ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DF9 includes procedures performed to fragment solid matter in the duodenum. These ICD-10-PCS codes are used for inpatient documentation when a clinician performs an operation to break up obstructing or impacted material within the duodenum. Accurate coding within the ICD-10-PCS 0DF9 group is essential for proper inpatient reimbursement, as it captures the specific procedure performed and its anatomical target.

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Duodenum Fragmentation Procedure Overview

Procedures in this group involve breaking up solid matter within the duodenum, a component of the gastrointestinal system. Fragmentation of the duodenum is performed to remove or facilitate passage of obstructing material and to restore gastrointestinal function. Accurate ICD-10-PCS coding for these procedures supports proper inpatient reimbursement by capturing the specific operation performed and its anatomical target.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
F	Operation	Fragmentation
9	Body Part	Duodenum

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ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

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Duodenum Fragmentation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
D	Body System	Gastrointestinal System
F	Operation	Fragmentation
9	Body Part	Duodenum

When to Use

Use a code from this group when the documented operation is fragmentation performed directly on solid material within the duodenum. Do not use these codes for other operations on the duodenum or for fragmentation performed in other parts of the gastrointestinal tract.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DF90ZZ	Fragmentation in Duodenum, Open Approach
0DF93ZZ	Fragmentation in Duodenum, Percutaneous Approach
0DF94ZZ	Fragmentation in Duodenum, Percutaneous Endoscopic Approach
0DF97ZZ	Fragmentation in Duodenum, Via Natural or Artificial Opening
0DF98ZZ	Fragmentation in Duodenum, Via Natural or Artificial Opening Endoscopic
0DF9XZZ	Fragmentation in Duodenum, External Approach

DRG Codes

6 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly patient with known choledocholithiasis and a history of gastric surgery presents to the emergency department with acute onset vomiting, severe epigastric pain, and inability to tolerate oral intake. Imaging and endoscopy reveal a bolus of impacted food and stone fragments lodged in the second portion of the duodenum causing gastric outlet obstruction; inpatient care is required for endoscopic or operative management to relieve the obstruction and prevent aspiration and ischemia. Typical codes: 0DF94ZZ, 0DF98ZZ
A middle-aged patient admitted electively for removal of a retained enteric medication bezoar in the duodenum after failed prolonged conservative measures (nasogastric lavage and enzymatic dissolution). Because the bezoar is dense and not passing, fragmentation is performed under controlled conditions to break up the solid material and facilitate passage or endoscopic retrieval. Typical codes: 0DF97ZZ, 0DF98ZZ
A patient hospitalized after blunt abdominal trauma develops focal duodenal intraluminal clot and food impaction at the duodenal sweep with progressive obstructive symptoms despite nasogastric decompression; the surgical team performs fragmentation of the intraluminal solid material during an open exploration due to concomitant injuries. Typical codes: 0DF90ZZ, 0DF9XZZ

Related Codes

0DF5-ESOPHAGUS-FRAGMENTATION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0DF6-STOMACH-FRAGMENTATION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0DF8-SMALL-INTESTINE-FRAGMENTATION

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0DFA-JEJUNUM-FRAGMENTATION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0DFB-ILEUM-FRAGMENTATION

ICD-10-PCS Code for Ileum: Procedure Code Group Overview

0DFE-LARGE-INTESTINE-FRAGMENTATION

ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

0DFF-LARGE-INTESTINE-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Right: Procedure Code Group Overview

0DFG-LARGE-INTESTINE-LEFT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Left: Procedure Code Group Overview

0DFH-CECUM-FRAGMENTATION

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

0DFJ-APPENDIX-FRAGMENTATION

ICD-10-PCS Code For Appendix: Procedure Code Group Overview

Showing 1–10 of 16

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DF90ZZ	Fragmentation in Duodenum, Open Approach
0DF93ZZ	Fragmentation in Duodenum, Percutaneous Approach
0DF94ZZ	Fragmentation in Duodenum, Percutaneous Endoscopic Approach
0DF97ZZ	Fragmentation in Duodenum, Via Natural or Artificial Opening
0DF98ZZ	Fragmentation in Duodenum, Via Natural or Artificial Opening Endoscopic
0DF9XZZ	Fragmentation in Duodenum, External Approach

DRG Codes

6 rows

DRG Code	Description
329	Major Small and Large Bowel Procedures with MCC
330	Major Small and Large Bowel Procedures with CC
331	Major Small and Large Bowel Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC

Typical Clinical Scenarios

An elderly patient with known choledocholithiasis and a history of gastric surgery presents to the emergency department with acute onset vomiting, severe epigastric pain, and inability to tolerate oral intake. Imaging and endoscopy reveal a bolus of impacted food and stone fragments lodged in the second portion of the duodenum causing gastric outlet obstruction; inpatient care is required for endoscopic or operative management to relieve the obstruction and prevent aspiration and ischemia. Typical codes: 0DF94ZZ, 0DF98ZZ
A middle-aged patient admitted electively for removal of a retained enteric medication bezoar in the duodenum after failed prolonged conservative measures (nasogastric lavage and enzymatic dissolution). Because the bezoar is dense and not passing, fragmentation is performed under controlled conditions to break up the solid material and facilitate passage or endoscopic retrieval. Typical codes: 0DF97ZZ, 0DF98ZZ
A patient hospitalized after blunt abdominal trauma develops focal duodenal intraluminal clot and food impaction at the duodenal sweep with progressive obstructive symptoms despite nasogastric decompression; the surgical team performs fragmentation of the intraluminal solid material during an open exploration due to concomitant injuries. Typical codes: 0DF90ZZ, 0DF9XZZ

Related Codes

0DF5-ESOPHAGUS-FRAGMENTATION

ICD-10-PCS Code For Esophagus: Procedure Code Group Overview

0DF6-STOMACH-FRAGMENTATION

ICD-10-PCS Code For Stomach: Procedure Code Group Overview

0DF8-SMALL-INTESTINE-FRAGMENTATION

ICD-10-PCS Code For Small Intestine: Procedure Code Group Overview

0DFA-JEJUNUM-FRAGMENTATION

ICD-10-PCS Code For Jejunum: Procedure Code Group Overview

0DFB-ILEUM-FRAGMENTATION

ICD-10-PCS Code for Ileum: Procedure Code Group Overview

0DFE-LARGE-INTESTINE-FRAGMENTATION

ICD-10-PCS Code For Large Intestine: Procedure Code Group Overview

0DFF-LARGE-INTESTINE-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Right: Procedure Code Group Overview

0DFG-LARGE-INTESTINE-LEFT-FRAGMENTATION

ICD-10-PCS Code For Large Intestine, Left: Procedure Code Group Overview

0DFH-CECUM-FRAGMENTATION

ICD-10-PCS Code For Cecum: Procedure Code Group Overview

0DFJ-APPENDIX-FRAGMENTATION

ICD-10-PCS Code For Appendix: Procedure Code Group Overview

Showing 1–10 of 16

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Duodenum: Procedure Code Group Overview policy alerts

Duodenum Fragmentation Procedure Overview

Code Attributes

ICD-10-PCS Code For Duodenum: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Duodenum: Procedure Code Group Overview policy alerts

Duodenum Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0DF9 describe?

What are the individual ICD-10-PCS codes included in the 0DF9 duodenum fragmentation group?

Why is accurate coding within the 0DF9 group important for inpatient documentation?

What clinical situation do procedures in the 0DF9 group address?

Which DRGs are related to procedures in the 0DF9 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which body system and operation does ICD-10-PCS code group 0DF9 describe?

What are the individual ICD-10-PCS codes included in the 0DF9 duodenum fragmentation group?

Why is accurate coding within the 0DF9 group important for inpatient documentation?

What clinical situation do procedures in the 0DF9 group address?

Which DRGs are related to procedures in the 0DF9 code group?

References