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

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0FMD includes procedures performed to reattach portions of the pancreatic duct in the hepatobiliary system and pancreas. These ICD-10-PCS codes are used for inpatient documentation when a separated or transected pancreatic duct is surgically reattached to restore anatomical continuity. Accurate coding within the ICD-10-PCS 0FMD group is essential for proper inpatient reimbursement, as it captures the specific reattachment procedure performed and supports clinical documentation accuracy.

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Pancreatic Duct Reattachment Procedure Overview

Procedures in this group involve reattaching all or part of the pancreatic duct to restore its normal anatomical connection within the hepatobiliary system and pancreas. The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) codes in ICD-10 PCS 0FMD represent reattachment operations on the pancreatic duct following separation or transection. Accurate coding of these reattachment procedures ensures correct inpatient documentation and supports appropriate reimbursement for the complexity of the surgical repair.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
F	Body System	Hepatobiliary System and Pancreas
M	Operation	Reattachment
D	Body Part	Pancreatic Duct

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

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Pancreatic Duct Reattachment Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
F	Body System	Hepatobiliary System and Pancreas
M	Operation	Reattachment
D	Body Part	Pancreatic Duct

When to Use

Use a code from this group when a surgical reattachment of a separated or transected pancreatic duct is performed during an inpatient encounter. These codes apply when the operation restores continuity of the pancreatic duct as part of definitive surgical management.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0FMD0ZZ	Reattachment of Pancreatic Duct, Open Approach
0FMD4ZZ	Reattachment of Pancreatic Duct, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
405	Pancreas, Liver and Shunt Procedures with MCC
406	Pancreas, Liver and Shunt Procedures with CC
407	Pancreas, Liver and Shunt 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
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A middle-aged trauma patient arrives after a motor vehicle collision with penetrating abdominal injury and imaging plus intraoperative findings show transection of the pancreatic duct in the head/body junction with active leakage of pancreatic fluid. The patient is taken to the operating room urgently for exploration and definitive repair to re-establish ductal continuity and control pancreatic fistula formation; an open surgical reattachment of the separated pancreatic duct is performed. Typical codes: 0FMD0ZZ
An adult patient with chronic pancreatitis and a segmental disruption of the pancreatic duct identified on endoscopic retrograde pancreatography presents electively for planned surgical reconstruction to restore ductal continuity and reduce recurrent pain and pancreatic exocrine loss. During the scheduled inpatient procedure, the surgical team performs a ductal reattachment using percutaneous endoscopic guidance to reapproximate the separated ductal ends. Typical codes: 0FMD4ZZ
A postoperative inpatient who previously underwent pancreatic surgery develops a biliary-pancreatic anastomotic breakdown with a localized leak and persistent drainage; after failed conservative measures, the patient requires operative revision to reattach the disrupted segment of the pancreatic duct and prevent ongoing sepsis and fistula. Because the repair is done via open re-exploration, the reattachment is coded accordingly. Typical codes: 0FMD0ZZ

Related Codes

0FM0-LIVER-REATTACHMENT

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

0FM1-LIVER-RIGHT-LOBE-REATTACHMENT

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

0FM2-LIVER-LEFT-LOBE-REATTACHMENT

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

0FM4-GALLBLADDER-REATTACHMENT

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

0FM5-HEPATIC-DUCT-RIGHT-REATTACHMENT

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

0FM6-HEPATIC-DUCT-LEFT-REATTACHMENT

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

0FM7-HEPATIC-DUCT-COMMON-REPOSITION-HEPATIC-DUCT-COMMON-REATTACHMENT

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

0FM8-CYSTIC-DUCT-REATTACHMENT

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

0FM9-COMMON-BILE-DUCT-REATTACHMENT

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

0FMC-AMPULLA-OF-VATER-REATTACHMENT

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

Showing 1–10 of 12

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

2 rows

ICD-10-PCS Code	Description
0FMD0ZZ	Reattachment of Pancreatic Duct, Open Approach
0FMD4ZZ	Reattachment of Pancreatic Duct, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
405	Pancreas, Liver and Shunt Procedures with MCC
406	Pancreas, Liver and Shunt Procedures with CC
407	Pancreas, Liver and Shunt 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
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A middle-aged trauma patient arrives after a motor vehicle collision with penetrating abdominal injury and imaging plus intraoperative findings show transection of the pancreatic duct in the head/body junction with active leakage of pancreatic fluid. The patient is taken to the operating room urgently for exploration and definitive repair to re-establish ductal continuity and control pancreatic fistula formation; an open surgical reattachment of the separated pancreatic duct is performed. Typical codes: 0FMD0ZZ
An adult patient with chronic pancreatitis and a segmental disruption of the pancreatic duct identified on endoscopic retrograde pancreatography presents electively for planned surgical reconstruction to restore ductal continuity and reduce recurrent pain and pancreatic exocrine loss. During the scheduled inpatient procedure, the surgical team performs a ductal reattachment using percutaneous endoscopic guidance to reapproximate the separated ductal ends. Typical codes: 0FMD4ZZ
A postoperative inpatient who previously underwent pancreatic surgery develops a biliary-pancreatic anastomotic breakdown with a localized leak and persistent drainage; after failed conservative measures, the patient requires operative revision to reattach the disrupted segment of the pancreatic duct and prevent ongoing sepsis and fistula. Because the repair is done via open re-exploration, the reattachment is coded accordingly. Typical codes: 0FMD0ZZ

Related Codes

0FM0-LIVER-REATTACHMENT

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

0FM1-LIVER-RIGHT-LOBE-REATTACHMENT

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

0FM2-LIVER-LEFT-LOBE-REATTACHMENT

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

0FM4-GALLBLADDER-REATTACHMENT

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

0FM5-HEPATIC-DUCT-RIGHT-REATTACHMENT

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

0FM6-HEPATIC-DUCT-LEFT-REATTACHMENT

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

0FM7-HEPATIC-DUCT-COMMON-REPOSITION-HEPATIC-DUCT-COMMON-REATTACHMENT

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

0FM8-CYSTIC-DUCT-REATTACHMENT

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

0FM9-COMMON-BILE-DUCT-REATTACHMENT

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

0FMC-AMPULLA-OF-VATER-REATTACHMENT

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

Showing 1–10 of 12

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 Pancreatic Duct: Procedure Code Group Overview

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

Pancreatic Duct Reattachment Procedure Overview

Code Attributes

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

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

Pancreatic Duct Reattachment 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 0FMD?

What are the individual ICD-10-PCS codes in this group and their approaches?

Under which ICD-10-PCS section and body system do these codes fall?

How does accurate coding in the 0FMD group affect inpatient documentation and reimbursement?

Which DRGs may be related to procedures coded in the 0FMD 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 0FMD?

What are the individual ICD-10-PCS codes in this group and their approaches?

Under which ICD-10-PCS section and body system do these codes fall?

How does accurate coding in the 0FMD group affect inpatient documentation and reimbursement?

Which DRGs may be related to procedures coded in the 0FMD group?

References