ICD-10-PCS 2027 procedure code
09UL77ZSupplement Nasal Turbinate with Autologous Tissue Substitute, Via Natural or Artificial Opening
Short description: Supplement Nasal Turbinate with Autol Sub, Via Opening
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 09UL77Z
09UL77Z is the ICD-10-PCS code for a supplement procedure on the nasal turbinate using a via natural or artificial opening 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 operations on nose, the ICD-9-CM procedure title it maps to (21.99).
For a different body part, codes include 09U777Z (right tympanic membrane), 09U877Z (left tympanic membrane), 09UB77Z (right mastoid sinus), 09UC77Z (left mastoid sinus), 09UN77Z (nasopharynx), 09UP77Z (accessory sinus) and 8 more.
The same procedure with a different approach is coded 09UL07Z (open), 09UL37Z (percutaneous), 09UL47Z (percutaneous endoscopic) and 09UL87Z (via natural or artificial opening endoscopic).
With a different device, use 09UL7JZ (synthetic substitute) and 09UL7KZ (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
- LNasal Turbinate
Includes: Inferior turbinate; Middle turbinate; Nasal concha; Superior turbinate
- 5. Approach
- 7Via Natural or Artificial Opening
Entry of instrumentation through a natural or artificial external opening to reach 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 body part
- 09U777ZTympanic Membrane, Right
- 09U877ZTympanic Membrane, Left
- 09UB77ZMastoid Sinus, Right
- 09UC77ZMastoid Sinus, Left
- 09UN77ZNasopharynx
- 09UP77ZAccessory Sinus
- 09UQ77ZMaxillary Sinus, Right
- 09UR77ZMaxillary Sinus, Left
- 09US77ZFrontal Sinus, Right
- 09UT77ZFrontal Sinus, Left
- 09UU77ZEthmoid Sinus, Right
- 09UV77ZEthmoid Sinus, Left
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 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 →- 21.99Other operations on noseapproximate
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 09UL77Z
Is 09UL77Z a valid ICD-10-PCS code for 2027?
- Yes. 09UL77Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09UL77Z an O.R. procedure?
- Yes. 09UL77Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 09UL77Z group to?
- Depending on the principal diagnosis, 09UL77Z 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 09UL77Z?
- The CMS GEMs map 09UL77Z to ICD-9-CM 21.99 (Other operations on nose).