0FR687ZReplacement of Left Hepatic Duct with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic

0FR687Z is the ICD-10-PCS code for a replacement procedure on the left hepatic duct using a via natural or artificial opening endoscopic approach with autologous tissue substitute. In ICD-10-PCS, replacement means putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part.

In plain terms, this corresponds to repair of other bile ducts, the ICD-9-CM procedure title it maps to (51.79).

For a different body part, codes include 0FR587Z (right hepatic duct), 0FR787Z (hepatic duct, common), 0FR887Z (cystic duct), 0FR987Z (common bile duct), 0FRC87Z (ampulla of vater), 0FRD87Z (pancreatic duct) and 1 more.

The same procedure with a different approach is coded 0FR607Z (open) and 0FR647Z (percutaneous endoscopic).

With a different device, use 0FR68JZ (synthetic substitute) and 0FR68KZ (nonautologous tissue substitute).

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 907 (Other O.R. Procedures for Injuries with MCC), DRG 908 (Other O.R. Procedures for Injuries with CC) and DRG 909 (Other O.R. Procedures for Injuries without CC/MCC), under the surgical categories “Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.”, “Other O.R. Procedures for Injuries” and “Other O.R. Procedures for Multiple Significant Trauma”.

It was added in FY2018, effective October 1, 2017.