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ICD-10-PCS 2027 procedure code

099B4ZZDrainage of Right Mastoid Sinus, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Drainage of Right Mastoid Sinus, Perc Endo Approach

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 099B4ZZ

099B4ZZ is the ICD-10-PCS code for a drainage procedure on the right mastoid sinus using a percutaneous endoscopic approach. In ICD-10-PCS, drainage means taking or letting out fluids and/or gases from a body part.

In plain terms, this corresponds to incision of mastoid and incision of petrous pyramid air cells, the ICD-9-CM procedure titles it maps to (20.21 and 20.22).

For a different body part, codes include 09904ZZ (right external ear), 09914ZZ (left external ear), 09934ZZ (right external auditory canal), 09944ZZ (left external auditory canal), 09974ZZ (right tympanic membrane), 09984ZZ (left tympanic membrane) and 16 more.

The same procedure with a different approach is coded 099B0ZZ (open), 099B3ZZ (percutaneous), 099B7ZZ (via natural or artificial opening) and 099B8ZZ (via natural or artificial opening endoscopic).

With a different device, use 099B40Z (drainage device).

It is an operating-room procedure in the MS-DRG logic for DRG 135 (Sinus and Mastoid Procedures with CC/MCC) and DRG 136 (Sinus and Mastoid Procedures without CC/MCC), under the surgical category “Sinus and Mastoid Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
9Ear, Nose, Sinus
3. Operation
9Drainage

Taking or letting out fluids and/or gases from a body part

The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies

Includes: Thoracentesis, incision and drainage

4. Body Part
BMastoid Sinus, Right
5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

Different device

Different qualifier

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 03 · Diseases and Disorders of the Ear, Nose, Mouth and Throat · Sinus and Mastoid Procedures

ICD-9-CM equivalent

Converter →
  • 20.21Incision of mastoidapproximate
  • 20.22Incision of petrous pyramid air cellsapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 099B4ZZ

Is 099B4ZZ a valid ICD-10-PCS code for 2027?

Yes. 099B4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 099B4ZZ an O.R. procedure?

Yes. 099B4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 099B4ZZ group to?

Depending on the principal diagnosis, 099B4ZZ can group to MS-DRG 135 and MS-DRG 136.

What is the ICD-9 procedure code for 099B4ZZ?

The CMS GEMs map 099B4ZZ to ICD-9-CM 20.21 (Incision of mastoid) and 20.22 (Incision of petrous pyramid air cells).