ICD-10-PCS 2027 procedure code
09UM87ZSupplement Nasal Septum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
Short description: Supplement Nasal Septum 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 09UM87Z
09UM87Z is the ICD-10-PCS code for a supplement procedure on the nasal septum 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 septoplasty, the ICD-9-CM procedure title it maps to (21.88).
For a different body part, codes include 09U587Z (right middle ear), 09U687Z (left middle ear), 09U787Z (right tympanic membrane), 09U887Z (left tympanic membrane), 09U987Z (right auditory ossicle), 09UA87Z (left auditory ossicle) and 16 more.
The same procedure with a different approach is coded 09UM07Z (open), 09UM37Z (percutaneous) and 09UM47Z (percutaneous endoscopic).
With a different device, use 09UM8JZ (synthetic substitute) and 09UM8KZ (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 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 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
- MNasal Septum
Includes: Quadrangular cartilage; Septal cartilage; Vomer bone
- 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 body part
- 09U587ZMiddle Ear, Right
- 09U687ZMiddle Ear, Left
- 09U787ZTympanic Membrane, Right
- 09U887ZTympanic Membrane, Left
- 09U987ZAuditory Ossicle, Right
- 09UA87ZAuditory Ossicle, Left
- 09UB87ZMastoid Sinus, Right
- 09UC87ZMastoid Sinus, Left
- 09UD87ZInner Ear, Right
- 09UE87ZInner Ear, Left
- 09UK87ZNasal Mucosa and Soft Tissue
- 09UL87ZNasal 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
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 09UM87Z
Is 09UM87Z a valid ICD-10-PCS code for 2027?
- Yes. 09UM87Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09UM87Z an O.R. procedure?
- Yes. 09UM87Z is an O.R. procedure in MS-DRG v44.0.
What DRG does 09UM87Z group to?
- Depending on the principal diagnosis, 09UM87Z 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 09UM87Z?
- The CMS GEMs map 09UM87Z to ICD-9-CM 21.88 (Other septoplasty).