090 Alteration - Ear, Nose, Sinus ICD-10-PCS
The 090 code range contains 65 ICD-10-PCS codes for Alteration procedures on the ear, nose, sinus. 64 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.
Root Operation Definition
Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part.
Codes in the 090 Range 65 codes · 64 billable
- 090 Ear, Nose, Sinus, AlterationNon-billable header
- 090007Z Alteration of Right External Ear with Autologous Tissue Substitute, Open Approach
- 09000JZ Alteration of Right External Ear with Synthetic Substitute, Open Approach
- 09000KZ Alteration of Right External Ear with Nonautologous Tissue Substitute, Open Approach
- 09000ZZ Alteration of Right External Ear, Open Approach
- 090037Z Alteration of Right External Ear with Autologous Tissue Substitute, Percutaneous Approach
- 09003JZ Alteration of Right External Ear with Synthetic Substitute, Percutaneous Approach
- 09003KZ Alteration of Right External Ear with Nonautologous Tissue Substitute, Percutaneous Approach
- 09003ZZ Alteration of Right External Ear, Percutaneous Approach
- 090047Z Alteration of Right External Ear with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 09004JZ Alteration of Right External Ear with Synthetic Substitute, Percutaneous Endoscopic Approach
- 09004KZ Alteration of Right External Ear with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 09004ZZ Alteration of Right External Ear, Percutaneous Endoscopic Approach
- 0900X7Z Alteration of Right External Ear with Autologous Tissue Substitute, External Approach
- 0900XJZ Alteration of Right External Ear with Synthetic Substitute, External Approach
- 0900XKZ Alteration of Right External Ear with Nonautologous Tissue Substitute, External Approach
- 0900XZZ Alteration of Right External Ear, External Approach
- 090107Z Alteration of Left External Ear with Autologous Tissue Substitute, Open Approach
- 09010JZ Alteration of Left External Ear with Synthetic Substitute, Open Approach
- 09010KZ Alteration of Left External Ear with Nonautologous Tissue Substitute, Open Approach
- 09010ZZ Alteration of Left External Ear, Open Approach
- 090137Z Alteration of Left External Ear with Autologous Tissue Substitute, Percutaneous Approach
- 09013JZ Alteration of Left External Ear with Synthetic Substitute, Percutaneous Approach
- 09013KZ Alteration of Left External Ear with Nonautologous Tissue Substitute, Percutaneous Approach
- 09013ZZ Alteration of Left External Ear, Percutaneous Approach
- 090147Z Alteration of Left External Ear with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 09014JZ Alteration of Left External Ear with Synthetic Substitute, Percutaneous Endoscopic Approach
- 09014KZ Alteration of Left External Ear with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 09014ZZ Alteration of Left External Ear, Percutaneous Endoscopic Approach
- 0901X7Z Alteration of Left External Ear with Autologous Tissue Substitute, External Approach
- 0901XJZ Alteration of Left External Ear with Synthetic Substitute, External Approach
- 0901XKZ Alteration of Left External Ear with Nonautologous Tissue Substitute, External Approach
- 0901XZZ Alteration of Left External Ear, External Approach
- 090207Z Alteration of Bilateral External Ear with Autologous Tissue Substitute, Open Approach
- 09020JZ Alteration of Bilateral External Ear with Synthetic Substitute, Open Approach
- 09020KZ Alteration of Bilateral External Ear with Nonautologous Tissue Substitute, Open Approach
- 09020ZZ Alteration of Bilateral External Ear, Open Approach
- 090237Z Alteration of Bilateral External Ear with Autologous Tissue Substitute, Percutaneous Approach
- 09023JZ Alteration of Bilateral External Ear with Synthetic Substitute, Percutaneous Approach
- 09023KZ Alteration of Bilateral External Ear with Nonautologous Tissue Substitute, Percutaneous Approach
- 09023ZZ Alteration of Bilateral External Ear, Percutaneous Approach
- 090247Z Alteration of Bilateral External Ear with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 09024JZ Alteration of Bilateral External Ear with Synthetic Substitute, Percutaneous Endoscopic Approach
- 09024KZ Alteration of Bilateral External Ear with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 09024ZZ Alteration of Bilateral External Ear, Percutaneous Endoscopic Approach
- 0902X7Z Alteration of Bilateral External Ear with Autologous Tissue Substitute, External Approach
- 0902XJZ Alteration of Bilateral External Ear with Synthetic Substitute, External Approach
- 0902XKZ Alteration of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach
- 0902XZZ Alteration of Bilateral External Ear, External Approach
- 090K07Z Alteration of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, Open Approach
- 090K0JZ Alteration of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Open Approach
- 090K0KZ Alteration of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, Open Approach
- 090K0ZZ Alteration of Nasal Mucosa and Soft Tissue, Open Approach
- 090K37Z Alteration of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, Percutaneous Approach
- 090K3JZ Alteration of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Percutaneous Approach
- 090K3KZ Alteration of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, Percutaneous Approach
- 090K3ZZ Alteration of Nasal Mucosa and Soft Tissue, Percutaneous Approach
- 090K47Z Alteration of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
- 090K4JZ Alteration of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Percutaneous Endoscopic Approach
- 090K4KZ Alteration of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
- 090K4ZZ Alteration of Nasal Mucosa and Soft Tissue, Percutaneous Endoscopic Approach
- 090KX7Z Alteration of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, External Approach
- 090KXJZ Alteration of Nasal Mucosa and Soft Tissue with Synthetic Substitute, External Approach
- 090KXKZ Alteration of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, External Approach
- 090KXZZ Alteration of Nasal Mucosa and Soft Tissue, External Approach
About the 090 Code Range
The ICD-10-PCS Alteration root operation (090) in the Medical and Surgical section refers to modifying the anatomical structure of a body part without affecting its size, shape, or removal. This operation is commonly applied within the Ear, Nose, and Sinus body system.
This root operation covers procedures that change the physical appearance or function of the external ear or nasal mucosa and soft tissue. Examples include altering the Right External Ear using autologous tissue substitute via an Open Approach (090007Z) or using synthetic substitutes through a Percutaneous Endoscopic Approach (09004JZ). The codes specify laterality—right, left, or bilateral—and approach types such as Open, Percutaneous, Percutaneous Endoscopic, and External. Tissue substitutes are also detailed, including autologous, synthetic, or nonautologous variants. Accurate coding of these ear, nose, sinus alteration procedures is essential for proper documentation of modifications that preserve the overall anatomy while altering its structure for therapeutic or cosmetic reasons.
Questions About This Page
How many billable codes are in the 090 range?
Of the 65 codes in this range, 64 are billable and valid for inpatient claim submission from October 1, 2025 through September 30, 2026. Table header codes group them but cannot be reported on claims.
What does the 090 range classify?
The range classifies Alteration procedures, modifying the anatomic structure of a body part without affecting the function of the body part, performed on the ear, nose, sinus. Each code adds the body part, approach, device, and qualifier in characters four through seven, and links to its own reference page.
Related References
Source: CMS FY 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.
