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ICD-10-PCS 2027 procedure code

0FLD4ZZOcclusion of Pancreatic Duct, Percutaneous Endoscopic Approach

✓ Valid for 2027O.R. procedure

Short description: Occlusion of Pancreatic Duct, 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 0FLD4ZZ

0FLD4ZZ is the ICD-10-PCS code for a occlusion procedure on the pancreatic duct using a percutaneous endoscopic approach. In ICD-10-PCS, occlusion means completely closing an orifice or the lumen of a tubular body part.

In plain terms, this corresponds to other operations on pancreas, the ICD-9-CM procedure title it maps to (52.99).

For a different body part, codes include 0FL54ZZ (right hepatic duct), 0FL64ZZ (left hepatic duct), 0FL74ZZ (hepatic duct, common), 0FL84ZZ (cystic duct), 0FL94ZZ (common bile duct), 0FLC4ZZ (ampulla of vater) and 1 more.

The same procedure with a different approach is coded 0FLD0ZZ (open), 0FLD3ZZ (percutaneous), 0FLD7ZZ (via natural or artificial opening) and 0FLD8ZZ (via natural or artificial opening endoscopic).

With a different device, use 0FLD4CZ (extraluminal device) and 0FLD4DZ (intraluminal device).

It is an operating-room procedure in the MS-DRG logic for DRG 356 (Other Digestive System O.R. Procedures with MCC), DRG 357 (Other Digestive System O.R. Procedures with CC), DRG 358 (Other Digestive System O.R. Procedures without CC/MCC), DRG 405 (Pancreas, Liver and Shunt Procedures with MCC), DRG 406 (Pancreas, Liver and Shunt Procedures with CC) and DRG 407 (Pancreas, Liver and Shunt Procedures without CC/MCC), under the surgical categories “Other Digestive System O.R. Procedures”, “Pancreas, Liver and Shunt Procedures”, “Other O.R. Procedures for Injuries” and 1 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
LOcclusion

Completely closing an orifice or the lumen of a tubular body part

The orifice can be a natural orifice or an artificially created orifice

Includes: Fallopian tube ligation, ligation of inferior vena cava

4. Body Part
DPancreatic Duct

Includes: Duct of Wirsung

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
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 →
  • 52.99Other operations on pancreasapproximate

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 0FLD4ZZ

Is 0FLD4ZZ a valid ICD-10-PCS code for 2027?

Yes. 0FLD4ZZ is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0FLD4ZZ an O.R. procedure?

Yes. 0FLD4ZZ is an O.R. procedure in MS-DRG v44.0.

What DRG does 0FLD4ZZ group to?

Depending on the principal diagnosis, 0FLD4ZZ can group to MS-DRG 356, MS-DRG 357, MS-DRG 358, MS-DRG 405, MS-DRG 406 and MS-DRG 407.

What is the ICD-9 procedure code for 0FLD4ZZ?

The CMS GEMs map 0FLD4ZZ to ICD-9-CM 52.99 (Other operations on pancreas).