ICD-10-PCS Tabular Index · Section 0 · FY 2027 090

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 2027.

✓ Built from the official CMS FY 2027 datasetEffective Oct 1, 2026 – Sep 30, 2027
65
Procedure Codes
64
Billable Codes
090
Characters 1–3
09
Parent Body System

Root Operation Definition

Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part.

ICD-10-PCS

Codes in the 090 Range 65 codes · 64 billable

65 of 65 shown
  • 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

These procedures change the shape of the external ear or nasal mucosa and soft tissue to improve appearance without changing how the body part works.

The fourth character identifies the right ear, left ear, both ears, or nasal mucosa and soft tissue. The fifth distinguishes open exposure, entry through a puncture or small incision with or without a scope, and work on the surface or by external force. The sixth identifies a substitute made from the person's own tissue, a synthetic substitute, a nonautologous tissue substitute, or no device. The seventh is always No Qualifier.

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, 2026 through September 30, 2027. 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

All ICD-10-PCS SectionsAll of Medical and Surgical (0)All of Body System 09ICD-10-PCS Code LookupICD-10-CM Codes ListMS-DRG ReferenceMedicare Code Edits

Source: CMS FY 2027 ICD-10-PCS order file and code tables, effective October 1, 2026 through September 30, 2027.