ICD-10-PCS Code For Sinus: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 092Y includes procedures performed to change devices in the sinus. These ICD-10-PCS codes are used for inpatient documentation when a device in or on the sinus is removed and replaced with an identical or similar device without cutting or puncturing skin or a mucous membrane. Accurate coding within the ICD-10-PCS 092Y group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Sinus Change Procedure Overview

This group includes procedures that change an identical or similar device in or on the sinus without cutting or puncturing the skin or a mucous membrane. These procedures target the ear, nose, and sinus body system and specifically involve the sinus. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the exact operation performed and supports appropriate case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
2	Operation	Change
Y	Body Part	Sinus

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ICD-10-PCS Code For Sinus: Procedure Code Group Overview

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Sinus Change Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
2	Operation	Change
Y	Body Part	Sinus

When to Use

Use a code from this group when an existing device in or on the sinus is taken out and an identical or similar device is put back in or on the same sinus without incision or mucous membrane puncture. These codes apply for inpatient reporting of device change procedures that do not involve creating a new opening in the skin or mucosa.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
092YX0Z	Change Drainage Device in Sinus, External Approach
092YXYZ	Change Other Device in Sinus, External Approach

Typical Clinical Scenarios

A middle-aged patient presents to the inpatient unit after a recent endoscopic sinus surgery with persistent external sinus drainage through a previously placed external drainage catheter. The catheter is malfunctioning and cannot be cleared, so the surgical team removes the existing external drainage device and replaces it with an identical external sinus drainage catheter at the bedside without creating new incisions or puncturing mucosa. The procedure is performed to re-establish effective sinus drainage and manage ongoing infection risk. Typical codes: 092YX0Z
An elderly patient is admitted with acute worsening facial swelling and purulent drainage from a sinus ostomy where an external sinus drainage device had been placed previously. During the inpatient stay the external device is removed and an identical external drainage device is reinserted to restore patency and control the acute infectious drainage without cutting or puncturing skin or mucous membranes. This bedside change is performed urgently to manage sepsis risk and facilitate ongoing drainage and antibiotic therapy. Typical codes: 092YX0Z
A patient with a chronically draining sinus has a nonstandard external wound adapter in place that causes irritation and leakage. In the hospital for wound care optimization and monitoring, the team removes the existing adapter and replaces it with a similar commercially available external sinus device to improve fit and control drainage without new incisions. The procedure is done to reduce skin breakdown and allow continued outpatient management. Typical codes: 092YX0Z, 092YXYZ

Related Codes

092H-EAR-RIGHT-CHANGE

ICD-10-PCS Code For Ear Right: Procedure Code Group Overview

092J-LEFT-EAR-CHANGE

ICD-10-PCS Code For Ear Left: Procedure Code Group Overview

092K-NASAL-MUCOSA-TAKING-OUT-NASAL-MUCOSA-AND-SOFT-TISSUE-CHANGE

ICD-10-PCS Code For Nasal Mucosa And Soft Tissue: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
092YX0Z	Change Drainage Device in Sinus, External Approach
092YXYZ	Change Other Device in Sinus, External Approach

Typical Clinical Scenarios

A middle-aged patient presents to the inpatient unit after a recent endoscopic sinus surgery with persistent external sinus drainage through a previously placed external drainage catheter. The catheter is malfunctioning and cannot be cleared, so the surgical team removes the existing external drainage device and replaces it with an identical external sinus drainage catheter at the bedside without creating new incisions or puncturing mucosa. The procedure is performed to re-establish effective sinus drainage and manage ongoing infection risk. Typical codes: 092YX0Z
An elderly patient is admitted with acute worsening facial swelling and purulent drainage from a sinus ostomy where an external sinus drainage device had been placed previously. During the inpatient stay the external device is removed and an identical external drainage device is reinserted to restore patency and control the acute infectious drainage without cutting or puncturing skin or mucous membranes. This bedside change is performed urgently to manage sepsis risk and facilitate ongoing drainage and antibiotic therapy. Typical codes: 092YX0Z
A patient with a chronically draining sinus has a nonstandard external wound adapter in place that causes irritation and leakage. In the hospital for wound care optimization and monitoring, the team removes the existing adapter and replaces it with a similar commercially available external sinus device to improve fit and control drainage without new incisions. The procedure is done to reduce skin breakdown and allow continued outpatient management. Typical codes: 092YX0Z, 092YXYZ

Related Codes

092H-EAR-RIGHT-CHANGE

ICD-10-PCS Code For Ear Right: Procedure Code Group Overview

092J-LEFT-EAR-CHANGE

ICD-10-PCS Code For Ear Left: Procedure Code Group Overview

092K-NASAL-MUCOSA-TAKING-OUT-NASAL-MUCOSA-AND-SOFT-TISSUE-CHANGE

ICD-10-PCS Code For Nasal Mucosa And Soft Tissue: Procedure Code Group Overview

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Sinus: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Sinus: Procedure Code Group Overview policy alerts

Sinus Change Procedure Overview

Code Attributes

ICD-10-PCS Code For Sinus: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Sinus: Procedure Code Group Overview policy alerts

Sinus Change Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 092Y code group?

Which ICD-10-PCS codes are listed in this 092Y group?

What are the section, body system, and operation attributes for this code group?

Why is accurate coding in the ICD-10-PCS 092Y group important for inpatient care?

Are there any DRGs related to the 092Y sinus change procedures listed?

References

When to Use

ICD-10-PCS Codes

Typical Clinical Scenarios

Related Codes

What procedures are included in the ICD-10-PCS 092Y code group?

Which ICD-10-PCS codes are listed in this 092Y group?

What are the section, body system, and operation attributes for this code group?

Why is accurate coding in the ICD-10-PCS 092Y group important for inpatient care?

Are there any DRGs related to the 092Y sinus change procedures listed?

References