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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group X9HD includes procedures performed to insert nonbiological infusion devices in the inner ear. These ICD-10-PCS codes are used for inpatient documentation when a temporary infusion device is placed into the right inner ear via an open approach for monitoring or therapeutic delivery. Accurate coding within the ICD-10-PCS X9HD group is essential for proper inpatient reimbursement, as it captures procedure performed and supports clinical documentation accuracy.

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Inner Ear Insertion Procedure Overview

This procedure group involves the insertion of a temporary infusion device into the right inner ear using an open approach, targeting the ear, nose, and sinus body system. Procedures in this group place a nonbiological appliance that monitors, assists, performs, or prevents a physiological function without replacing a body part. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it captures the specific operation, body part, and approach used.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
9	Body System	Ear, Nose, Sinus
H	Operation	Insertion
D	Body Part	Inner Ear, Right

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

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Inner Ear Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
X	Section	New Technology
9	Body System	Ear, Nose, Sinus
H	Operation	Insertion
D	Body Part	Inner Ear, Right

When to Use

Use a code from this group when a temporary infusion device is surgically placed into the right inner ear via an open approach for monitoring or therapeutic infusion. Select the specific code when documentation confirms the right inner ear as the body part, insertion as the operation, and New Technology section coding is indicated.

ICD-10-PCS Codes

1 rows

ICD-10-PCS Code	Description
X9HD01B	Insertion of Temporary Infusion Device into Right Inner Ear, Open Approach, New Technology Group 11

DRG Codes

3 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

Typical Clinical Scenarios

An adult patient hospitalized for acute, intractable Ménière-like vertigo with persistent severe vertiginous attacks despite medical therapy is taken to the operating room for direct placement of a temporary infusion device into the right inner ear via an open approach to deliver targeted intratympanic medication and provide short-term therapeutic monitoring. The inpatient setting is required due to severe symptoms and need for postoperative observation for vestibular function and balance. Typical codes: X9HD01B
A scheduled inpatient admission for a middle-aged patient with chronic unilateral right inner ear autoimmune inner ear disease refractory to systemic treatment who undergoes planned surgical insertion of a temporary infusion device into the right inner ear by open approach to allow controlled local delivery of immunosuppressive agents and to assess therapeutic response. This elective procedure is performed when outpatient management has failed and inpatient monitoring of audiovestibular status is anticipated. Typical codes: X9HD01B
A patient with prior right-sided inner ear surgery develops postoperative labyrinthine inflammatory exacerbation requiring short-term localized drug infusion; surgeons perform an open approach to place a temporary infusion device into the right inner ear for targeted anti-inflammatory therapy and close monitoring of hearing and balance while minimizing systemic exposure. The case is managed inpatient due to recent surgery and potential for rapid change in neurologic or audiologic status. Typical codes: X9HD01B

Related Codes

X9HE-INNER-EAR-LEFT-INSERTION

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

X9HF-INNER-EAR-INSERTION

ICD-10-PCS Code For Inner Ear: 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

1 rows

ICD-10-PCS Code	Description
X9HD01B	Insertion of Temporary Infusion Device into Right Inner Ear, Open Approach, New Technology Group 11

DRG Codes

3 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

Typical Clinical Scenarios

An adult patient hospitalized for acute, intractable Ménière-like vertigo with persistent severe vertiginous attacks despite medical therapy is taken to the operating room for direct placement of a temporary infusion device into the right inner ear via an open approach to deliver targeted intratympanic medication and provide short-term therapeutic monitoring. The inpatient setting is required due to severe symptoms and need for postoperative observation for vestibular function and balance. Typical codes: X9HD01B
A scheduled inpatient admission for a middle-aged patient with chronic unilateral right inner ear autoimmune inner ear disease refractory to systemic treatment who undergoes planned surgical insertion of a temporary infusion device into the right inner ear by open approach to allow controlled local delivery of immunosuppressive agents and to assess therapeutic response. This elective procedure is performed when outpatient management has failed and inpatient monitoring of audiovestibular status is anticipated. Typical codes: X9HD01B
A patient with prior right-sided inner ear surgery develops postoperative labyrinthine inflammatory exacerbation requiring short-term localized drug infusion; surgeons perform an open approach to place a temporary infusion device into the right inner ear for targeted anti-inflammatory therapy and close monitoring of hearing and balance while minimizing systemic exposure. The case is managed inpatient due to recent surgery and potential for rapid change in neurologic or audiologic status. Typical codes: X9HD01B

Related Codes

X9HE-INNER-EAR-LEFT-INSERTION

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

X9HF-INNER-EAR-INSERTION

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

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

Inner Ear Insertion Procedure Overview

Code Attributes

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

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

Inner Ear Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedure does the ICD-10-PCS code group X9HD represent?

Which specific code denotes insertion into the right inner ear via open approach?

What section and body system are indicated for these procedures?

How does accurate coding in X9HD affect inpatient reimbursement?

Which DRGs are related to procedures in this ICD-10-PCS group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What procedure does the ICD-10-PCS code group X9HD represent?

Which specific code denotes insertion into the right inner ear via open approach?

What section and body system are indicated for these procedures?

How does accurate coding in X9HD affect inpatient reimbursement?

Which DRGs are related to procedures in this ICD-10-PCS group?

References