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ICD-10-PCS 2027 procedure code

0FB78ZZExcision of Common Hepatic Duct, Via Natural or Artificial Opening Endoscopic

✓ Valid for 2027

Short description: Excision of 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 0FB78ZZ

0FB78ZZ is the ICD-10-PCS code for a excision procedure on the hepatic duct, common using a via natural or artificial opening endoscopic approach. In ICD-10-PCS, excision means cutting out or off, without replacement, a portion of a body part.

In plain terms, this corresponds to endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi, the ICD-9-CM procedure title it maps to (51.64).

For a different body part, codes include 0FB48ZZ (gallbladder), 0FB58ZZ (right hepatic duct), 0FB68ZZ (left hepatic duct), 0FB88ZZ (cystic duct), 0FB98ZZ (common bile duct), 0FBC8ZZ (ampulla of vater) and 3 more.

The same procedure with a different approach is coded 0FB70ZZ (open), 0FB73ZZ (percutaneous), 0FB74ZZ (percutaneous endoscopic) and 0FB77ZZ (via natural or artificial opening).

It doesn't appear in the MS-DRG procedure index, so on its own it doesn't change the DRG assignment.

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
BExcision

Cutting out or off, without replacement, a portion of a body part

The qualifier DIAGNOSTIC is used to identify excision procedures that are biopsies

Includes: Partial nephrectomy, liver biopsy

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

Different qualifier

ICD-9-CM equivalent

Converter →
  • 51.64Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddiapproximate

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 0FB78ZZ

Is 0FB78ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FB78ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

What is the ICD-9 procedure code for 0FB78ZZ?

The CMS GEMs map 0FB78ZZ to ICD-9-CM 51.64 (Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi).