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
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.
| Position | Value | Meaning |
|---|---|---|
| 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:
- MDC 03 — Other Ear, Nose, Mouth and Throat O.R. Procedures: DRG 143, DRG 144, DRG 145
- MDC 08 — Other Musculoskeletal System and Connective Tissue O.R. Procedures: DRG 515, DRG 516, DRG 517
- MDC 09 — Other Skin, Subcutaneous Tissue and Breast Procedures: DRG 579, DRG 580, DRG 581
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
- MDC 24 — Other O.R. Procedures for Multiple Significant Trauma: DRG 957, DRG 958, DRG 959
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
- 09R[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Ear, Nose, Sinus — Body System: Ear, Nose, Sinus[Body System]: “Ear, Nose, Sinus”— CMS ICD-10-PCS tables
- Replacement — Operation: Replacement[Operation]: “Replacement”— CMS ICD-10-PCS tables
MS-DRG participation (15)
- DRG 143 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 144 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 145 — OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC — Other Ear, Nose, Mouth and Throat O.R. Procedures (MDC 03)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 515 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 516 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 517 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC[MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC — Other Musculoskeletal System and Connective Tissue O.R. Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 579 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 580 — OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC[MS-DRG]: “OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC — Other Skin, Subcutaneous Tissue and Breast Procedures (MDC 09)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- and 7 more
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
- 09R00JZ — Replacement of Right External Ear with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R10JZ — Replacement of Left External Ear with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R20JZ — Replacement of Bilateral External Ear with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R50JZ — Replacement of Right Middle Ear with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R60JZ — Replacement of Left Middle Ear with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R70JZ — Replacement of Right Tympanic Membrane with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R80JZ — Replacement of Left Tympanic Membrane with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 09R90JZ — Replacement of Right Auditory Ossicle with Synthetic Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
- FY2018 — Description revised[Change history]— CMS release files (code change ledger) · icd10pcs-fy2018
Change history
- FY2018 — October 1, 2017Description revisedReplacement of Nose with Synthetic Substitute, Open Approach → Replacement of Nasal Mucosa and Soft Tissue with Synthetic Substitute, Open ApproachFY2018 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