ICD-10-PCS 2027 procedure code
0FN04ZZRelease Liver, Percutaneous Endoscopic 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 0FN04ZZ
0FN04ZZ is the ICD-10-PCS code for a release procedure on the liver using a percutaneous endoscopic approach. In ICD-10-PCS, release means freeing a body part from an abnormal physical constraint by cutting or by the use of force.
In plain terms, this corresponds to laparoscopic lysis of peritoneal adhesions, the ICD-9-CM procedure title it maps to (54.51).
For a different body part, codes include 0FN14ZZ (liver, right lobe), 0FN24ZZ (liver, left lobe), 0FN44ZZ (gallbladder), 0FN54ZZ (right hepatic duct), 0FN64ZZ (left hepatic duct), 0FN74ZZ (hepatic duct, common) and 6 more.
The same procedure with a different approach is coded 0FN00ZZ (open) and 0FN03ZZ (percutaneous).
It is an operating-room procedure in the MS-DRG logic for DRG 335 (Peritoneal Adhesiolysis with MCC), DRG 336 (Peritoneal Adhesiolysis with CC), DRG 337 (Peritoneal Adhesiolysis without CC/MCC), DRG 423 (Other Hepatobiliary or Pancreas O.R. Procedures with MCC), DRG 424 (Other Hepatobiliary or Pancreas O.R. Procedures with CC) and DRG 425 (Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC), under the surgical categories “Peritoneal Adhesiolysis”, “Other Hepatobiliary or Pancreas O.R. Procedures”, “Other Kidney and Urinary Tract Procedures” and 3 more.
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
- NRelease
Freeing a body part from an abnormal physical constraint by cutting or by the use of force
Some of the restraining tissue may be taken out but none of the body part is taken out
Includes: Adhesiolysis, carpal tunnel release
- 4. Body Part
- 0Liver
Includes: Quadrate lobe
- 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
Different approach
MS-DRG v44.0 grouping
All DRGs →Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.
MDC 06 · Diseases and Disorders of the Digestive System · Peritoneal Adhesiolysis
MDC 07 · Diseases and Disorders of the Hepatobiliary System and Pancreas · Other Hepatobiliary or Pancreas O.R. Procedures
MDC 11 · Diseases and Disorders of the Kidney and Urinary Tract · Other Kidney and Urinary Tract Procedures
MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures
MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Other O.R. Procedures for Injuries
MDC 24 · Multiple Significant Trauma · Other O.R. Procedures for Multiple Significant Trauma
ICD-9-CM equivalent
Converter →- 54.51Laparoscopic lysis of peritoneal adhesionsapproximate
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 0FN04ZZ
Is 0FN04ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0FN04ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0FN04ZZ an O.R. procedure?
- Yes. 0FN04ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0FN04ZZ group to?
- Depending on the principal diagnosis, 0FN04ZZ can group to MS-DRG 335, MS-DRG 336, MS-DRG 337, MS-DRG 423, MS-DRG 424 and MS-DRG 425.
What is the ICD-9 procedure code for 0FN04ZZ?
- The CMS GEMs map 0FN04ZZ to ICD-9-CM 54.51 (Laparoscopic lysis of peritoneal adhesions).