2022 ICD-10-PCS Procedure Code 091D0K0

Bypass Right Inner Ear to Endolymphatic with Nonautologous Tissue Substitute, Open Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:091D0K0
Short Description:Bypass R Inner Ear to Endolymphatic w Nonaut Sub, Open
Long Description:Bypass Right Inner Ear to Endolymphatic with Nonautologous Tissue Substitute, Open Approach

091D0K0 is a billable procedure code used to specify the performance of bypass right inner ear to endolymphatic with nonautologous tissue substitute, open approach. The code is valid for the year 2022 for the submission of HIPAA-covered transactions.

The procedure code 091D0K0 is in the medical and surgical section and is part of the ear, nose, sinus body system, classified under the bypass operation. The applicable bodypart is inner ear, right.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System 9 Ear, Nose, Sinus
3 Operation 1 Bypass

Involves:
Altering the route of passage of the contents of a tubular body part

Explanation:
Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes:
  • Coronary artery bypass, colostomy formation
4 BodyPart D Inner Ear, Right Includes:
  • Bony labyrinth
  • Bony vestibule
  • Cochlea
  • Round window
  • Semicircular canal
5 Approach 0 Open

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6 Device K Nonautologous Tissue Substitute Includes:
  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Tissue bank graft
7 Qualifier 0 Endolymphatic

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 091D0K0 is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2021 through 09/30/2022.

MS-DRG MS-DRG Title MCD Relative Weight
143OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC032.9798
144OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC031.7615
145OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC031.2246

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 091D0K0 to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.