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ICD-10-PCS 2027 procedure code

0F1D4Z4Bypass Pancreatic Duct to Stomach, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Bypass Pancreatic Duct to Stomach, Perc Endo Approach

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0F1D4Z4

0F1D4Z4 is the ICD-10-PCS code for a bypass procedure on the pancreatic duct using a percutaneous endoscopic approach (qualifier: stomach). In ICD-10-PCS, bypass means altering the route of passage of the contents of a tubular body part.

For a different body part, codes include 0F144Z4 (gallbladder), 0F154Z4 (right hepatic duct), 0F164Z4 (left hepatic duct), 0F174Z4 (hepatic duct, common), 0F184Z4 (cystic duct) and 0F194Z4 (common bile duct).

The same procedure with a different approach is coded 0F1D0Z4 (open).

With a different device, use 0F1D4D4 (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 405 (Pancreas, Liver and Shunt Procedures with MCC), DRG 406 (Pancreas, Liver and Shunt Procedures with CC), DRG 407 (Pancreas, Liver and Shunt Procedures without CC/MCC), DRG 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Pancreas, Liver and Shunt Procedures”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2021, effective October 1, 2020.

What each character means

1. Section
0Medical and Surgical
2. Body System
FHepatobiliary System and Pancreas
3. Operation
1Bypass

Altering the route of passage of the contents of a tubular body part

Rerouting contents of a body part to a downstream area of the normal route, to a similar route and body part, or to an abnormal route and dissimilar body part. Includes one or more anastomoses, with or without the use of a device

Includes: Coronary artery bypass, colostomy formation

4. Body Part
DPancreatic Duct

Includes: Duct of Wirsung

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
4Stomach

Other versions of this procedure

Different approach

MS-DRG v44.0 grouping

All DRGs →

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

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
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about 0F1D4Z4

Is 0F1D4Z4 a valid ICD-10-PCS code for 2027?

Yes. 0F1D4Z4 is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0F1D4Z4 an O.R. procedure?

Yes. 0F1D4Z4 is an O.R. procedure in MS-DRG v44.0.

What DRG does 0F1D4Z4 group to?

Depending on the principal diagnosis, 0F1D4Z4 can group to MS-DRG 405, MS-DRG 406, MS-DRG 407, MS-DRG 907, MS-DRG 908 and MS-DRG 909.