09B68ZXExcision of Left Middle Ear, Via Natural or Artificial Opening Endoscopic, Diagnostic

Medical and Surgical›Ear, Nose, Sinus›Excision
  • Billable / Specific Code
ICD-10-PCS 09B68ZX
CMS Source: FY 2027 ICD-10-PCS dataset. Effective Oct 1, 2026 – Sep 30, 2027.FacebookXLinkedInPrint

09B68ZX is a billable ICD-10-PCS procedure code for Excision of Left Middle Ear, Via Natural or Artificial Opening Endoscopic, Diagnostic. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRGs 143, 144, 145. The root operation Excision involves cutting out or off, without replacement, a portion of a body part. In AHRQ's Clinical Classifications Software (CCSR), this procedure falls under ENT diagnostic endoscopy (excluding laryngoscopy).

Code Identity

ICD-10-PCS Code
09B68ZX
Billable Status
Yes — Valid for Submission
Code Describes
Excision of Left Middle Ear, Via Natural or Artificial Opening Endoscopic, Diagnostic
Short Description
Excision of Left Middle Ear, Endo, Diagn
Parent Code
09B

PCS Table Breakdown

Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.

PositionDesignationValueMeaning
1Section0Medical and Surgical
2Body System9Ear, Nose, Sinus
3OperationBExcision
4BodyPart6Middle Ear, Left
5Approach8Via Natural or Artificial Opening Endoscopic
6DeviceZNo Device
7QualifierXDiagnostic

In the ICD-10-PCS Alphabetic Index

These FY 2027 ICD-10-PCS Alphabetic Index entries lead to this code:

Biopsy
Anatomy or device term that leads here
Oval window
Anatomy or device term that leads here
Punch biopsy
Anatomy or device term that leads here
Tympanic cavity
Anatomy or device term that leads here
Core needle biopsy
Anatomy or device term that leads here
Excision, Ear, Middle, Left
Leads to this code's table

To code excision of the left middle ear, open the FY 2027 ICD-10-PCS Alphabetic Index at Excision, then the subterms Ear, Middle, Left. The index leads to table 09B, where the approach, device and qualifier values shown in the breakdown above complete the seven-character code 09B68ZX.

Browse the full ICD-10-PCS Alphabetic Index →

Clinical Classification (CCSR)

AHRQ groups this procedure code into these clinical categories.

ENT002
ENT diagnostic endoscopy (excluding laryngoscopy)
Clinical domain: Ear, Nose, and Throat Procedures

Code History

Replaces previously assigned code(s):
  • 09B60ZX — Excision of Left Middle Ear, Open Approach, Diagnostic

Similar Procedure Codes

Questions About 09B68ZX

Is 09B68ZX a billable code?

Yes. This is a complete seven-character ICD-10-PCS code, specific enough to report Excision of Left Middle Ear, Via Natural or Artificial Opening Endoscopic, Diagnostic on inpatient claims from October 1, 2026 through September 30, 2027.

What do the characters in 09B68ZX mean?

The code breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character 9 is the Body System (Ear, Nose, Sinus); the 3rd character B is the Operation (Excision); the 4th character 6 is the BodyPart (Middle Ear, Left); the 5th character 8 is the Approach (Via Natural or Artificial Opening Endoscopic); the 6th character Z is the Device (No Device); the 7th character X is the Qualifier (Diagnostic).

What MS-DRG does 09B68ZX group to?

On an inpatient stay, Excision of Left Middle Ear, Via Natural or Artificial Opening Endoscopic, Diagnostic maps to MS-DRGs 143, 144, 145, with relative weights from 1.2335 to 3.8500. The MS-DRG sets the fixed Medicare payment for the stay.