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ICD-10-PCS 2027 procedure code

0FF78ZZFragmentation in Common Hepatic Duct, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Fragmentation in 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 0FF78ZZ

0FF78ZZ is the ICD-10-PCS code for a fragmentation procedure on the hepatic duct, common 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), 0FF68ZZ (left hepatic duct), 0FF88ZZ (cystic duct), 0FF98ZZ (common bile duct), 0FFC8ZZ (ampulla of vater) and 2 more.

The same procedure with a different approach is coded 0FF70ZZ (open), 0FF73ZZ (percutaneous), 0FF74ZZ (percutaneous endoscopic), 0FF77ZZ (via natural or artificial opening) and 0FF7XZZ (external).

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
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
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 →
  • 51.88Endoscopic 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
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about 0FF78ZZ

Is 0FF78ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FF78ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0FF78ZZ?

The CMS GEMs map 0FF78ZZ to ICD-9-CM 51.88 (Endoscopic removal of stone(s) from biliary tract).