

09U587ZSupplement Right Middle Ear with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Supplement Right Middle Ear with Autol Sub, Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 09U587Z

09U587Z is the ICD-10-PCS code for a supplement procedure on the right middle ear using a via natural or artificial opening endoscopic 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 other repair of middle ear, the ICD-9-CM procedure title it maps to (19.9).

For a different body part, codes include 09U687Z (left middle ear), 09U787Z (right tympanic membrane), 09U887Z (left tympanic membrane), 09U987Z (right auditory ossicle), 09UA87Z (left auditory ossicle), 09UB87Z (right mastoid sinus) and 16 more.

The same procedure with a different approach is coded 09U507Z (open).

With a different device, use 09U58JZ (synthetic substitute) and 09U58KZ (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) and DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), under the surgical category “Other Ear, Nose, Mouth and Throat O.R. Procedures”.

It was added in FY2018, effective October 1, 2017.

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
5Middle Ear, Right
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize 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

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 →
  • 19.9Other repair of middle 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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 09U587Z

Is 09U587Z a valid ICD-10-PCS code for 2027?

Yes. 09U587Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 09U587Z an O.R. procedure?

Yes. 09U587Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 09U587Z group to?

Depending on the principal diagnosis, 09U587Z can group to MS-DRG 143, MS-DRG 144 and MS-DRG 145.

What is the ICD-9 procedure code for 09U587Z?

The CMS GEMs map 09U587Z to ICD-9-CM 19.9 (Other repair of middle ear).