ICD-10-PCS Tabular Index · Section 0 · FY 2026 09R

09R Replacement - Ear, Nose, Sinus ICD-10-PCS

The 09R code range contains 94 ICD-10-PCS codes for Replacement procedures on the ear, nose, sinus. 93 of the codes are billable and valid for inpatient claim submission in fiscal year 2026.

✓ Built from the official CMS FY 2026 datasetEffective Oct 1, 2025 – Sep 30, 2026
94
Procedure Codes
93
Billable Codes
09R
Characters 1–3
09
Parent Body System

Root Operation Definition

Replacement: 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.

ICD-10-PCS

Codes in the 09R Range 94 codes · 93 billable

94 of 94 shown
  • 09R Ear, Nose, Sinus, ReplacementNon-billable header
  • 09R007Z Replacement of Right External Ear with Autologous Tissue Substitute, Open Approach
  • 09R00JZ Replacement of Right External Ear with Synthetic Substitute, Open Approach
  • 09R00KZ Replacement of Right External Ear with Nonautologous Tissue Substitute, Open Approach
  • 09R0X7Z Replacement of Right External Ear with Autologous Tissue Substitute, External Approach
  • 09R0XJZ Replacement of Right External Ear with Synthetic Substitute, External Approach
  • 09R0XKZ Replacement of Right External Ear with Nonautologous Tissue Substitute, External Approach
  • 09R107Z Replacement of Left External Ear with Autologous Tissue Substitute, Open Approach
  • 09R10JZ Replacement of Left External Ear with Synthetic Substitute, Open Approach
  • 09R10KZ Replacement of Left External Ear with Nonautologous Tissue Substitute, Open Approach
  • 09R1X7Z Replacement of Left External Ear with Autologous Tissue Substitute, External Approach
  • 09R1XJZ Replacement of Left External Ear with Synthetic Substitute, External Approach
  • 09R1XKZ Replacement of Left External Ear with Nonautologous Tissue Substitute, External Approach
  • 09R207Z Replacement of Bilateral External Ear with Autologous Tissue Substitute, Open Approach
  • 09R20JZ Replacement of Bilateral External Ear with Synthetic Substitute, Open Approach
  • 09R20KZ Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, Open Approach
  • 09R2X7Z Replacement of Bilateral External Ear with Autologous Tissue Substitute, External Approach
  • 09R2XJZ Replacement of Bilateral External Ear with Synthetic Substitute, External Approach
  • 09R2XKZ Replacement of Bilateral External Ear with Nonautologous Tissue Substitute, External Approach
  • 09R507Z Replacement of Right Middle Ear with Autologous Tissue Substitute, Open Approach
  • 09R50JZ Replacement of Right Middle Ear with Synthetic Substitute, Open Approach
  • 09R50KZ Replacement of Right Middle Ear with Nonautologous Tissue Substitute, Open Approach
  • 09R607Z Replacement of Left Middle Ear with Autologous Tissue Substitute, Open Approach
  • 09R60JZ Replacement of Left Middle Ear with Synthetic Substitute, Open Approach
  • 09R60KZ Replacement of Left Middle Ear with Nonautologous Tissue Substitute, Open Approach
  • 09R707Z Replacement of Right Tympanic Membrane with Autologous Tissue Substitute, Open Approach
  • 09R70JZ Replacement of Right Tympanic Membrane with Synthetic Substitute, Open Approach
  • 09R70KZ Replacement of Right Tympanic Membrane with Nonautologous Tissue Substitute, Open Approach
  • 09R777Z Replacement of Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 09R77JZ Replacement of Right Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening
  • 09R77KZ Replacement of Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 09R787Z Replacement of Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09R78JZ Replacement of Right Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 09R78KZ Replacement of Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09R807Z Replacement of Left Tympanic Membrane with Autologous Tissue Substitute, Open Approach
  • 09R80JZ Replacement of Left Tympanic Membrane with Synthetic Substitute, Open Approach
  • 09R80KZ Replacement of Left Tympanic Membrane with Nonautologous Tissue Substitute, Open Approach
  • 09R877Z Replacement of Left Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 09R87JZ Replacement of Left Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening
  • 09R87KZ Replacement of Left Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 09R887Z Replacement of Left Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09R88JZ Replacement of Left Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 09R88KZ Replacement of Left Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09R907Z Replacement of Right Auditory Ossicle with Autologous Tissue Substitute, Open Approach
  • 09R90JZ Replacement of Right Auditory Ossicle with Synthetic Substitute, Open Approach
  • 09R90KZ Replacement of Right Auditory Ossicle with Nonautologous Tissue Substitute, Open Approach
  • 09RA07Z Replacement of Left Auditory Ossicle with Autologous Tissue Substitute, Open Approach
  • 09RA0JZ Replacement of Left Auditory Ossicle with Synthetic Substitute, Open Approach
  • 09RA0KZ Replacement of Left Auditory Ossicle with Nonautologous Tissue Substitute, Open Approach
  • 09RD07Z Replacement of Right Inner Ear with Autologous Tissue Substitute, Open Approach
  • 09RD0JZ Replacement of Right Inner Ear with Synthetic Substitute, Open Approach
  • 09RD0KZ Replacement of Right Inner Ear with Nonautologous Tissue Substitute, Open Approach
  • 09RE07Z Replacement of Left Inner Ear with Autologous Tissue Substitute, Open Approach
  • 09RE0JZ Replacement of Left Inner Ear with Synthetic Substitute, Open Approach
  • 09RE0KZ Replacement of Left Inner Ear with Nonautologous Tissue Substitute, Open Approach
  • 09RK07Z Replacement of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, Open Approach
  • 09RK0JZ Replacement of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Open Approach
  • 09RK0KZ Replacement of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, Open Approach
  • 09RKX7Z Replacement of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, External Approach
  • 09RKXJZ Replacement of Nasal Mucosa and Soft Tissue with Synthetic Substitute, External Approach
  • 09RKXKZ Replacement of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, External Approach
  • 09RL07Z Replacement of Nasal Turbinate with Autologous Tissue Substitute, Open Approach
  • 09RL0JZ Replacement of Nasal Turbinate with Synthetic Substitute, Open Approach
  • 09RL0KZ Replacement of Nasal Turbinate with Nonautologous Tissue Substitute, Open Approach
  • 09RL37Z Replacement of Nasal Turbinate with Autologous Tissue Substitute, Percutaneous Approach
  • 09RL3JZ Replacement of Nasal Turbinate with Synthetic Substitute, Percutaneous Approach
  • 09RL3KZ Replacement of Nasal Turbinate with Nonautologous Tissue Substitute, Percutaneous Approach
  • 09RL47Z Replacement of Nasal Turbinate with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 09RL4JZ Replacement of Nasal Turbinate with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 09RL4KZ Replacement of Nasal Turbinate with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 09RL77Z Replacement of Nasal Turbinate with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 09RL7JZ Replacement of Nasal Turbinate with Synthetic Substitute, Via Natural or Artificial Opening
  • 09RL7KZ Replacement of Nasal Turbinate with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 09RL87Z Replacement of Nasal Turbinate with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09RL8JZ Replacement of Nasal Turbinate with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 09RL8KZ Replacement of Nasal Turbinate with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09RM07Z Replacement of Nasal Septum with Autologous Tissue Substitute, Open Approach
  • 09RM0JZ Replacement of Nasal Septum with Synthetic Substitute, Open Approach
  • 09RM0KZ Replacement of Nasal Septum with Nonautologous Tissue Substitute, Open Approach
  • 09RM37Z Replacement of Nasal Septum with Autologous Tissue Substitute, Percutaneous Approach
  • 09RM3JZ Replacement of Nasal Septum with Synthetic Substitute, Percutaneous Approach
  • 09RM3KZ Replacement of Nasal Septum with Nonautologous Tissue Substitute, Percutaneous Approach
  • 09RM47Z Replacement of Nasal Septum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 09RM4JZ Replacement of Nasal Septum with Synthetic Substitute, Percutaneous Endoscopic Approach
  • 09RM4KZ Replacement of Nasal Septum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
  • 09RN07Z Replacement of Nasopharynx with Autologous Tissue Substitute, Open Approach
  • 09RN0JZ Replacement of Nasopharynx with Synthetic Substitute, Open Approach
  • 09RN0KZ Replacement of Nasopharynx with Nonautologous Tissue Substitute, Open Approach
  • 09RN77Z Replacement of Nasopharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening
  • 09RN7JZ Replacement of Nasopharynx with Synthetic Substitute, Via Natural or Artificial Opening
  • 09RN7KZ Replacement of Nasopharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
  • 09RN87Z Replacement of Nasopharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
  • 09RN8JZ Replacement of Nasopharynx with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
  • 09RN8KZ Replacement of Nasopharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

About the 09R Code Range

The ICD-10-PCS root operation Replacement (code 09R) entails removing a body part and substituting it with a prosthesis or tissue substitute. In the Medical and Surgical section focusing on the Ear, Nose, and Sinus body system, this operation involves restoring structures by using different types of tissue or synthetic materials.

Replacement of anatomical parts like the External Ear, Middle Ear, Tympanic Membrane, Auditory Ossicle, Inner Ear, Nasal Mucosa and Soft Tissue, Nasal Turbinate, Nasal Septum, and Nasopharynx can be performed by various approaches such as Open, External, Percutaneous, or Via Natural or Artificial Opening Endoscopic. The replacement materials include autologous tissue substitute (from the patient), synthetic substitute, or nonautologous tissue substitute (from a donor). For example, code 09R00JZ indicates replacement of the right external ear with a synthetic substitute via an open approach, while code 09RL4KZ specifies replacement of the nasal turbinate with a nonautologous substitute using a percutaneous endoscopic approach. These specific codes help document the exact nature and method of the reconstructive procedure.

Questions About This Page

How many billable codes are in the 09R range?

Of the 94 codes in this range, 93 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 09R range classify?

The range classifies Replacement procedures, 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, 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 2026 ICD-10-PCS order file and code tables, effective October 1, 2025 through September 30, 2026.