ICD-10-PCS 2027 procedure code
09PY4YZRemoval of Other Device from Sinus, Percutaneous Endoscopic Approach
Short description: Removal of Other Device from Sinus, Perc Endo Approach
Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data
About 09PY4YZ
09PY4YZ is the ICD-10-PCS code for a removal procedure on the sinus using a percutaneous endoscopic approach with other device. In ICD-10-PCS, removal means taking out or off a device from a body part.
In plain terms, this corresponds to sinusotomy, not otherwise specified, the ICD-9-CM procedure title it maps to (22.50).
For a different body part, codes include 09PH4YZ (right ear), 09PJ4YZ (left ear) and 09PK4YZ (nasal mucosa and soft tissue).
The same procedure with a different approach is coded 09PY0YZ (open), 09PY3YZ (percutaneous), 09PY7YZ (via natural or artificial opening) and 09PY8YZ (via natural or artificial opening endoscopic).
With a different device, use 09PY40Z (drainage device).
It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.
It was added in FY2018, effective October 1, 2017.
What each character means
- 1. Section
- 0Medical and Surgical
- 2. Body System
- 9Ear, Nose, Sinus
- 3. Operation
- PRemoval
Taking out or off a device from a body part
If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL
Includes: Drainage tube removal, cardiac pacemaker removal
- 4. Body Part
- YSinus
- 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
- YOther Device
Includes: Alfapump(R) system
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
Different approach
Different device
ICD-9-CM equivalent
Converter →- 22.50Sinusotomy, not otherwise specifiedapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 09PY4YZ
Is 09PY4YZ a valid ICD-10-PCS code for 2027?
- Yes. 09PY4YZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
What is the ICD-9 procedure code for 09PY4YZ?
- The CMS GEMs map 09PY4YZ to ICD-9-CM 22.50 (Sinusotomy, not otherwise specified).