ICD-10-PCS 2027 procedure code
09Q23ZZRepair Bilateral External Ear, Percutaneous 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 09Q23ZZ
09Q23ZZ is the ICD-10-PCS code for a repair procedure on the bilateral external ear using a percutaneous approach. In ICD-10-PCS, repair means restoring, to the extent possible, a body part to its normal anatomic structure and function.
In plain terms, this corresponds to other plastic repair of external ear and other operations on external ear, the ICD-9-CM procedure titles it maps to (18.79 and 18.9).
For a different body part, codes include 09Q03ZZ (right external ear), 09Q13ZZ (left external ear), 09Q33ZZ (right external auditory canal), 09Q43ZZ (left external auditory canal), 09Q73ZZ (right tympanic membrane), 09Q83ZZ (left tympanic membrane) and 17 more.
The same procedure with a different approach is coded 09Q20ZZ (open), 09Q24ZZ (percutaneous endoscopic) and 09Q2XZZ (external).
It is an operating-room procedure in the MS-DRG logic for DRG 143 (Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC), DRG 144 (Other Ear, Nose, Mouth and Throat O.R. Procedures with CC), DRG 145 (Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC), DRG 579 (Other Skin, Subcutaneous Tissue and Breast Procedures with MCC), DRG 580 (Other Skin, Subcutaneous Tissue and Breast Procedures with CC) and DRG 581 (Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC), under the surgical categories “Other Ear, Nose, Mouth and Throat O.R. Procedures”, “Other Skin, Subcutaneous Tissue and Breast Procedures”, “Other O.R. Procedures for Injuries” and 1 more.
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
- QRepair
Restoring, to the extent possible, a body part to its normal anatomic structure and function
Used only when the method to accomplish the repair is not one of the other root operations
Includes: Colostomy takedown, suture of laceration
- 4. Body Part
- 2External Ear, Bilateral
Includes: Antihelix; Antitragus; Auricle; Earlobe; Helix; Pinna; Tragus
- 5. Approach
- 3Percutaneous
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
- 09Q03ZZExternal Ear, Right
- 09Q13ZZExternal Ear, Left
- 09Q33ZZExternal Auditory Canal, Right
- 09Q43ZZExternal Auditory Canal, Left
- 09Q73ZZTympanic Membrane, Right
- 09Q83ZZTympanic Membrane, Left
- 09QB3ZZMastoid Sinus, Right
- 09QC3ZZMastoid Sinus, Left
- 09QF3ZZEustachian Tube, Right
- 09QG3ZZEustachian Tube, Left
- 09QK3ZZNasal Mucosa and Soft Tissue
- 09QL3ZZNasal Turbinate
Different approach
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 · Other Ear, Nose, Mouth and Throat O.R. Procedures
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast · Other Skin, Subcutaneous Tissue and Breast Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →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
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 09Q23ZZ
Is 09Q23ZZ a valid ICD-10-PCS code for 2027?
- Yes. 09Q23ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 09Q23ZZ an O.R. procedure?
- Yes. 09Q23ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 09Q23ZZ group to?
- Depending on the principal diagnosis, 09Q23ZZ can group to MS-DRG 143, MS-DRG 144, MS-DRG 145, MS-DRG 579, MS-DRG 580 and MS-DRG 581.
What is the ICD-9 procedure code for 09Q23ZZ?
- The CMS GEMs map 09Q23ZZ to ICD-9-CM 18.79 (Other plastic repair of external ear) and 18.9 (Other operations on external ear).