ICD-10-PCS 2027 procedure code
0FFD4ZZFragmentation in Pancreatic Duct, Percutaneous Endoscopic Approach
Short description: Fragmentation in Pancreatic Duct, Perc Endo Approach
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 0FFD4ZZ
0FFD4ZZ is the ICD-10-PCS code for a fragmentation procedure on the pancreatic duct using a percutaneous endoscopic approach. In ICD-10-PCS, fragmentation means breaking solid matter in a body part into pieces.
In plain terms, this corresponds to other pancreatotomy, the ICD-9-CM procedure title it maps to (52.09).
For a different body part, codes include 0FF44ZZ (gallbladder), 0FF54ZZ (right hepatic duct), 0FF64ZZ (left hepatic duct), 0FF74ZZ (hepatic duct, common), 0FF84ZZ (cystic duct), 0FF94ZZ (common bile duct) and 2 more.
The same procedure with a different approach is coded 0FFD0ZZ (open), 0FFD3ZZ (percutaneous), 0FFD7ZZ (via natural or artificial opening), 0FFD8ZZ (via natural or artificial opening endoscopic) and 0FFDXZZ (external).
It is an operating-room procedure in the MS-DRG logic for DRG 405 (Pancreas, Liver and Shunt Procedures with MCC), DRG 406 (Pancreas, Liver and Shunt Procedures with CC) and DRG 407 (Pancreas, Liver and Shunt Procedures without CC/MCC), under the surgical category “Pancreas, Liver and Shunt 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
- DPancreatic Duct
Includes: Duct of Wirsung
- 5. Approach
- 4Percutaneous Endoscopic
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
- 6. Device
- ZNo Device
- 7. Qualifier
- ZNo Qualifier
Other versions of this procedure
Different body part
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Pancreas, Liver and Shunt Procedures
ICD-9-CM equivalent
Converter →- 52.09Other pancreatotomyapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about 0FFD4ZZ
Is 0FFD4ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0FFD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0FFD4ZZ an O.R. procedure?
- Yes. 0FFD4ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0FFD4ZZ group to?
- Depending on the principal diagnosis, 0FFD4ZZ can group to MS-DRG 405, MS-DRG 406 and MS-DRG 407.
What is the ICD-9 procedure code for 0FFD4ZZ?
- The CMS GEMs map 0FFD4ZZ to ICD-9-CM 52.09 (Other pancreatotomy).