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ICD-10-PCS 2027 procedure code

0F578ZZDestruction of Common Hepatic Duct, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Destruction of Common Hepatic Duct, Endo

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0F578ZZ

0F578ZZ is the ICD-10-PCS code for a destruction procedure on the hepatic duct, common using a via natural or artificial opening endoscopic 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 endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi, the ICD-9-CM procedure title it maps to (51.64).

For a different body part, codes include 0F548ZZ (gallbladder), 0F558ZZ (right hepatic duct), 0F568ZZ (left hepatic duct), 0F588ZZ (cystic duct), 0F598ZZ (common bile duct), 0F5C8ZZ (ampulla of vater) and 3 more.

The same procedure with a different approach is coded 0F570ZZ (open), 0F573ZZ (percutaneous), 0F574ZZ (percutaneous endoscopic) and 0F577ZZ (via natural or artificial opening).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

It was added in FY2018, effective October 1, 2017.

What each character means

1. Section
0Medical and Surgical
2. Body System
FHepatobiliary System and Pancreas
3. Operation
5Destruction

Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent

None of the body part is physically taken out

Includes: Fulguration of rectal polyp, cautery of skin lesion

4. Body Part
7Hepatic Duct, Common
5. Approach
8Via Natural or Artificial Opening Endoscopic

Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure

6. Device
ZNo Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

ICD-9-CM equivalent

Converter →
  • 51.64Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddiapproximate

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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0F578ZZ

Is 0F578ZZ a valid ICD-10-PCS code for 2027?

Yes. 0F578ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0F578ZZ?

The CMS GEMs map 0F578ZZ to ICD-9-CM 51.64 (Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi).