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Inpatient Procedure Code

090K3ZZ ICD-10-PCS Code: Alteration of Nasal Mucosa and Soft Tissue, Percutaneous Approach

Alteration of Nasal Mucosa and Soft Tissue, Perc Approach

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Axis Breakdown

Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.

PositionValueMeaning
1
Section0

Medical and Surgical

2
Body System9

Ear, Nose, Sinus

3
Root Operation0

Alteration

Modifying the anatomic structure of a body part without affecting the function of the body part

4
Body PartK

Nasal Mucosa and Soft Tissue

5
Approach3

Percutaneous

6
DeviceZ

No Device

7
QualifierZ

No Qualifier

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 15 MS-DRGs:

From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.

Related Codes

Same operation — other Body Part

Same table and root operation, differing only in the body part character.

09003ZZ — Alteration of Right External Ear, Percutaneous Approach, 09013ZZ — Alteration of Left External Ear, Percutaneous Approach, 09023ZZ — Alteration of Bilateral External Ear, Percutaneous Approach

Same operation — other Approach

Same table and root operation, differing only in the approach character.

090K0ZZ — Alteration of Nasal Mucosa and Soft Tissue, Open Approach, 090K4ZZ — Alteration of Nasal Mucosa and Soft Tissue, Percutaneous Endoscopic Approach, 090KXZZ — Alteration of Nasal Mucosa and Soft Tissue, External Approach

Same operation — other Device

Same table and root operation, differing only in the device character.

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

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Cosmetic procedures (General Region Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.

080R0KZ — Alteration of Left Lower Eyelid with Nonautologous Tissue Substitute, Open Approach, 080R0ZZ — Alteration of Left Lower Eyelid, Open Approach, 080R37Z — Alteration of Left Lower Eyelid with Autologous Tissue Substitute, Percutaneous Approach, 080R3JZ — Alteration of Left Lower Eyelid with Synthetic Substitute, Percutaneous Approach, 080R3KZ — Alteration of Left Lower Eyelid with Nonautologous Tissue Substitute, Percutaneous Approach, 080R3ZZ — Alteration of Left Lower Eyelid, Percutaneous Approach, 080RX7Z — Alteration of Left Lower Eyelid with Autologous Tissue Substitute, External Approach, 080RXJZ — Alteration of Left Lower Eyelid with Synthetic Substitute, External Approach, 080RXKZ — Alteration of Left Lower Eyelid with Nonautologous Tissue Substitute, External Approach, 080RXZZ — Alteration of Left Lower Eyelid, External Approach, 0C00X7Z — Alteration of Upper Lip with Autologous Tissue Substitute, External Approach, 0C00XJZ — Alteration of Upper Lip with Synthetic Substitute, External Approach, 0C00XKZ — Alteration of Upper Lip with Nonautologous Tissue Substitute, External Approach, 0C00XZZ — Alteration of Upper Lip, External Approach, 0C01X7Z — Alteration of Lower Lip with Autologous Tissue Substitute, External Approach, 0C01XJZ — Alteration of Lower Lip with Synthetic Substitute, External Approach, 0C01XKZ — Alteration of Lower Lip with Nonautologous Tissue Substitute, External Approach, 0C01XZZ — Alteration of Lower Lip, External Approach, 0H0T07Z — Alteration of Right Breast with Autologous Tissue Substitute, Open Approach, 0H0T0JZ — Alteration of Right Breast with Synthetic Substitute, Open Approach, +534 more

Contextual Map

Every relationship of 090K3ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run 090K3ZZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (15)

Clinical classification (CCSR)

  • GNR001 — Cosmetic procedures[CCSR category]: “Cosmetic procedures — General Region Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1

MDC crossing · diagnoses (32256)

  • MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
  • A18.6 — Tuberculosis of (inner) (middle) ear[Same-MDC diagnosis]: “Tuberculosis of (inner) (middle) ear — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A36.0 — Pharyngeal diphtheria[Same-MDC diagnosis]: “Pharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A36.1 — Nasopharyngeal diphtheria[Same-MDC diagnosis]: “Nasopharyngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A36.2 — Laryngeal diphtheria[Same-MDC diagnosis]: “Laryngeal diphtheria — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • A54.5 — Gonococcal pharyngitis[Same-MDC diagnosis]: “Gonococcal pharyngitis — grouped in MDC 03, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • and 32251 more

Nearest codes

Change history

Change history

  • FY2018 — October 1, 2017
    Description revised
    Alteration of Nose, Percutaneous Approach → Alteration of Nasal Mucosa and Soft Tissue, Percutaneous Approach
    FY2018 changes

Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources