ICD-10-PCS 2027 procedure code
09UP4JZSupplement Accessory Sinus with Synthetic Substitute, Percutaneous Endoscopic Approach
Short description: Supplement Accessory Sinus w Synth Sub, Perc Endo
Code last changed in FY2020 (effective October 1, 2019). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 09UP4JZ
09UP4JZ is the ICD-10-PCS code for a supplement procedure on the accessory sinus using a percutaneous endoscopic approach with synthetic 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.
For a different body part, codes include 09UB4JZ (right mastoid sinus), 09UC4JZ (left mastoid sinus), 09UL4JZ (nasal turbinate), 09UM4JZ (nasal septum), 09UQ4JZ (right maxillary sinus), 09UR4JZ (left maxillary sinus) and 6 more.
The same procedure with a different approach is coded 09UP0JZ (open), 09UP3JZ (percutaneous), 09UP7JZ (via natural or artificial opening) and 09UP8JZ (via natural or artificial opening endoscopic).
With a different device, use 09UP47Z (autologous tissue substitute) and 09UP4KZ (nonautologous tissue substitute).
It is an operating-room procedure in the MS-DRG logic for DRG 135 (Sinus and Mastoid Procedures with CC/MCC) and DRG 136 (Sinus and Mastoid Procedures without CC/MCC), under the surgical category “Sinus and Mastoid Procedures”.
It was added in FY2020, effective October 1, 2019.
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
- PAccessory Sinus
- 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
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 09UB4JZMastoid Sinus, Right
- 09UC4JZMastoid Sinus, Left
- 09UL4JZNasal Turbinate
- 09UM4JZNasal Septum
- 09UQ4JZMaxillary Sinus, Right
- 09UR4JZMaxillary Sinus, Left
- 09US4JZFrontal Sinus, Right
- 09UT4JZFrontal Sinus, Left
- 09UU4JZEthmoid Sinus, Right
- 09UV4JZEthmoid Sinus, Left
- 09UW4JZSphenoid Sinus, Right
- 09UX4JZSphenoid 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 · Sinus and Mastoid Procedures
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2020 (effective 10/1/2019): Added
- No changes since FY2020.
Common questions about 09UP4JZ
Is 09UP4JZ a valid ICD-10-PCS code for 2027?
- Yes. 09UP4JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09UP4JZ an O.R. procedure?
- Yes. 09UP4JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09UP4JZ group to?
- Depending on the principal diagnosis, 09UP4JZ can group to MS-DRG 135 and MS-DRG 136.