ICD-10-PCS Procedure Code 0FYG0Z1

Transplantation of Pancreas, Syngeneic, Open Approach

Version 2019 Billable Code Non-covered Procedure Codes Transplants Limited Coverage Not Covered Medicare
ICD-10-PCS:0FYG0Z1
Short Description:Transplantation of Pancreas, Syngeneic, Open Approach
Long Description:Transplantation of Pancreas, Syngeneic, Open Approach

Valid for Submission

ICD-10-PCS 0FYG0Z1 is a billable procedure code but might not be covered by Medicare. 0FYG0Z1 is used to indicate the performance of transplantation of pancreas, syngeneic, open approach. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

The procedure code 0FYG0Z1 is in the medical and surgical section and is part of the hepatobiliary system and pancreas body system, classified under the transplantation operation. The applicable body part is pancreas.

ICD-10-PCS Details

Position Character Code Designation Label Definition
Character 1 0 Section Medical and Surgical
Character 2 F Body System Hepatobiliary System and Pancreas
Character 3 Y Operation Transplantation Kidney transplant, heart transplant
Character 4 G Body Part Pancreas
Character 5 0 Approach Open Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Character 6 Z Device No Device
Character 7 1 Qualifier Syngeneic

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Non-covered Procedure Codes Transplants - this code is intended for icd-10-pcs procedure codes for pancreas transplants (0fyg0z0, 0fyg0z1) alone [without kidney transplant codes (0ty00z0, 0ty00z1, 0ty00z2, 0ty10z0, 0ty10z1, 0ty10z2)] are considered "non-covered procedures" except for the following condition: when either 0fyg0z0 (transplantation of pancreas, allogeneic, open approach) or 0fyg0z1 (transplantation of pancreas, syngeneic, open approach) is combined with at least one principal or secondary diagnosis code from the following diagnoses list.
  • Limited Coverage - this code is intended for for certain procedures whose medical complexity and serious nature incur extraordinary associated costs, medicare limits coverage to a portion of the cost.

Diagnostic Related Groups

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 0FYG0Z1 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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
  • 628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
  • 629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
  • 630 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Convert 0FYG0Z1 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:

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.

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.