ICD-10-PCS 2027 procedure code
0FN74ZZRelease Common Hepatic Duct, Percutaneous Endoscopic Approach
Short description: Release Common Hepatic Duct, Perc Endo Approach
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 0FN74ZZ
0FN74ZZ is the ICD-10-PCS code for a release procedure on the hepatic duct, common 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 0FN04ZZ (liver), 0FN14ZZ (liver, right lobe), 0FN24ZZ (liver, left lobe), 0FN44ZZ (gallbladder), 0FN54ZZ (right hepatic duct), 0FN64ZZ (left hepatic duct) and 6 more.
The same procedure with a different approach is coded 0FN70ZZ (open), 0FN73ZZ (percutaneous), 0FN77ZZ (via natural or artificial opening) and 0FN78ZZ (via natural or artificial opening endoscopic).
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 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
- 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
- 7Hepatic Duct, Common
- 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 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
- FY2018 (effective 10/1/2017): Added
- No changes since FY2018.
Common questions about 0FN74ZZ
Is 0FN74ZZ a valid ICD-10-PCS code for 2027?
- Yes. 0FN74ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0FN74ZZ an O.R. procedure?
- Yes. 0FN74ZZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0FN74ZZ group to?
- Depending on the principal diagnosis, 0FN74ZZ 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 0FN74ZZ?
- The CMS GEMs map 0FN74ZZ to ICD-9-CM 54.51 (Laparoscopic lysis of peritoneal adhesions).