ICD-10-PCS Code For Auditory Ossicle Right: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 09R9 includes procedures performed to replace biological or synthetic devices or structures in the auditory ossicle of the right ear. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the right auditory ossicle is surgically replaced with a prosthesis or graft to restore hearing function. Accurate coding within the ICD-10-PCS 09R9 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Auditory Ossicle Right Replacement Procedure Overview

This procedure group includes replacement of the auditory ossicles in the right ear, targeting the ear, nose, and sinus body system. Procedures place biological or synthetic material to restore or take over the function of all or part of the right auditory ossicle. Accurate ICD-10-PCS coding ensures the inpatient record reflects the specific replacement performed and supports appropriate reimbursement and case mix assignment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
R	Operation	Replacement
9	Body Part	Auditory Ossicle, Right

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ICD-10-PCS Code For Auditory Ossicle Right: Procedure Code Group Overview

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Auditory Ossicle Right Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
R	Operation	Replacement
9	Body Part	Auditory Ossicle, Right

When to Use

Use a code from this group when a surgeon implants a prosthesis or graft to replace part or all of the right auditory ossicle during an inpatient stay. These codes apply when the replacement restores ossicular continuity or function and is the primary operative action performed.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
09R907Z	Replacement of Right Auditory Ossicle with Autologous Tissue Substitute, Open Approach
09R90JZ	Replacement of Right Auditory Ossicle with Synthetic Substitute, Open Approach
09R90KZ	Replacement of Right Auditory Ossicle with Nonautologous Tissue Substitute, Open Approach

DRG Codes

6 rows

DRG Code	Description
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A 45-year-old patient with chronic conductive hearing loss from longstanding otosclerosis and progressive fixation/destruction of the ossicular chain undergoes a planned middle ear surgery to restore ossicular continuity and improve hearing; the surgeon removes the damaged ossicle and implants either an autologous graft or a synthetic prosthesis via an open (transmastoid or postauricular) approach during the inpatient stay to reestablish sound conduction. Typical codes: 09R907Z, 09R90JZ
An elderly patient presents urgently after temporal bone trauma from a fall with displaced and fractured right ossicles causing severe conductive hearing impairment and persistent middle ear bleeding; during the same admission, the otologic surgeon debrides the injury and replaces the destroyed auditory ossicle with nonautologous tissue substitute through an open approach to reconstitute the ossicular chain. Typical codes: 09R90KZ
A patient with a prior ossicular prosthesis experiences chronic otorrhea and prosthesis extrusion with persistent conductive hearing loss despite conservative care; during a scheduled inpatient revision, the surgeon removes the infected device and replaces the right auditory ossicle using the patient’s own tissue harvested as an autologous substitute or a new synthetic implant via an open approach to resolve infection and restore function. Typical codes: 09R907Z, 09R90JZ

Related Codes

09R0-EXTERNAL-EAR-RIGHT-REPLACEMENT

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

09R1-EXTERNAL-EAR-LEFT-REPLACEMENT

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

09R2-EXTERNAL-EAR-REPLACEMENT

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

09R5-MIDDLE-EAR-REPLACEMENT

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

09R6-MIDDLE-EAR-LEFT-REPLACEMENT

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

09R7-TYMPANIC-MEMBRANE-REPLACEMENT

ICD-10-PCS Code For Tympanic Membrane Right: Procedure Code Group Overview

09R8-TYMPANIC-MEMBRANE-LEFT-REPLACEMENT

ICD-10-PCS Code For Tympanic Membrane Left: Procedure Code Group Overview

09RA-AUDITORY-OSSICLE-LEFT-REPLACEMENT

ICD-10-PCS Code For Auditory Ossicle Left: Procedure Code Group Overview

09RD-INNER-EAR-RIGHT-REPLACEMENT

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

09RE-INNER-EAR-LEFT-REPLACEMENT

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

Showing 1–10 of 14

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

3 rows

ICD-10-PCS Code	Description
09R907Z	Replacement of Right Auditory Ossicle with Autologous Tissue Substitute, Open Approach
09R90JZ	Replacement of Right Auditory Ossicle with Synthetic Substitute, Open Approach
09R90KZ	Replacement of Right Auditory Ossicle with Nonautologous Tissue Substitute, Open Approach

DRG Codes

6 rows

DRG Code	Description
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A 45-year-old patient with chronic conductive hearing loss from longstanding otosclerosis and progressive fixation/destruction of the ossicular chain undergoes a planned middle ear surgery to restore ossicular continuity and improve hearing; the surgeon removes the damaged ossicle and implants either an autologous graft or a synthetic prosthesis via an open (transmastoid or postauricular) approach during the inpatient stay to reestablish sound conduction. Typical codes: 09R907Z, 09R90JZ
An elderly patient presents urgently after temporal bone trauma from a fall with displaced and fractured right ossicles causing severe conductive hearing impairment and persistent middle ear bleeding; during the same admission, the otologic surgeon debrides the injury and replaces the destroyed auditory ossicle with nonautologous tissue substitute through an open approach to reconstitute the ossicular chain. Typical codes: 09R90KZ
A patient with a prior ossicular prosthesis experiences chronic otorrhea and prosthesis extrusion with persistent conductive hearing loss despite conservative care; during a scheduled inpatient revision, the surgeon removes the infected device and replaces the right auditory ossicle using the patient’s own tissue harvested as an autologous substitute or a new synthetic implant via an open approach to resolve infection and restore function. Typical codes: 09R907Z, 09R90JZ

Related Codes

09R0-EXTERNAL-EAR-RIGHT-REPLACEMENT

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

09R1-EXTERNAL-EAR-LEFT-REPLACEMENT

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

09R2-EXTERNAL-EAR-REPLACEMENT

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

09R5-MIDDLE-EAR-REPLACEMENT

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

09R6-MIDDLE-EAR-LEFT-REPLACEMENT

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

09R7-TYMPANIC-MEMBRANE-REPLACEMENT

ICD-10-PCS Code For Tympanic Membrane Right: Procedure Code Group Overview

09R8-TYMPANIC-MEMBRANE-LEFT-REPLACEMENT

ICD-10-PCS Code For Tympanic Membrane Left: Procedure Code Group Overview

09RA-AUDITORY-OSSICLE-LEFT-REPLACEMENT

ICD-10-PCS Code For Auditory Ossicle Left: Procedure Code Group Overview

09RD-INNER-EAR-RIGHT-REPLACEMENT

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

09RE-INNER-EAR-LEFT-REPLACEMENT

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

Showing 1–10 of 14

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 Auditory Ossicle Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Auditory Ossicle Right: Procedure Code Group Overview policy alerts

Auditory Ossicle Right Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Auditory Ossicle Right: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Auditory Ossicle Right: Procedure Code Group Overview policy alerts

Auditory Ossicle Right Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers replacement of the right auditory ossicle?

What specific codes are included in the 09R9 group and what do they represent?

What are the ICD-10-PCS code attributes for this procedure group?

How does accurate coding within 09R9 affect inpatient records and reimbursement?

Which DRGs are related to procedures in the 09R9 group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers replacement of the right auditory ossicle?

What specific codes are included in the 09R9 group and what do they represent?

What are the ICD-10-PCS code attributes for this procedure group?

How does accurate coding within 09R9 affect inpatient records and reimbursement?

Which DRGs are related to procedures in the 09R9 group?

References