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ICD-10-PCS 2027 procedure code

0FFC3ZZFragmentation in Ampulla of Vater, Percutaneous 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 0FFC3ZZ

0FFC3ZZ is the ICD-10-PCS code for a fragmentation procedure on the ampulla of vater using a percutaneous approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.

In plain terms, this corresponds to incision of other bile ducts for relief of obstruction, the ICD-9-CM procedure title it maps to (51.49).

For a different body part, codes include 0FF43ZZ (gallbladder), 0FF53ZZ (right hepatic duct), 0FF63ZZ (left hepatic duct), 0FF73ZZ (hepatic duct, common), 0FF83ZZ (cystic duct), 0FF93ZZ (common bile duct) and 2 more.

The same procedure with a different approach is coded 0FFC0ZZ (open), 0FFC4ZZ (percutaneous endoscopic), 0FFC7ZZ (via natural or artificial opening), 0FFC8ZZ (via natural or artificial opening endoscopic) and 0FFCXZZ (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), DRG 410 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC), DRG 820 (Lymphoma and Leukemia with Major O.R. Procedures with MCC), DRG 821 (Lymphoma and Leukemia with Major O.R. Procedures with CC) and DRG 822 (Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC), under the surgical categories “Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.”, “Lymphoma and Leukemia with Major O.R. Procedures” and “Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures”.

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
CAmpulla of Vater

Includes: Duodenal ampulla; Hepatopancreatic ampulla

5. Approach
3Percutaneous

Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach 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 →
  • 51.49Incision of other bile ducts for relief of obstructionapproximate

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 0FFC3ZZ

Is 0FFC3ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FFC3ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FFC3ZZ an O.R. procedure?

Yes. 0FFC3ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FFC3ZZ group to?

Depending on the principal diagnosis, 0FFC3ZZ can group to MS-DRG 408, MS-DRG 409, MS-DRG 410, MS-DRG 820, MS-DRG 821 and MS-DRG 822.

What is the ICD-9 procedure code for 0FFC3ZZ?

The CMS GEMs map 0FFC3ZZ to ICD-9-CM 51.49 (Incision of other bile ducts for relief of obstruction).