2025 ICD-10-CM Procedure Code 09US7KZ

Supplement Right Frontal Sinus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening

ICD-10-PCS Code:: 09US7KZ
ICD-10-PCS Code for:: Supplement Right Frontal Sinus with Nonaut Sub, Via Opening
Is Billable?: Yes - Valid for Submission
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09US7KZ is a billable procedure code used to specify the performance of supplement right frontal sinus with nonautologous tissue substitute, via natural or artificial opening. The code is valid for the year 2025 for the submission of HIPAA-covered transactions. The procedure code involves putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part. Procedure code explanation: 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 herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement

Table of Contents

Code Information
PCS Table
Replacement Code
Clinical Classification
Diagnostic Related Groups Mapping
Other Similar Codes

09US7KZ 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 supplement operation. The applicable bodypart for this procedure code is frontal sinus, right.

Position	Designation	Character	Label	Procedures Notes
1	Section	0	Medical and Surgical
2	Body System	9	Ear, Nose, Sinus
3	Operation	U	Supplement	Involves: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part Explanation: 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	BodyPart	S	Frontal Sinus, Right
5	Approach	7	Via Natural or Artificial Opening	Involves: Entry of instrumentation through a natural or artificial external opening to reach 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) Fish skin Kerecis(R) (GraftGuide) (MariGen) (SurgiBind) (SurgiClose) MIRODERM(tm) Biologic Wound Matrix Piscine skin Tissue bank graft
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.

Replacement Code

09US7KZ replaces the following previously assigned ICD-10-PCS code(s):

09QS8ZZ - Repair Right Frontal Sinus, Endo
09QS8ZZ - Repair Right Frontal Sinus, Endo
09QS8ZZ - Repair Right Frontal Sinus, Endo
09QS8ZZ - Repair Right Frontal Sinus, Endo
09QS8ZZ - Repair Right Frontal Sinus, Endo
09QS8ZZ - Repair Right Frontal Sinus, Endo

Clinical Classification

Clinical Category is ENT repair
CCSR Category Code: ENT013
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.

09US7KZ 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 09US7KZ is present in the following groups for version MS-DRG V42.0 applicable from 10/01/2024 through 09/30/2025.

MS-DRG	MS-DRG Title	MCD	Relative Weight
135	Sinus and Mastoid Procedures with CC/MCC	03
136	Sinus and Mastoid Procedures without CC/MCC	03

Other ICD-10-PCS Codes Used for Supplement Frontal Sinus, Right

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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 2025 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2024 through September 30, 2025.

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.