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Inpatient Procedure Code

09RK0JZ ICD-10-PCS Code: Replacement of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Open Approach

Replacement of Nose Sft Tiss with Synth Sub, Open 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 OperationR

Replacement

Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part

4
Body PartK

Nasal Mucosa and Soft Tissue

5
Approach0

Open

6
DeviceJ

Synthetic Substitute

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.

09R80JZ — Replacement of Left Tympanic Membrane with Synthetic Substitute, Open Approach, 09R90JZ — Replacement of Right Auditory Ossicle with Synthetic Substitute, Open Approach, 09RA0JZ — Replacement of Left Auditory Ossicle with Synthetic Substitute, Open Approach, 09RD0JZ — Replacement of Right Inner Ear with Synthetic Substitute, Open Approach, 09RE0JZ — Replacement of Left Inner Ear with Synthetic Substitute, Open Approach, 09RL0JZ — Replacement of Nasal Turbinate with Synthetic Substitute, Open Approach, 09RM0JZ — Replacement of Nasal Septum with Synthetic Substitute, Open Approach, 09RN0JZ — Replacement of Nasopharynx with Synthetic Substitute, Open Approach, +6 more

Same operation — other Approach

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

09RKXJZ — Replacement of Nasal Mucosa and Soft Tissue with Synthetic Substitute, External Approach

Same operation — other Device

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

09RK07Z — Replacement of Nasal Mucosa and Soft Tissue with Autologous Tissue Substitute, Open Approach, 09RK0KZ — Replacement of Nasal Mucosa and Soft Tissue with Nonautologous Tissue Substitute, Open Approach

Same procedure category (CCSR), other tables

AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under ENT repair (Ear, Nose, and Throat 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.

09QV4ZZ — Repair Left Ethmoid Sinus, Percutaneous Endoscopic Approach, 09QV8ZZ — Repair Left Ethmoid Sinus, Via Natural or Artificial Opening Endoscopic, 09QW0ZZ — Repair Right Sphenoid Sinus, Open Approach, 09QW3ZZ — Repair Right Sphenoid Sinus, Percutaneous Approach, 09QW4ZZ — Repair Right Sphenoid Sinus, Percutaneous Endoscopic Approach, 09QW8ZZ — Repair Right Sphenoid Sinus, Via Natural or Artificial Opening Endoscopic, 09QX0ZZ — Repair Left Sphenoid Sinus, Open Approach, 09QX3ZZ — Repair Left Sphenoid Sinus, Percutaneous Approach, 09QX4ZZ — Repair Left Sphenoid Sinus, Percutaneous Endoscopic Approach, 09QX8ZZ — Repair Left Sphenoid Sinus, Via Natural or Artificial Opening Endoscopic, 09U007Z — Supplement Right External Ear with Autologous Tissue Substitute, Open Approach, 09U00JZ — Supplement Right External Ear with Synthetic Substitute, Open Approach, 09U00KZ — Supplement Right External Ear with Nonautologous Tissue Substitute, Open Approach, 09U0X7Z — Supplement Right External Ear with Autologous Tissue Substitute, External Approach, 09U0XJZ — Supplement Right External Ear with Synthetic Substitute, External Approach, 09U0XKZ — Supplement Right External Ear with Nonautologous Tissue Substitute, External Approach, 09U107Z — Supplement Left External Ear with Autologous Tissue Substitute, Open Approach, 09U10JZ — Supplement Left External Ear with Synthetic Substitute, Open Approach, 09U10KZ — Supplement Left External Ear with Nonautologous Tissue Substitute, Open Approach, 09U1X7Z — Supplement Left External Ear with Autologous Tissue Substitute, External Approach, +793 more

Contextual Map

Every relationship of 09RK0JZ 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 09RK0JZ with these 5 related codes in Claim Check

PCS table

MS-DRG participation (15)

Clinical classification (CCSR)

  • ENT013 — ENT repair[CCSR category]: “ENT repair — Ear, Nose, and Throat 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
    Replacement of Nose with Synthetic Substitute, Open Approach → Replacement of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Open 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