0FF40ZZ ICD-10-PCS Code: Fragmentation in Gallbladder, Open Approach
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemF | Hepatobiliary System and Pancreas |
| 3 | Root OperationF | Fragmentation Breaking solid matter in a body part into pieces |
| 4 | Body Part4 | Gallbladder |
| 5 | Approach0 | Open |
| 6 | DeviceZ | No Device |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 3 MS-DRGs:
- MDC 07 — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E.: DRG 408, DRG 409, DRG 410
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0FF50ZZ — Fragmentation in Right Hepatic Duct, Open Approach, 0FF60ZZ — Fragmentation in Left Hepatic Duct, Open Approach, 0FF70ZZ — Fragmentation in Common Hepatic Duct, Open Approach, 0FF80ZZ — Fragmentation in Cystic Duct, Open Approach, 0FF90ZZ — Fragmentation in Common Bile Duct, Open Approach, 0FFC0ZZ — Fragmentation in Ampulla of Vater, Open Approach, 0FFD0ZZ — Fragmentation in Pancreatic Duct, Open Approach, 0FFF0ZZ — Fragmentation in Accessory Pancreatic Duct, Open Approach
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0FF43ZZ — Fragmentation in Gallbladder, Percutaneous Approach, 0FF44ZZ — Fragmentation in Gallbladder, Percutaneous Endoscopic Approach, 0FF47ZZ — Fragmentation in Gallbladder, Via Natural or Artificial Opening, 0FF48ZZ — Fragmentation in Gallbladder, Via Natural or Artificial Opening Endoscopic, 0FF4XZZ — Fragmentation in Gallbladder, External Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Biliary and pancreatic calculus removal (Hepatobiliary and Pancreas Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0FC98ZZ — Extirpation of Matter from Common Bile Duct, Via Natural or Artificial Opening Endoscopic, 0FCC0ZZ — Extirpation of Matter from Ampulla of Vater, Open Approach, 0FCC3ZZ — Extirpation of Matter from Ampulla of Vater, Percutaneous Approach, 0FCC4ZZ — Extirpation of Matter from Ampulla of Vater, Percutaneous Endoscopic Approach, 0FCC7ZZ — Extirpation of Matter from Ampulla of Vater, Via Natural or Artificial Opening, 0FCC8ZZ — Extirpation of Matter from Ampulla of Vater, Via Natural or Artificial Opening Endoscopic, 0FCD0ZZ — Extirpation of Matter from Pancreatic Duct, Open Approach, 0FCD3ZZ — Extirpation of Matter from Pancreatic Duct, Percutaneous Approach, 0FCD4ZZ — Extirpation of Matter from Pancreatic Duct, Percutaneous Endoscopic Approach, 0FCD7ZZ — Extirpation of Matter from Pancreatic Duct, Via Natural or Artificial Opening, 0FCD8ZZ — Extirpation of Matter from Pancreatic Duct, Via Natural or Artificial Opening Endoscopic, 0FCF0ZZ — Extirpation of Matter from Accessory Pancreatic Duct, Open Approach, 0FCF3ZZ — Extirpation of Matter from Accessory Pancreatic Duct, Percutaneous Approach, 0FCF4ZZ — Extirpation of Matter from Accessory Pancreatic Duct, Percutaneous Endoscopic Approach, 0FCF7ZZ — Extirpation of Matter from Accessory Pancreatic Duct, Via Natural or Artificial Opening, 0FCF8ZZ — Extirpation of Matter from Accessory Pancreatic Duct, Via Natural or Artificial Opening Endoscopic, 0FCG0ZZ — Extirpation of Matter from Pancreas, Open Approach, 0FCG3ZZ — Extirpation of Matter from Pancreas, Percutaneous Approach, 0FCG4ZZ — Extirpation of Matter from Pancreas, Percutaneous Endoscopic Approach, 0FCG8ZZ — Extirpation of Matter from Pancreas, Via Natural or Artificial Opening Endoscopic, +37 more
Contextual Map
Every relationship of 0FF40ZZ in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0FF40ZZ with these 5 related codes in Claim Check
PCS table
- 0FF[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Hepatobiliary System and Pancreas — Body System: Hepatobiliary System and Pancreas[Body System]: “Hepatobiliary System and Pancreas”— CMS ICD-10-PCS tables
- Fragmentation — Operation: Fragmentation[Operation]: “Fragmentation”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 408 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC[MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 409 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC[MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
- DRG 410 — BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC[MS-DRG]: “BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC — Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. (MDC 07)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2027
Clinical classification (CCSR)
- HEP007 — Biliary and pancreatic calculus removal[CCSR category]: “Biliary and pancreatic calculus removal — Hepatobiliary and Pancreas Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (300)
- MDC 07 — Diseases and Disorders of the Hepatobiliary System and Pancreas[MDC crossing]: “Diseases and Disorders of the Hepatobiliary System and Pancreas — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2027
- A06.4 — Amebic liver abscess[Same-MDC diagnosis]: “Amebic liver abscess — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A51.45 — Secondary syphilitic hepatitis[Same-MDC diagnosis]: “Secondary syphilitic hepatitis — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- A52.74 — Syphilis of liver and other viscera[Same-MDC diagnosis]: “Syphilis of liver and other viscera — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- B15.0 — Hepatitis A with hepatic coma[Same-MDC diagnosis]: “Hepatitis A with hepatic coma — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- B15.9 — Hepatitis A without hepatic coma[Same-MDC diagnosis]: “Hepatitis A without hepatic coma — grouped in MDC 07, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- and 295 more
Nearest codes
- 0FF43ZZ — Fragmentation in Gallbladder, Percutaneous Approach[One axis away]— CMS ICD-10-PCS tables
- 0FF44ZZ — Fragmentation in Gallbladder, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0FF47ZZ — Fragmentation in Gallbladder, Via Natural or Artificial Opening[One axis away]— CMS ICD-10-PCS tables
- 0FF48ZZ — Fragmentation in Gallbladder, Via Natural or Artificial Opening Endoscopic[One axis away]— CMS ICD-10-PCS tables
- 0FF4XZZ — Fragmentation in Gallbladder, External Approach[One axis away]— CMS ICD-10-PCS tables
- 0FF50ZZ — Fragmentation in Right Hepatic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0FF60ZZ — Fragmentation in Left Hepatic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0FF70ZZ — Fragmentation in Common Hepatic Duct, Open Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2016 onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2027; CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels · How MedCoder verifies its implementation
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources