0FYG0Z1Transplantation of Pancreas, Syngeneic, Open Approach
- Billable / Specific Code
- Medicare Coverage Alert
0FYG0Z1 is a billable ICD-10-PCS procedure code for Transplantation of Pancreas, Syngeneic, Open Approach. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to 6 MS-DRGs. The root operation Transplantation involves putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or function of all or a portion of a similar body part. Medicare may not cover this procedure when diagnosis E1010~E1011~E1021~E1022~E1029~E10311~E10319~E103211~E103212~E103213~E103219~E103291~E103292~E103293~E103299~E103311~E103312~E103313~E103319~E103391~E103392~E103393~E103399~E103411~E103412~E103413~E103419~E103491~E103492~E103493~E103499~E103511~E103512~E103513~E103519~E103521~E103522~E103523~E103529~E103531~E103532~E103533~E103539~E103541~E103542~E103543~E103549~E103551~E103552~E103553~E103559~E103591~E103592~E103593~E103599~E1036~E1037X1~E1037X2~E1037X3~E1037X9~E1039~E1040~E1041~E1042~E1043~E1044~E1049~E1051~E1052~E1059~E10610~E10618~E10620~E10621~E10622~E10628~E10630~E10638~E10641~E10649~E1065~E1069~E108~E109~E891 is on the claim.
Code Identity
PCS Table Breakdown
Each ICD-10-PCS code is built from seven characters, each an axis of the procedure. Hover or tap the icons for the official CMS definitions.
| Position | Designation | Value | Meaning |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | F | Hepatobiliary System and Pancreas |
| 3 | Operation | Y | Transplantation |
| 4 | BodyPart | G | Pancreas |
| 5 | Approach | 0 | Open |
| 6 | Device | Z | No Device |
| 7 | Qualifier | 1 | Syngeneic |
Medicare Code Edits
Medicare Code Editor checks that affect claim validity for 0FYG0Z1.
Convert to ICD-9-PCS
Closest ICD-9-PCS equivalents for 0FYG0Z1 under the General Equivalence Mappings.
Similar Procedure Codes
Questions About 0FYG0Z1
Is 0FYG0Z1 a billable code?
Yes. 0FYG0Z1 is a complete seven-character ICD-10-PCS code, specific enough to report Transplantation of Pancreas, Syngeneic, Open Approach on inpatient claims from October 1, 2025 through September 30, 2026.
What do the characters in 0FYG0Z1 mean?
0FYG0Z1 breaks down character by character: the 1st character 0 is the Section (Medical and Surgical); the 2nd character F is the Body System (Hepatobiliary System and Pancreas); the 3rd character Y is the Operation (Transplantation); the 4th character G is the BodyPart (Pancreas); the 5th character 0 is the Approach (Open); the 6th character Z is the Device (No Device); the 7th character 1 is the Qualifier (Syngeneic).
What MS-DRG does 0FYG0Z1 group to?
On an inpatient stay, Transplantation of Pancreas, Syngeneic, Open Approach maps to MS-DRGs 405, 406, 407, 628, 629, 630, with relative weights from 1.4595 to 5.4705. The MS-DRG sets the fixed Medicare payment for the stay.
Is 0FYG0Z1 covered by Medicare?
Not always. The Medicare Code Editor flags 0FYG0Z1 as non-covered when diagnosis E1010~E1011~E1021~E1022~E1029~E10311~E10319~E103211~E103212~E103213~E103219~E103291~E103292~E103293~E103299~E103311~E103312~E103313~E103319~E103391~E103392~E103393~E103399~E103411~E103412~E103413~E103419~E103491~E103492~E103493~E103499~E103511~E103512~E103513~E103519~E103521~E103522~E103523~E103529~E103531~E103532~E103533~E103539~E103541~E103542~E103543~E103549~E103551~E103552~E103553~E103559~E103591~E103592~E103593~E103599~E1036~E1037X1~E1037X2~E1037X3~E1037X9~E1039~E1040~E1041~E1042~E1043~E1044~E1049~E1051~E1052~E1059~E10610~E10618~E10620~E10621~E10622~E10628~E10630~E10638~E10641~E10649~E1065~E1069~E108~E109~E891 is reported as the principal or secondary diagnosis, since the procedure is then considered elective. Coverage otherwise follows standard rules.
What is the ICD-9-PCS equivalent of 0FYG0Z1?
Under the General Equivalence Mappings, Transplantation of Pancreas, Syngeneic, Open Approach crosswalks to ICD-9-PCS 52.82. The mapping is approximate, so confirm it fits the documentation.
