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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0DFJ includes procedures performed to fragment tissue or solid matter in the appendix within the gastrointestinal system. These ICD-10-PCS codes are used for inpatient documentation when a procedure involves breaking up or fragmenting solid material or tissue in the appendix. Accurate coding within the ICD-10-PCS 0DFJ group is essential for proper inpatient reimbursement, as it captures the specific fragmentation procedure performed and supports clinical documentation accuracy.

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Appendix Fragmentation Procedure Overview

Procedures in this group involve fragmentation of the appendix within the gastrointestinal system, where solid matter or tissue is broken into pieces. These inpatient procedures target the appendix and are coded to reflect the fragmenting action performed during surgery or intervention. Accurate coding is important for inpatient reimbursement because it documents the specific operation on the gastrointestinal system and supports appropriate case mix assignment and payment.

Code Attributes

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

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

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Appendix 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
J	Body Part	Appendix

When to Use

Use a code from this group when the clinical procedure performed on an inpatient involves fragmenting solid material or tissue in the appendix. Select the specific ICD-10-PCS code that matches the fragmentation procedure documented in the operative or procedure record.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0DFJ0ZZ	Fragmentation in Appendix, Open Approach
0DFJ3ZZ	Fragmentation in Appendix, Percutaneous Approach
0DFJ4ZZ	Fragmentation in Appendix, Percutaneous Endoscopic Approach
0DFJ7ZZ	Fragmentation in Appendix, Via Natural or Artificial Opening
0DFJ8ZZ	Fragmentation in Appendix, Via Natural or Artificial Opening Endoscopic
0DFJXZZ	Fragmentation in Appendix, External Approach

DRG Codes

3 rows

DRG Code	Description
397	Appendix Procedures with MCC
398	Appendix Procedures with CC
399	Appendix Procedures without CC/MCC

Typical Clinical Scenarios

A middle-aged patient presents to the emergency department with acute right lower quadrant pain, fever, and imaging showing an appendiceal abscess containing large organized fecaliths causing obstruction; because percutaneous drainage alone cannot remove the hardened material and source control is needed, an inpatient operative fragmentation of the appendiceal contents is performed during open surgical access to break up and evacuate the solid material. Typical codes: 0DFJ0ZZ
An elderly patient with recurrent chronic appendiceal mucocele identified on elective workup has symptomatic retained mucinous concretions within the appendix; during a planned inpatient minimally invasive percutaneous endoscopic procedure, the surgeon fragments the solid intraluminal material to facilitate removal and prevent recurrence. Typical codes: 0DFJ4ZZ
A patient hospitalized for sepsis after a failed outpatient endoscopic attempt to clear an impacted appendiceal stone returns with persistent obstruction; in the inpatient setting, a percutaneous image-guided fragmentation of the appendiceal solid matter is performed to resolve the obstruction and control the infection. Typical codes: 0DFJ3ZZ

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

0DF9-DUODENUM-FRAGMENTATION

ICD-10-PCS Code For Duodenum: 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

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
0DFJ0ZZ	Fragmentation in Appendix, Open Approach
0DFJ3ZZ	Fragmentation in Appendix, Percutaneous Approach
0DFJ4ZZ	Fragmentation in Appendix, Percutaneous Endoscopic Approach
0DFJ7ZZ	Fragmentation in Appendix, Via Natural or Artificial Opening
0DFJ8ZZ	Fragmentation in Appendix, Via Natural or Artificial Opening Endoscopic
0DFJXZZ	Fragmentation in Appendix, External Approach

DRG Codes

3 rows

DRG Code	Description
397	Appendix Procedures with MCC
398	Appendix Procedures with CC
399	Appendix Procedures without CC/MCC

Typical Clinical Scenarios

A middle-aged patient presents to the emergency department with acute right lower quadrant pain, fever, and imaging showing an appendiceal abscess containing large organized fecaliths causing obstruction; because percutaneous drainage alone cannot remove the hardened material and source control is needed, an inpatient operative fragmentation of the appendiceal contents is performed during open surgical access to break up and evacuate the solid material. Typical codes: 0DFJ0ZZ
An elderly patient with recurrent chronic appendiceal mucocele identified on elective workup has symptomatic retained mucinous concretions within the appendix; during a planned inpatient minimally invasive percutaneous endoscopic procedure, the surgeon fragments the solid intraluminal material to facilitate removal and prevent recurrence. Typical codes: 0DFJ4ZZ
A patient hospitalized for sepsis after a failed outpatient endoscopic attempt to clear an impacted appendiceal stone returns with persistent obstruction; in the inpatient setting, a percutaneous image-guided fragmentation of the appendiceal solid matter is performed to resolve the obstruction and control the infection. Typical codes: 0DFJ3ZZ

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

0DF9-DUODENUM-FRAGMENTATION

ICD-10-PCS Code For Duodenum: 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

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 Appendix: Procedure Code Group Overview

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

Appendix Fragmentation Procedure Overview

Code Attributes

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

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

Appendix 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 0DFJ represent?

What are the approach variations listed for appendix fragmentation codes in 0DFJ?

How are individual codes within 0DFJ formatted and why is accurate selection important?

Which DRGs are related to procedures in the 0DFJ appendix fragmentation group?

Can the 0DFJ code group be used for procedures outside the appendix or for treatments rather than fragmentation?

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 0DFJ represent?

What are the approach variations listed for appendix fragmentation codes in 0DFJ?

How are individual codes within 0DFJ formatted and why is accurate selection important?

Which DRGs are related to procedures in the 0DFJ appendix fragmentation group?

Can the 0DFJ code group be used for procedures outside the appendix or for treatments rather than fragmentation?

References