ICD-10-PCS Code For Ampulla Of Vater: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0FFC includes procedures performed to fragment solid matter in the ampulla of Vater within the hepatobiliary system and pancreas. These ICD-10-PCS codes are used for inpatient documentation when obstruction or impacted material in the ampulla of Vater requires mechanical or energy-based fragmentation to restore ductal flow. Accurate coding within the ICD-10-PCS 0FFC group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Ampulla Of Vater Fragmentation Procedure Overview

Procedures in this group involve fragmentation of solid material within the ampulla of Vater and target the hepatobiliary system and pancreas. These operations break apart obstructing stones or solid matter to restore biliary and pancreatic flow. Accurate ICD-10-PCS coding ensures inpatient records reflect the procedure performed and supports correct reimbursement.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
F	Body System	Hepatobiliary System and Pancreas
F	Operation	Fragmentation
C	Body Part	Ampulla of Vater

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ICD-10-PCS Code For Ampulla Of Vater: Procedure Code Group Overview

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Ampulla Of Vater Fragmentation Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
F	Body System	Hepatobiliary System and Pancreas
F	Operation	Fragmentation
C	Body Part	Ampulla of Vater

When to Use

Use a code from this group when a procedure intentionally breaks apart stones or other solid obstructions located in the ampulla of Vater. These codes apply when the fragmentation is performed as the primary operation during an inpatient encounter to restore ductal patency.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0FFC0ZZ	Fragmentation in Ampulla of Vater, Open Approach
0FFC3ZZ	Fragmentation in Ampulla of Vater, Percutaneous Approach
0FFC4ZZ	Fragmentation in Ampulla of Vater, Percutaneous Endoscopic Approach
0FFC7ZZ	Fragmentation in Ampulla of Vater, Via Natural or Artificial Opening
0FFC8ZZ	Fragmentation in Ampulla of Vater, Via Natural or Artificial Opening Endoscopic
0FFCXZZ	Fragmentation in Ampulla of Vater, External Approach

DRG Codes

9 rows

DRG Code	Description
408	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC
409	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC
410	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC

Typical Clinical Scenarios

An adult presents to the emergency department with acute ascending cholangitis: fever, jaundice, right upper quadrant pain, and sepsis physiology. Imaging and ERCP show an impacted stone at the ampulla of Vater obstructing the common bile duct; endoscopic fragmentation is performed during the inpatient admission to clear the obstruction and restore biliary drainage. The procedure is done via endoscopic access through the duodenum to break the stone at the ampulla. Typical codes: 0FFC8ZZ
A middle-aged patient with recurrent biliary colic and known ampullary impaction is admitted electively for planned endoscopic management after failed outpatient attempts. During the inpatient scheduled procedure, a percutaneous endoscopic approach is used to fragment a symptomatic stone lodged in the ampulla of Vater to relieve obstruction and prevent recurrent pancreatitis. The operation targets the ampulla using endoscopic instruments introduced via the natural orifice with percutaneous assistance. Typical codes: 0FFC4ZZ
An elderly patient who previously underwent endoscopic sphincterotomy presents with persistent obstruction due to a large, hard fragment at the ampulla that could not be cleared endoscopically and now has cholestatic liver enzyme abnormalities. A surgical fragmentation is performed through an open transduodenal approach during the inpatient stay to mechanically break the residual material at the ampulla and allow definitive drainage. This conversion to an open approach is done because less invasive methods were unsuccessful or contraindicated. Typical codes: 0FFC0ZZ

Related Codes

0FF4-GALLBLADDER-FRAGMENTATION

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

0FF5-HEPATIC-DUCT-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Hepatic Duct Right: Procedure Code Group Overview

0FF6-LEFT-HEPATIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Hepatic Duct, Left: Procedure Code Group Overview

0FF7-HEPATIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Hepatic Duct, Common: Procedure Code Group Overview

0FF8-CYSTIC-DUCT-BREAKING-SOLID-MATTER-CYSTIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Cystic Duct: Procedure Code Group Overview

0FF9-COMMON-BILE-DUCT-FRAGMENTATION

ICD-10-PCS Code For Common Bile Duct: Procedure Code Group Overview

0FFD-PANCREATIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Pancreatic Duct: Procedure Code Group Overview

0FFF-PANCREATIC-DUCT-ACCESSORY-FRAGMENTATION

ICD-10-PCS Code For Pancreatic Duct, Accessory: Procedure Code Group Overview

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
0FFC0ZZ	Fragmentation in Ampulla of Vater, Open Approach
0FFC3ZZ	Fragmentation in Ampulla of Vater, Percutaneous Approach
0FFC4ZZ	Fragmentation in Ampulla of Vater, Percutaneous Endoscopic Approach
0FFC7ZZ	Fragmentation in Ampulla of Vater, Via Natural or Artificial Opening
0FFC8ZZ	Fragmentation in Ampulla of Vater, Via Natural or Artificial Opening Endoscopic
0FFCXZZ	Fragmentation in Ampulla of Vater, External Approach

DRG Codes

9 rows

DRG Code	Description
408	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC
409	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC
410	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC
821	Lymphoma and Leukemia with Major O.R. Procedures with CC
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC

Typical Clinical Scenarios

An adult presents to the emergency department with acute ascending cholangitis: fever, jaundice, right upper quadrant pain, and sepsis physiology. Imaging and ERCP show an impacted stone at the ampulla of Vater obstructing the common bile duct; endoscopic fragmentation is performed during the inpatient admission to clear the obstruction and restore biliary drainage. The procedure is done via endoscopic access through the duodenum to break the stone at the ampulla. Typical codes: 0FFC8ZZ
A middle-aged patient with recurrent biliary colic and known ampullary impaction is admitted electively for planned endoscopic management after failed outpatient attempts. During the inpatient scheduled procedure, a percutaneous endoscopic approach is used to fragment a symptomatic stone lodged in the ampulla of Vater to relieve obstruction and prevent recurrent pancreatitis. The operation targets the ampulla using endoscopic instruments introduced via the natural orifice with percutaneous assistance. Typical codes: 0FFC4ZZ
An elderly patient who previously underwent endoscopic sphincterotomy presents with persistent obstruction due to a large, hard fragment at the ampulla that could not be cleared endoscopically and now has cholestatic liver enzyme abnormalities. A surgical fragmentation is performed through an open transduodenal approach during the inpatient stay to mechanically break the residual material at the ampulla and allow definitive drainage. This conversion to an open approach is done because less invasive methods were unsuccessful or contraindicated. Typical codes: 0FFC0ZZ

Related Codes

0FF4-GALLBLADDER-FRAGMENTATION

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

0FF5-HEPATIC-DUCT-RIGHT-FRAGMENTATION

ICD-10-PCS Code For Hepatic Duct Right: Procedure Code Group Overview

0FF6-LEFT-HEPATIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Hepatic Duct, Left: Procedure Code Group Overview

0FF7-HEPATIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Hepatic Duct, Common: Procedure Code Group Overview

0FF8-CYSTIC-DUCT-BREAKING-SOLID-MATTER-CYSTIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Cystic Duct: Procedure Code Group Overview

0FF9-COMMON-BILE-DUCT-FRAGMENTATION

ICD-10-PCS Code For Common Bile Duct: Procedure Code Group Overview

0FFD-PANCREATIC-DUCT-FRAGMENTATION

ICD-10-PCS Code For Pancreatic Duct: Procedure Code Group Overview

0FFF-PANCREATIC-DUCT-ACCESSORY-FRAGMENTATION

ICD-10-PCS Code For Pancreatic Duct, Accessory: Procedure Code Group Overview

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 Ampulla Of Vater: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ampulla Of Vater: Procedure Code Group Overview policy alerts

Ampulla Of Vater Fragmentation Procedure Overview

Code Attributes

ICD-10-PCS Code For Ampulla Of Vater: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Ampulla Of Vater: Procedure Code Group Overview policy alerts

Ampulla Of Vater Fragmentation Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fragmentation procedures in the ampulla of Vater?

What specific procedure codes are included in the 0FFC group?

What is the primary clinical purpose of procedures coded within 0FFC?

Which ICD-10-PCS section and body system apply to these codes?

How do 0FFC codes affect inpatient documentation and reimbursement?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers fragmentation procedures in the ampulla of Vater?

What specific procedure codes are included in the 0FFC group?

What is the primary clinical purpose of procedures coded within 0FFC?

Which ICD-10-PCS section and body system apply to these codes?

How do 0FFC codes affect inpatient documentation and reimbursement?

References