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ICD-10-PCS 2027 procedure code

0DFJ4ZZFragmentation in Appendix, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Code unchanged since ICD-10-PCS took effect on October 1, 2015. Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0DFJ4ZZ

0DFJ4ZZ is the ICD-10-PCS code for a fragmentation procedure on the appendix using a percutaneous endoscopic approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to other operations on appendix, the ICD-9-CM procedure title it maps to (47.99).

For a different body part, codes include 0DF54ZZ (esophagus), 0DF64ZZ (stomach), 0DF84ZZ (small intestine), 0DF94ZZ (duodenum), 0DFA4ZZ (jejunum), 0DFB4ZZ (ileum) and 10 more.

The same procedure with a different approach is coded 0DFJ0ZZ (open), 0DFJ3ZZ (percutaneous), 0DFJ7ZZ (via natural or artificial opening), 0DFJ8ZZ (via natural or artificial opening endoscopic) and 0DFJXZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 397 (Appendix Procedures with MCC), DRG 398 (Appendix Procedures with CC) and DRG 399 (Appendix Procedures without CC/MCC), under the surgical category “Appendix Procedures”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
DGastrointestinal System
3. Operation
FFragmentation

Breaking solid matter in a body part into pieces

Physical force (e.g., manual, ultrasonic) applied directly or indirectly is used to break the solid matter into pieces. The solid matter may be an abnormal byproduct of a biological function or a foreign body. The pieces of solid matter are not taken out

Includes: Extracorporeal shockwave lithotripsy, transurethral lithotripsy

4. Body Part
JAppendix

Includes: Appendiceal orifice; Vermiform appendix

5. Approach
4Percutaneous Endoscopic

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

ICD-9-CM equivalent

Converter →
  • 47.99Other operations on appendixapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0DFJ4ZZ

Is 0DFJ4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0DFJ4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0DFJ4ZZ an O.R. procedure?

Yes. 0DFJ4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0DFJ4ZZ group to?

Depending on the principal diagnosis, 0DFJ4ZZ can group to MS-DRG 397, MS-DRG 398 and MS-DRG 399.

What is the ICD-9 procedure code for 0DFJ4ZZ?

The CMS GEMs map 0DFJ4ZZ to ICD-9-CM 47.99 (Other operations on appendix).