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ICD-10-PCS 2027 procedure code

0FC90ZZExtirpation of Matter from Common Bile Duct, Open Approach

✓ Valid for 2027O.R. procedure

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 0FC90ZZ

0FC90ZZ is the ICD-10-PCS code for a extirpation procedure on the common bile duct using an open approach. In ICD-10-PCS, extirpation means taking or cutting out solid matter from a body part.

In plain terms, this corresponds to common duct exploration for removal of calculus and common duct exploration for relief of other obstruction, the ICD-9-CM procedure titles it maps to (51.41 and 51.42).

For a different body part, codes include 0FC00ZZ (liver), 0FC10ZZ (liver, right lobe), 0FC20ZZ (liver, left lobe), 0FC40ZZ (gallbladder), 0FC50ZZ (right hepatic duct), 0FC60ZZ (left hepatic duct) and 6 more.

The same procedure with a different approach is coded 0FC93ZZ (percutaneous), 0FC94ZZ (percutaneous endoscopic), 0FC97ZZ (via natural or artificial opening) and 0FC98ZZ (via natural or artificial opening endoscopic).

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 411 (Cholecystectomy with C.D.E. with MCC), DRG 412 (Cholecystectomy with C.D.E. with CC) and DRG 413 (Cholecystectomy with C.D.E. without CC/MCC), under the surgical categories “Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.”, “Cholecystectomy”, “Lymphoma and Leukemia with Major O.R. Procedures” and 3 more.

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
CExtirpation

Taking or cutting out solid matter from a body part

The solid matter may be an abnormal byproduct of a biological function or a foreign body; it may be imbedded in a body part or in the lumen of a tubular body part. The solid matter may or may not have been previously broken into pieces

Includes: Thrombectomy, choledocholithotomy

4. Body Part
9Common Bile Duct
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
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.

ICD-9-CM equivalent

Converter →
  • 51.41Common duct exploration for removal of calculusapproximate
  • 51.42Common duct exploration for relief of other obstructionapproximate

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 0FC90ZZ

Is 0FC90ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FC90ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FC90ZZ an O.R. procedure?

Yes. 0FC90ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FC90ZZ group to?

Depending on the principal diagnosis, 0FC90ZZ can group to MS-DRG 408, MS-DRG 409, MS-DRG 410, MS-DRG 411, MS-DRG 412 and MS-DRG 413.

What is the ICD-9 procedure code for 0FC90ZZ?

The CMS GEMs map 0FC90ZZ to ICD-9-CM 51.41 (Common duct exploration for removal of calculus) and 51.42 (Common duct exploration for relief of other obstruction).