ICD-10-PCS 2027 procedure code
0FRC0JZReplacement of Ampulla of Vater with Synthetic Substitute, Open Approach
Short description: Replacement of Ampulla Vater with Synth Sub, Open 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 0FRC0JZ
0FRC0JZ is the ICD-10-PCS code for a replacement procedure on the ampulla of vater using an open approach with synthetic 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 other operations on sphincter of Oddi, the ICD-9-CM procedure title it maps to (51.89).
For a different body part, codes include 0FR50JZ (right hepatic duct), 0FR60JZ (left hepatic duct), 0FR70JZ (hepatic duct, common), 0FR80JZ (cystic duct), 0FR90JZ (common bile duct), 0FRD0JZ (pancreatic duct) and 1 more.
The same procedure with a different approach is coded 0FRC4JZ (percutaneous endoscopic) and 0FRC8JZ (via natural or artificial opening endoscopic).
With a different device, use 0FRC07Z (autologous tissue substitute) and 0FRC0KZ (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 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
- RReplacement
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
The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure
Includes: Total hip replacement, bone graft, free skin graft
- 4. Body Part
- CAmpulla of Vater
Includes: Duodenal ampulla; Hepatopancreatic ampulla
- 5. Approach
- 0Open
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
- 6. Device
- JSynthetic Substitute
Includes: AbioCor(R) Total Replacement Heart; AMPLATZER(R) Muscular VSD Occluder; Annuloplasty ring; Bard(R) Composix(R) (E/X)(LP) mesh; Bard(R) Composix(R) Kugel(R) patch; Bard(R) Dulex(tm) mesh; Bard(R) Ventralex(tm) hernia patch; Barricaid(R) Annular Closure Device (ACD); BRYAN(R) Cervical Disc System; Corvia IASD(R); Ex-PRESS(tm) mini glaucoma shunt; Flexible Composite Mesh; GORE(R) ACUSEAL Vascular Graft; GORE(R) CARDIOFORM Septal Occluder; GORE(R) DUALMESH(R); GORE(R) PROPATEN(R) Vascular Graft; GORE(R) VIATORR(R) TIPS Endoprosthesis; Holter valve ventricular shunt; IASD(R) (InterAtrial Shunt Device), Corvia; InterAtrial Shunt Device IASD(R), Corvia; LimFlow(tm) Transcatheter Arterialization of the Deep Veins (TADV) System; MitraClip valve repair system; Nitinol framed polymer mesh; Open Pivot (mechanical) valve; Open Pivot Aortic Valve Graft (AVG); Partially absorbable mesh; PHYSIOMESH(tm) Flexible Composite Mesh; Polymethylmethacrylate (PMMA); Polypropylene mesh; PRESTIGE(R) Cervical Disc; PROCEED(tm) Ventral Patch; Prodisc-C; Prodisc-L; PROLENE Polypropylene Hernia System (PHS); Rebound HRD(R) (Hernia Repair Device); SynCardia Total Artificial Heart; Total artificial (replacement) heart; ULTRAPRO Hernia System (UHS); ULTRAPRO Partially Absorbable Lightweight Mesh; ULTRAPRO Plug; V-Wave Interatrial Shunt System; Ventrio(tm) Hernia Patch; Zimmer(R) NexGen(R) LPS Mobile Bearing Knee; Zimmer(R) NexGen(R) LPS-Flex Mobile Knee
- 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 · Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.
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 →- 51.89Other operations on sphincter of Oddiapproximate
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 0FRC0JZ
Is 0FRC0JZ a valid ICD-10-PCS code for 2027?
- Yes. 0FRC0JZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.
Is 0FRC0JZ an O.R. procedure?
- Yes. 0FRC0JZ is an O.R. procedure in MS-DRG v44.0.
What DRG does 0FRC0JZ group to?
- Depending on the principal diagnosis, 0FRC0JZ can group to MS-DRG 408, MS-DRG 409, MS-DRG 410, MS-DRG 907, MS-DRG 908 and MS-DRG 909.
What is the ICD-9 procedure code for 0FRC0JZ?
- The CMS GEMs map 0FRC0JZ to ICD-9-CM 51.89 (Other operations on sphincter of Oddi).