2021 ICD-10-PCS Procedure Code 0FUC4KZ

Supplement Ampulla of Vater with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Version 2021

Billable Code

Valid for Submission

ICD-10-PCS:	0FUC4KZ
Short Description:	Supplement Ampulla Vater with Nonaut Sub, Perc Endo Approach
Long Description:	Supplement Ampulla of Vater with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

0FUC4KZ is a billable procedure code used to specify the performance of supplement ampulla of vater with nonautologous tissue substitute, percutaneous endoscopic approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 0FUC4KZ is in the medical and surgical section and is part of the hepatobiliary system and pancreas body system, classified under the supplement operation. The applicable bodypart is ampulla of vater.

Replaced Code

0FUC4KZ was replaced in the 2021 ICD-10-PCS code set with the code(s):

0FUC8KZ - Supplement Ampulla of Vater with Nonaut Sub, Endo
0FUC8KZ - Supplement Ampulla of Vater with Nonaut Sub, Endo

ICD-10-PCS Details

Position	Designation	Character	Label	Notes
1	Section	0	Medical and Surgical
2	Body System	F	Hepatobiliary System and Pancreas
3	Operation	U	Supplement	Involves: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part Involves: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part Explanation: The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part Includes: Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
4	BodyPart	C	Ampulla of Vater	Includes: Duodenal ampulla Hepatopancreatic ampulla Duodenal ampulla Hepatopancreatic ampulla
5	Approach	4	Percutaneous Endoscopic	Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure Involves: Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure
6	Device	K	Nonautologous Tissue Substitute	Includes: Acellular Hydrated Dermis Bone bank bone graft Cook Biodesign(R) Fistula Plug(s) Cook Biodesign(R) Hernia Graft(s) Cook Biodesign(R) Layered Graft(s) Cook Zenapro(tm) Layered Graft(s) Tissue bank graft Acellular Hydrated Dermis Bone bank bone graft Cook Biodesign(R) Fistula Plug(s) Cook Biodesign(R) Hernia Graft(s) Cook Biodesign(R) Layered Graft(s) Cook Zenapro(tm) Layered Graft(s) Tissue bank graft
7	Qualifier	Z	No Qualifier	Explanation: The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0FUC4KZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG	MS-DRG Title	MCD	Relative Weight
408	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC	07	3.7495
409	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC	07	2.1143
410	BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC	07	1.5657
907	OTHER O.R. PROCEDURES FOR INJURIES WITH MCC	21	3.9571
908	OTHER O.R. PROCEDURES FOR INJURIES WITH CC	21	2.0404
909	OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC	21	1.3746
957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	24	7.4208
958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	24	4.2054
959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	24	2.7342

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 0FUC4KZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

ICD-9-PCS: 5189 (Approximate Flag) Approximate Flag
The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.

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