ICD-10-PCS Code For Nasal Septum: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 09XM includes procedures performed to transfer nasal septal tissue in the ear, nose, sinus anatomical location. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of the nasal septum is moved to another site to assume the function of septal tissue. Accurate coding within the ICD-10-PCS 09XM group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Nasal Septum Transfer Procedure Overview

The procedures in ICD-10 PCS 09XM involve transfer operations on the nasal septum within the ear, nose, sinus body system. These procedures move all or part of the nasal septum to another location to take over the function of all or a portion of the septal tissue. Accurate coding of these transfer procedures ensures inpatient records reflect the operative intent and supports appropriate reimbursement and case mix assignment. Coders must apply the correct root operation, body system, and body part to match the clinical documentation.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
X	Operation	Transfer
M	Body Part	Nasal Septum

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ICD-10-PCS Code For Nasal Septum: Procedure Code Group Overview

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Nasal Septum Transfer Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
9	Body System	Ear, Nose, Sinus
X	Operation	Transfer
M	Body Part	Nasal Septum

When to Use

Use a code from this group when the operative intent is to transfer septal tissue rather than remove, repair, or replace it. These codes apply when documentation indicates the nasal septum is moved to assume the function of all or part of the original septal structure.

ICD-10-PCS Codes

4 rows

ICD-10-PCS Code	Description
09XM0Z1	Transfer Nasal Septum to Frontal Bone, Open Approach
09XM0Z2	Transfer Nasal Septum to Ethmoid Bone, Open Approach
09XM0Z3	Transfer Nasal Septum to Sphenoid Bone, Open Approach
09XM0Z4	Transfer Nasal Septum to Occipital Bone, Open Approach

DRG Codes

9 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A 24-year-old patient with extensive traumatic septal loss following a nasal fracture and avulsion injury presents for inpatient reconstruction. The surgical team transfers residual septal tissue to the frontal bone region to reconstruct nasal support and re-establish a stable midline structure when primary septal grafting is inadequate. An open transfer approach is used to mobilize septal tissue and secure it to the frontal bone to assume lost septal function. Typical codes: 09XM0Z1
A 46-year-old patient with chronic septal perforation and collapse after multiple endonasal procedures is admitted for planned reconstructive surgery. The surgeon elects to transfer a segment of nasal septum tissue to the ethmoid bone area via an open approach to restore septal integrity and support adjacent nasal structures as part of a staged reconstructive plan. The procedure is elective, performed to re-establish functional septal architecture when simpler repair techniques have failed. Typical codes: 09XM0Z2
A 62-year-old patient with prior septal transfer to the sphenoid bone develops progressive instability and symptomatic recurrence of septal dysfunction requiring reoperation. During the inpatient revision, the surgical team re-mobilizes and repositions septal tissue with an open transfer to the sphenoid bone to restore function and correct the failed prior transfer. The case represents a complication of a previous transfer with need for definitive open revision. Typical codes: 09XM0Z3

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

09XL-NASAL-TURBINATE-TRANSFER

ICD-10-PCS Code For Nasal Turbinate: 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

4 rows

ICD-10-PCS Code	Description
09XM0Z1	Transfer Nasal Septum to Frontal Bone, Open Approach
09XM0Z2	Transfer Nasal Septum to Ethmoid Bone, Open Approach
09XM0Z3	Transfer Nasal Septum to Sphenoid Bone, Open Approach
09XM0Z4	Transfer Nasal Septum to Occipital Bone, Open Approach

DRG Codes

9 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
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A 24-year-old patient with extensive traumatic septal loss following a nasal fracture and avulsion injury presents for inpatient reconstruction. The surgical team transfers residual septal tissue to the frontal bone region to reconstruct nasal support and re-establish a stable midline structure when primary septal grafting is inadequate. An open transfer approach is used to mobilize septal tissue and secure it to the frontal bone to assume lost septal function. Typical codes: 09XM0Z1
A 46-year-old patient with chronic septal perforation and collapse after multiple endonasal procedures is admitted for planned reconstructive surgery. The surgeon elects to transfer a segment of nasal septum tissue to the ethmoid bone area via an open approach to restore septal integrity and support adjacent nasal structures as part of a staged reconstructive plan. The procedure is elective, performed to re-establish functional septal architecture when simpler repair techniques have failed. Typical codes: 09XM0Z2
A 62-year-old patient with prior septal transfer to the sphenoid bone develops progressive instability and symptomatic recurrence of septal dysfunction requiring reoperation. During the inpatient revision, the surgical team re-mobilizes and repositions septal tissue with an open transfer to the sphenoid bone to restore function and correct the failed prior transfer. The case represents a complication of a previous transfer with need for definitive open revision. Typical codes: 09XM0Z3

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

09XL-NASAL-TURBINATE-TRANSFER

ICD-10-PCS Code For Nasal Turbinate: 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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Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

ICD-10-PCS Code For Nasal Septum: Procedure Code Group Overview

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Nasal Septum Transfer Procedure Overview

Code Attributes

OpenPayer

ICD-10-PCS Code For Nasal Septum: Procedure Code Group Overview

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

Nasal Septum Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-PCS Code For Nasal Septum: Procedure Code Group Overview

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

Nasal Septum Transfer Procedure Overview

Code Attributes

ICD-10-PCS Code For Nasal Septum: Procedure Code Group Overview

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

Nasal Septum Transfer 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 nasal septum transfer procedures?

What is the clinical intent captured by the 09XM code group?

Which specific body system and operation are specified for these codes?

What are the specific ICD-10-PCS codes listed in the 09XM group and their targets?

Which DRGs are related to procedures in the 09XM code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers nasal septum transfer procedures?

What is the clinical intent captured by the 09XM code group?

Which specific body system and operation are specified for these codes?

What are the specific ICD-10-PCS codes listed in the 09XM group and their targets?

Which DRGs are related to procedures in the 09XM code group?

References