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ICD-10-PCS 2027 procedure code

0FN78ZZRelease Common Hepatic Duct, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027O.R. procedure

Short description: Release 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 0FN78ZZ

0FN78ZZ is the ICD-10-PCS code for a release procedure on the hepatic duct, common using a via natural or artificial opening 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 other lysis of peritoneal adhesions, the ICD-9-CM procedure title it maps to (54.59).

For a different body part, codes include 0FN48ZZ (gallbladder), 0FN58ZZ (right hepatic duct), 0FN68ZZ (left hepatic duct), 0FN88ZZ (cystic duct), 0FN98ZZ (common bile duct), 0FNC8ZZ (ampulla of vater) and 3 more.

The same procedure with a different approach is coded 0FN70ZZ (open), 0FN73ZZ (percutaneous), 0FN74ZZ (percutaneous endoscopic) and 0FN77ZZ (via natural or artificial opening).

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 Endocrine, Nutritional and Metabolic O.R. Procedures” and 4 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
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

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 13 · Diseases and Disorders of the Female Reproductive System · Other Female Reproductive System O.R. Procedures

ICD-9-CM equivalent

Converter →
  • 54.59Other lysis of peritoneal adhesionsapproximate

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 0FN78ZZ

Is 0FN78ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FN78ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FN78ZZ an O.R. procedure?

Yes. 0FN78ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FN78ZZ group to?

Depending on the principal diagnosis, 0FN78ZZ 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 0FN78ZZ?

The CMS GEMs map 0FN78ZZ to ICD-9-CM 54.59 (Other lysis of peritoneal adhesions).