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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 09U7 includes procedures performed to supplement biological or synthetic material to the tympanic membrane, right in the ear, nose, and sinus body system. These ICD-10-PCS codes are used for inpatient documentation when a surgeon places an autologous tissue substitute to reinforce or augment the right tympanic membrane, such as during repair of a perforation or grafting procedure. Accurate coding within the ICD-10-PCS 09U7 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and the anatomical site, which determines appropriate case mix and payment.

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Tympanic Membrane Supplement Procedure Overview

Procedures in this group involve supplementing the right tympanic membrane using autologous tissue substitutes to reinforce or augment its function within the ear, nose, and sinus body system. These operations typically support repair of tympanic membrane defects or chronic perforations and aim to restore hearing mechanism integrity. Accurate ICD-10-PCS coding of these procedures ensures inpatient documentation reflects the specific operation and anatomical target, which affects case mix and reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
U	Operation	Supplement
7	Body Part	Tympanic Membrane, Right

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

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Tympanic Membrane Supplement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
U	Operation	Supplement
7	Body Part	Tympanic Membrane, Right

When to Use

Use codes from this group when an autologous tissue graft or substitute is placed on the right tympanic membrane during an inpatient procedure to repair or reinforce the membrane. Do not use these codes for other tympanic membrane procedures that do not involve placement of an autologous tissue supplement.

ICD-10-PCS Codes

9 rows

ICD-10-PCS Code	Description
09U707Z	Supplement Right Tympanic Membrane with Autologous Tissue Substitute, Open Approach
09U70JZ	Supplement Right Tympanic Membrane with Synthetic Substitute, Open Approach
09U70KZ	Supplement Right Tympanic Membrane with Nonautologous Tissue Substitute, Open Approach
09U777Z	Supplement Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening
09U77JZ	Supplement Right Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening
09U77KZ	Supplement Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
09U787Z	Supplement Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
09U78JZ	Supplement Right Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
09U78KZ	Supplement Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

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 middle-aged patient with a chronic, large central perforation of the right tympanic membrane and conductive hearing loss is admitted electively for tympanoplasty using the patient’s own fascia graft to restore membrane integrity and improve hearing; the operation is performed through a small postauricular incision (open approach) to place an autologous tissue graft over the perforation. Typical codes: 09U707Z
An elderly patient with recurrent otorrhea and a recurrent right tympanic membrane perforation after prior repair is taken to the operating room urgently because conservative outpatient measures failed; the surgeon uses an endoscopic transcanal technique to place an autologous tissue substitute harvested from temporalis fascia to reinforce the membrane and address persistent infection. Typical codes: 09U787Z
A pediatric patient with a traumatic perforation of the right tympanic membrane sustained at a playground is admitted for observation and undergoes repair via a transcanal natural opening approach using an autologous graft to rapidly reestablish membrane continuity and prevent cholesteatoma formation. Typical codes: 09U777Z

Related Codes

09U0-EXTERNAL-EAR-RIGHT-SUPPLEMENT

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

09U1-EXTERNAL-EAR-LEFT-SUPPLEMENT

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

09U2-EXTERNAL-EAR-SUPPLEMENT

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

09U5-MIDDLE-EAR-SUPPLEMENT

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

09U6-MIDDLE-EAR-LEFT-SUPPLEMENT

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

09U8-LEFT-TYMPANIC-MEMBRANE-SUPPLEMENT

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

09U9-AUDITORY-OSSICLE-SUPPLEMENT

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

09UA-AUDITORY-OSSICLE-LEFT-SUPPLEMENT

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

09UB-MASTOID-SINUS-SUPPLEMENT

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

09UC-MASTOID-SINUS-SUPPLEMENT

ICD-10-PCS Code For Mastoid Sinus, Left: Procedure Code Group Overview

Showing 1–10 of 25

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

9 rows

ICD-10-PCS Code	Description
09U707Z	Supplement Right Tympanic Membrane with Autologous Tissue Substitute, Open Approach
09U70JZ	Supplement Right Tympanic Membrane with Synthetic Substitute, Open Approach
09U70KZ	Supplement Right Tympanic Membrane with Nonautologous Tissue Substitute, Open Approach
09U777Z	Supplement Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening
09U77JZ	Supplement Right Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening
09U77KZ	Supplement Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening
09U787Z	Supplement Right Tympanic Membrane with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
09U78JZ	Supplement Right Tympanic Membrane with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
09U78KZ	Supplement Right Tympanic Membrane with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

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 middle-aged patient with a chronic, large central perforation of the right tympanic membrane and conductive hearing loss is admitted electively for tympanoplasty using the patient’s own fascia graft to restore membrane integrity and improve hearing; the operation is performed through a small postauricular incision (open approach) to place an autologous tissue graft over the perforation. Typical codes: 09U707Z
An elderly patient with recurrent otorrhea and a recurrent right tympanic membrane perforation after prior repair is taken to the operating room urgently because conservative outpatient measures failed; the surgeon uses an endoscopic transcanal technique to place an autologous tissue substitute harvested from temporalis fascia to reinforce the membrane and address persistent infection. Typical codes: 09U787Z
A pediatric patient with a traumatic perforation of the right tympanic membrane sustained at a playground is admitted for observation and undergoes repair via a transcanal natural opening approach using an autologous graft to rapidly reestablish membrane continuity and prevent cholesteatoma formation. Typical codes: 09U777Z

Related Codes

09U0-EXTERNAL-EAR-RIGHT-SUPPLEMENT

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

09U1-EXTERNAL-EAR-LEFT-SUPPLEMENT

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

09U2-EXTERNAL-EAR-SUPPLEMENT

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

09U5-MIDDLE-EAR-SUPPLEMENT

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

09U6-MIDDLE-EAR-LEFT-SUPPLEMENT

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

09U8-LEFT-TYMPANIC-MEMBRANE-SUPPLEMENT

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

09U9-AUDITORY-OSSICLE-SUPPLEMENT

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

09UA-AUDITORY-OSSICLE-LEFT-SUPPLEMENT

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

09UB-MASTOID-SINUS-SUPPLEMENT

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

09UC-MASTOID-SINUS-SUPPLEMENT

ICD-10-PCS Code For Mastoid Sinus, Left: Procedure Code Group Overview

Showing 1–10 of 25

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 Tympanic Membrane: Procedure Code Group Overview

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

Tympanic Membrane Supplement Procedure Overview

Code Attributes

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

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

Tympanic Membrane Supplement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code should be used for an open approach autologous tympanic membrane supplement on the right?

How are endoscopic supplements of the right tympanic membrane with synthetic material coded?

What code group and attributes identify these tympanic membrane supplement procedures?

Which DRGs may be associated with procedures in the 09U7 code group for inpatient reimbursement?

What codes cover supplements of the right tympanic membrane via a natural or artificial opening?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code should be used for an open approach autologous tympanic membrane supplement on the right?

How are endoscopic supplements of the right tympanic membrane with synthetic material coded?

What code group and attributes identify these tympanic membrane supplement procedures?

Which DRGs may be associated with procedures in the 09U7 code group for inpatient reimbursement?

What codes cover supplements of the right tympanic membrane via a natural or artificial opening?

References