1. Home
  2. ICD-10-PCS Index
  3. Medical and Surgical
  4. Ear, Nose, Sinus
  5. 090 - Alteration

ICD-10-PCS 090 Medical and Surgical: Ear, Nose, Sinus Alteration

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.

List of ICD-10-PCS codes used to specify 090 - Alteration (modifying the anatomic structure of a body part without affecting the function of the body part). There are a total of 65 procedure codes in this section.

  • 090 - Ear, Nose, Sinus, Alteration

  • 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