0F540ZZDestruction of Gallbladder, Open Approach

0F540ZZ is the ICD-10-PCS code for a destruction procedure on the gallbladder using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other partial cholecystectomy, the ICD-9-CM procedure title it maps to (51.21).

For a different body part, codes include 0F500ZZ (liver), 0F510ZZ (liver, right lobe), 0F520ZZ (liver, left lobe), 0F550ZZ (right hepatic duct), 0F560ZZ (left hepatic duct), 0F570ZZ (hepatic duct, common) and 6 more.

The same procedure with a different approach is coded 0F543ZZ (percutaneous), 0F544ZZ (percutaneous endoscopic) and 0F548ZZ (via natural or artificial opening endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 411 (Cholecystectomy with C.D.E. with MCC), DRG 412 (Cholecystectomy with C.D.E. with CC), DRG 413 (Cholecystectomy with C.D.E. without CC/MCC), DRG 414 (Cholecystectomy Except by Laparoscope without C.D.E. with MCC), DRG 415 (Cholecystectomy Except by Laparoscope without C.D.E. with CC) and DRG 416 (Cholecystectomy Except by Laparoscope without C.D.E. without CC/MCC), under the surgical categories “Cholecystectomy except by laparoscope”, “Lymphoma and Leukemia with Major O.R. Procedures”, “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures” and 2 more.

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