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ICD-10-PCS 2027 procedure code

0FF68ZZFragmentation in Left Hepatic Duct, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Fragmentation in Left Hepatic Duct, Endo

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 0FF68ZZ

0FF68ZZ is the ICD-10-PCS code for a fragmentation procedure on the left hepatic duct using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to endoscopic removal of stone(s) from biliary tract, the ICD-9-CM procedure title it maps to (51.88).

For a different body part, codes include 0FF48ZZ (gallbladder), 0FF58ZZ (right hepatic duct), 0FF78ZZ (hepatic duct, common), 0FF88ZZ (cystic duct), 0FF98ZZ (common bile duct), 0FFC8ZZ (ampulla of vater) and 2 more.

The same procedure with a different approach is coded 0FF60ZZ (open), 0FF63ZZ (percutaneous), 0FF64ZZ (percutaneous endoscopic), 0FF67ZZ (via natural or artificial opening) and 0FF6XZZ (external).

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

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
6Hepatic Duct, Left
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 →
  • 51.88Endoscopic removal of stone(s) from biliary tractapproximate

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 0FF68ZZ

Is 0FF68ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FF68ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0FF68ZZ?

The CMS GEMs map 0FF68ZZ to ICD-9-CM 51.88 (Endoscopic removal of stone(s) from biliary tract).