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ICD-10-PCS 2027 procedure code

0FF40ZZFragmentation in Gallbladder, Open 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 0FF40ZZ

0FF40ZZ is the ICD-10-PCS code for a fragmentation procedure on the gallbladder using an open approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to other cholecystotomy, the ICD-9-CM procedure title it maps to (51.04).

For a different body part, codes include 0FF50ZZ (right hepatic duct), 0FF60ZZ (left hepatic duct), 0FF70ZZ (hepatic duct, common), 0FF80ZZ (cystic duct), 0FF90ZZ (common bile duct), 0FFC0ZZ (ampulla of vater) and 2 more.

The same procedure with a different approach is coded 0FF43ZZ (percutaneous), 0FF44ZZ (percutaneous endoscopic), 0FF47ZZ (via natural or artificial opening), 0FF48ZZ (via natural or artificial opening endoscopic) and 0FF4XZZ (external).

It is an operating-room procedure in the MS-DRG logic for DRG 408 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC), DRG 409 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC) and DRG 410 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC), under the surgical category “Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.”.

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
FHepatobiliary System and Pancreas
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
4Gallbladder
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose 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 →
  • 51.04Other cholecystotomyapproximate

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 0FF40ZZ

Is 0FF40ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FF40ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FF40ZZ an O.R. procedure?

Yes. 0FF40ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FF40ZZ group to?

Depending on the principal diagnosis, 0FF40ZZ can group to MS-DRG 408, MS-DRG 409 and MS-DRG 410.

What is the ICD-9 procedure code for 0FF40ZZ?

The CMS GEMs map 0FF40ZZ to ICD-9-CM 51.04 (Other cholecystotomy).