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ICD-10-PCS 2027 procedure code

0FW440ZRevision of Drainage Device in Gallbladder, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Drain Dev in Gallbladder, Perc Endo 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 0FW440Z

0FW440Z is the ICD-10-PCS code for a revision procedure on the gallbladder using a percutaneous endoscopic approach with drainage device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other cholecystotomy, the ICD-9-CM procedure title it maps to (51.04).

For a different body part, codes include 0FW040Z (liver), 0FWB40Z (hepatobiliary duct), 0FWD40Z (pancreatic duct) and 0FWG40Z (pancreas).

The same procedure with a different approach is coded 0FW400Z (open), 0FW430Z (percutaneous), 0FW480Z (via natural or artificial opening endoscopic) and 0FW4X0Z (external).

With a different device, use 0FW442Z (monitoring device), 0FW443Z (infusion device), 0FW44DZ (intraluminal device) and 0FW44YZ (other device).

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) and DRG 410 (Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC), under the surgical category “Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.”.

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
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
4Gallbladder
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
0Drainage Device

Includes: Cystostomy tube; Foley catheter; Percutaneous nephrostomy catheter; Thoracostomy tube

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.

ICD-9-CM equivalent

Converter →
  • 51.04Other cholecystotomyapproximate

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
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about 0FW440Z

Is 0FW440Z a valid ICD-10-PCS code for 2027?

Yes. 0FW440Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FW440Z an O.R. procedure?

Yes. 0FW440Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FW440Z group to?

Depending on the principal diagnosis, 0FW440Z can group to MS-DRG 408, MS-DRG 409 and MS-DRG 410.

What is the ICD-9 procedure code for 0FW440Z?

The CMS GEMs map 0FW440Z to ICD-9-CM 51.04 (Other cholecystotomy).