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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0FH4 includes procedures performed to insert nonbiological appliances that monitor, assist, perform, or prevent a physiological function in the gallbladder. These ICD-10-PCS codes are used for inpatient documentation when a device is placed into the gallbladder to support or monitor its function without replacing the organ. Accurate coding within the ICD-10-PCS 0FH4 group is essential for proper inpatient reimbursement, as it captures the procedure performed and supports clinical documentation accuracy.

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Gallbladder Insertion Procedure Overview

This group includes insertion procedures performed on the gallbladder within the hepatobiliary system and pancreas. These procedures involve placing a nonbiological appliance that monitors, assists, performs, or prevents a physiological function without replacing the gallbladder. Accurate ICD-10-PCS coding of these insertion procedures ensures the inpatient record reflects the device and intent of the procedure, which affects reimbursement and clinical documentation integrity.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
F	Body System	Hepatobiliary System and Pancreas
H	Operation	Insertion
4	Body Part	Gallbladder

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

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Gallbladder Insertion Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
F	Body System	Hepatobiliary System and Pancreas
H	Operation	Insertion
4	Body Part	Gallbladder

When to Use

Use a code from this group when a nonbiological appliance is placed into the gallbladder during an inpatient encounter to monitor or assist gallbladder function or to prevent a physiological complication. These codes are appropriate when the device is implanted but the gallbladder itself is not being replaced.

ICD-10-PCS Codes

12 rows

ICD-10-PCS Code	Description
0FH401Z	Insertion of Radioactive Element into Gallbladder, Open Approach
0FH402Z	Insertion of Monitoring Device into Gallbladder, Open Approach
0FH403Z	Insertion of Infusion Device into Gallbladder, Open Approach
0FH40YZ	Insertion of Other Device into Gallbladder, Open Approach
0FH431Z	Insertion of Radioactive Element into Gallbladder, Percutaneous Approach
0FH432Z	Insertion of Monitoring Device into Gallbladder, Percutaneous Approach
0FH433Z	Insertion of Infusion Device into Gallbladder, Percutaneous Approach
0FH43YZ	Insertion of Other Device into Gallbladder, Percutaneous Approach
0FH441Z	Insertion of Radioactive Element into Gallbladder, Percutaneous Endoscopic Approach
0FH442Z	Insertion of Monitoring Device into Gallbladder, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 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

Typical Clinical Scenarios

An elderly patient presents with acute calculous cholecystitis complicated by gallbladder empyema and sepsis. Because the patient is a high operative risk for cholecystectomy, a percutaneous drain with an indwelling infusion catheter is placed into the gallbladder under image guidance to decompress and allow continuous irrigation and local antibiotic delivery. This inpatient procedure is performed to control infection and stabilize the patient while avoiding general anesthesia for organ removal. Typical codes: 0FH433Z, 0FH43YZ
A middle-aged patient with chronic biliary dyskinesia undergoes a planned inpatient procedure to place a temporary monitoring device into the gallbladder to record pressure and contractility over several days for diagnostic evaluation. The device is inserted using a percutaneous endoscopic approach to collect physiologic data without removing the gallbladder. Hospital-based monitoring guides further management decisions. Typical codes: 0FH442Z
A patient with a previously placed percutaneous gallbladder drainage catheter now develops catheter malfunction with persistent leakage and inadequate drainage. During an inpatient admission for device revision, the existing appliance is exchanged and a new monitoring or other nonbiological device is inserted percutaneously to restore function and prevent recurrent bile leakage. The procedure addresses device failure rather than removing the gallbladder. Typical codes: 0FH432Z, 0FH43YZ

Related Codes

0FH0-LIVER-INSERTION

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

0FH1-LIVER-RIGHT-LOBE-INSERTION

ICD-10-PCS Code For Liver Right Lobe: Procedure Code Group Overview

0FH2-LEFT-LOBE-INSERTION

ICD-10-PCS Code For Liver Left Lobe: Procedure Code Group Overview

0FHB-HEPATOBILIARY-DUCT-INSERTION

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

0FHD-PANCREATIC-DUCT-INSERTION

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

0FHG-PANCREAS-INSERTION

ICD-10-PCS Code for Pancreas: 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

12 rows

ICD-10-PCS Code	Description
0FH401Z	Insertion of Radioactive Element into Gallbladder, Open Approach
0FH402Z	Insertion of Monitoring Device into Gallbladder, Open Approach
0FH403Z	Insertion of Infusion Device into Gallbladder, Open Approach
0FH40YZ	Insertion of Other Device into Gallbladder, Open Approach
0FH431Z	Insertion of Radioactive Element into Gallbladder, Percutaneous Approach
0FH432Z	Insertion of Monitoring Device into Gallbladder, Percutaneous Approach
0FH433Z	Insertion of Infusion Device into Gallbladder, Percutaneous Approach
0FH43YZ	Insertion of Other Device into Gallbladder, Percutaneous Approach
0FH441Z	Insertion of Radioactive Element into Gallbladder, Percutaneous Endoscopic Approach
0FH442Z	Insertion of Monitoring Device into Gallbladder, Percutaneous Endoscopic Approach

Showing 1–10 of 12

DRG Codes

3 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

Typical Clinical Scenarios

An elderly patient presents with acute calculous cholecystitis complicated by gallbladder empyema and sepsis. Because the patient is a high operative risk for cholecystectomy, a percutaneous drain with an indwelling infusion catheter is placed into the gallbladder under image guidance to decompress and allow continuous irrigation and local antibiotic delivery. This inpatient procedure is performed to control infection and stabilize the patient while avoiding general anesthesia for organ removal. Typical codes: 0FH433Z, 0FH43YZ
A middle-aged patient with chronic biliary dyskinesia undergoes a planned inpatient procedure to place a temporary monitoring device into the gallbladder to record pressure and contractility over several days for diagnostic evaluation. The device is inserted using a percutaneous endoscopic approach to collect physiologic data without removing the gallbladder. Hospital-based monitoring guides further management decisions. Typical codes: 0FH442Z
A patient with a previously placed percutaneous gallbladder drainage catheter now develops catheter malfunction with persistent leakage and inadequate drainage. During an inpatient admission for device revision, the existing appliance is exchanged and a new monitoring or other nonbiological device is inserted percutaneously to restore function and prevent recurrent bile leakage. The procedure addresses device failure rather than removing the gallbladder. Typical codes: 0FH432Z, 0FH43YZ

Related Codes

0FH0-LIVER-INSERTION

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

0FH1-LIVER-RIGHT-LOBE-INSERTION

ICD-10-PCS Code For Liver Right Lobe: Procedure Code Group Overview

0FH2-LEFT-LOBE-INSERTION

ICD-10-PCS Code For Liver Left Lobe: Procedure Code Group Overview

0FHB-HEPATOBILIARY-DUCT-INSERTION

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

0FHD-PANCREATIC-DUCT-INSERTION

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

0FHG-PANCREAS-INSERTION

ICD-10-PCS Code for Pancreas: 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 Gallbladder: Procedure Code Group Overview

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

Gallbladder Insertion Procedure Overview

Code Attributes

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

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

Gallbladder Insertion Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0FH4?

How does accurate coding in the 0FH4 group affect inpatient reimbursement?

What are the approach options represented in the 0FH4 codes?

Which specific ICD-10-PCS code denotes insertion of a monitoring device into the gallbladder via percutaneous endoscopic approach?

What related DRGs are associated with procedures in the 0FH4 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0FH4?

How does accurate coding in the 0FH4 group affect inpatient reimbursement?

What are the approach options represented in the 0FH4 codes?

Which specific ICD-10-PCS code denotes insertion of a monitoring device into the gallbladder via percutaneous endoscopic approach?

What related DRGs are associated with procedures in the 0FH4 code group?

References