09R2XKZReplacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach

  • Billable / Specific Code
ICD-10-PCS 09R2XKZ
CMS Source: FY 2026 ICD-10-PCS dataset. Effective Oct 1, 2025 – Sep 30, 2026.FacebookXLinkedInPrint

09R2XKZ is a billable ICD-10-PCS procedure code for Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 12 MS-DRGs. The root operation Replacement involves putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

Code Identity

ICD-10-PCS Code
09R2XKZ
Billable Status
Yes — Valid for Submission
Code Describes
Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach
Parent Code
Short Description
Replacement of Bi Ext Ear with Nonaut Sub, Extern Approach

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
3OperationRReplacement
4BodyPart2External Ear, Bilateral
5ApproachXExternal
6DeviceKNonautologous Tissue Substitute
7QualifierZNo Qualifier

Convert to ICD-9-PCS

Closest ICD-9-PCS equivalents for 09R2XKZ under the General Equivalence Mappings.

18.6
Approximate match.
18.71
Approximate match.

Similar Procedure Codes

Questions About 09R2XKZ

Is 09R2XKZ a billable code?

Yes. 09R2XKZ is a complete seven-character ICD-10-PCS code, specific enough to report Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach on inpatient claims from October 1, 2025 through September 30, 2026.

What do the characters in 09R2XKZ mean?

09R2XKZ 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 R is the Operation (Replacement); the 4th character 2 is the BodyPart (External Ear, Bilateral); the 5th character X is the Approach (External); the 6th character K is the Device (Nonautologous Tissue Substitute); the 7th character Z is the Qualifier (No Qualifier).

What MS-DRG does 09R2XKZ group to?

On an inpatient stay, Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach maps to MS-DRGs 143, 144, 145, 579, 580, 581, 907, 908, 909, 957, 958, 959, with relative weights from 1.2023 to 7.6199. The MS-DRG sets the fixed Medicare payment for the stay.

What is the ICD-9-PCS equivalent of 09R2XKZ?

Under the General Equivalence Mappings, Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach crosswalks to ICD-9-PCS 18.6 and 18.71. The mapping is approximate, so confirm it fits the documentation.