2024 ICD-10-CM Procedure Code 09HE35Z

Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach

ICD-10-PCS Code:: 09HE35Z
ICD-10-PCS Code for:: Insert Singl Chan Cochl Prosth in L Inner Ear, Perc
Is Billable?: Yes - Valid for Submission
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09HE35Z is a billable procedure code used to specify the performance of insertion of single channel cochlear prosthesis into left inner ear, percutaneous approach. The code is valid for the year 2024 for the submission of HIPAA-covered transactions.

Table of Contents

Code Information
PCS Table
Clinical Classification
Diagnostic Related Groups Mapping
Convert to ICD-9-PCS
Other Similar Codes

09HE35Z PCS Table

In an PCS table each code is represented by up seven alphanumeric characters, with each character in the table respresenting different aspects of the procedure. In the table provided below, each row represents an individual character and includes information about the character's position, designation, label, and procedure notes. For this PCS table the procedure code is in the medical and surgical section and is part of the ear, nose, sinus body system, classified under insertion operation. The applicable bodypart for this procedure code is inner ear, left.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	9	Ear, Nose, Sinus
3	Operation	H	Insertion	Involves: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part Includes: Insertion of radioactive implant, insertion of central venous catheter
4	BodyPart	E	Inner Ear, Left	Includes: Bony labyrinth Bony vestibule Cochlea Round window Semicircular canal
5	Approach	3	Percutaneous	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
6	Device	5	Hearing Device, Single Channel Cochlear Prosthesis
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Clinical Classification

Clinical Category is ENT procedures, NEC
CCSR Category Code: ENT017
Clinical Domain is Ear, Nose, and Throat Procedures - ENT contains 17 categories that include procedures performed on the ear, nose, and throat (ENT) as well as the head and neck, such as myringotomy, frenectomy, and tonsillectomy as well as diagnostic audiology.

09HE35Z is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together procedures for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on the primary procedure being performed. Once a patient is assigned a particular group, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care associated with a particular procedure. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The procedure code 09HE35Z is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	03	3.7781
141	MAJOR HEAD AND NECK PROCEDURES WITH CC	03	2.0717
142	MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC	03	1.545

Convert 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:

ICD-9-PCS: 2097 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

Other ICD-10-PCS Codes Used for Insertion Inner Ear, Left

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. The 2024 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2023 through September 30, 2024.

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.