ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989)
Non-extensive O.R. procedures unrelated to principal diagnosis
Page 13 of 27

ONLY OPERATING ROOM PROCEDURES (continued)

0KRW4KZReplacement of Left Foot Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KWX00ZRevision of Drainage Device in Upper Muscle, Open Approach
0KWX07ZRevision of Autologous Tissue Substitute in Upper Muscle, Open Approach
0KWX0JZRevision of Synthetic Substitute in Upper Muscle, Open Approach
0KWX0KZRevision of Nonautologous Tissue Substitute in Upper Muscle, Open Approach
0KWX0MZRevision of Stimulator Lead in Upper Muscle, Open Approach
0KWX0YZRevision of Other Device in Upper Muscle, Open Approach
0KWX30ZRevision of Drainage Device in Upper Muscle, Percutaneous Approach
0KWX37ZRevision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Approach
0KWX3JZRevision of Synthetic Substitute in Upper Muscle, Percutaneous Approach
0KWX3KZRevision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Approach
0KWX3MZRevision of Stimulator Lead in Upper Muscle, Percutaneous Approach
0KWX40ZRevision of Drainage Device in Upper Muscle, Percutaneous Endoscopic Approach
0KWX47ZRevision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach
0KWX4JZRevision of Synthetic Substitute in Upper Muscle, Percutaneous Endoscopic Approach
0KWX4KZRevision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach
0KWX4MZRevision of Stimulator Lead in Upper Muscle, Percutaneous Endoscopic Approach
0KWY00ZRevision of Drainage Device in Lower Muscle, Open Approach
0KWY07ZRevision of Autologous Tissue Substitute in Lower Muscle, Open Approach
0KWY0JZRevision of Synthetic Substitute in Lower Muscle, Open Approach
0KWY0KZRevision of Nonautologous Tissue Substitute in Lower Muscle, Open Approach
0KWY0MZRevision of Stimulator Lead in Lower Muscle, Open Approach
0KWY0YZRevision of Other Device in Lower Muscle, Open Approach
0KWY30ZRevision of Drainage Device in Lower Muscle, Percutaneous Approach
0KWY37ZRevision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Approach
0KWY3JZRevision of Synthetic Substitute in Lower Muscle, Percutaneous Approach
0KWY3KZRevision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Approach
0KWY3MZRevision of Stimulator Lead in Lower Muscle, Percutaneous Approach
0KWY40ZRevision of Drainage Device in Lower Muscle, Percutaneous Endoscopic Approach
0KWY47ZRevision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach
0KWY4JZRevision of Synthetic Substitute in Lower Muscle, Percutaneous Endoscopic Approach
0KWY4KZRevision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach
0KWY4MZRevision of Stimulator Lead in Lower Muscle, Percutaneous Endoscopic Approach
0L570ZZDestruction of Right Hand Tendon, Open Approach
0L573ZZDestruction of Right Hand Tendon, Percutaneous Approach
0L574ZZDestruction of Right Hand Tendon, Percutaneous Endoscopic Approach
0L580ZZDestruction of Left Hand Tendon, Open Approach
0L583ZZDestruction of Left Hand Tendon, Percutaneous Approach
0L584ZZDestruction of Left Hand Tendon, Percutaneous Endoscopic Approach
0L800ZZDivision of Head and Neck Tendon, Open Approach
0L803ZZDivision of Head and Neck Tendon, Percutaneous Approach
0L804ZZDivision of Head and Neck Tendon, Percutaneous Endoscopic Approach
0L810ZZDivision of Right Shoulder Tendon, Open Approach
0L813ZZDivision of Right Shoulder Tendon, Percutaneous Approach
0L814ZZDivision of Right Shoulder Tendon, Percutaneous Endoscopic Approach
0L820ZZDivision of Left Shoulder Tendon, Open Approach
0L823ZZDivision of Left Shoulder Tendon, Percutaneous Approach
0L824ZZDivision of Left Shoulder Tendon, Percutaneous Endoscopic Approach
0L830ZZDivision of Right Upper Arm Tendon, Open Approach
0L833ZZDivision of Right Upper Arm Tendon, Percutaneous Approach
0L834ZZDivision of Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0L840ZZDivision of Left Upper Arm Tendon, Open Approach
0L843ZZDivision of Left Upper Arm Tendon, Percutaneous Approach
0L844ZZDivision of Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0L850ZZDivision of Right Lower Arm and Wrist Tendon, Open Approach
0L853ZZDivision of Right Lower Arm and Wrist Tendon, Percutaneous Approach
0L854ZZDivision of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0L860ZZDivision of Left Lower Arm and Wrist Tendon, Open Approach
0L863ZZDivision of Left Lower Arm and Wrist Tendon, Percutaneous Approach
0L864ZZDivision of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0L870ZZDivision of Right Hand Tendon, Open Approach
0L873ZZDivision of Right Hand Tendon, Percutaneous Approach
0L874ZZDivision of Right Hand Tendon, Percutaneous Endoscopic Approach
0L880ZZDivision of Left Hand Tendon, Open Approach
0L883ZZDivision of Left Hand Tendon, Percutaneous Approach
0L884ZZDivision of Left Hand Tendon, Percutaneous Endoscopic Approach
0L890ZZDivision of Right Trunk Tendon, Open Approach
0L893ZZDivision of Right Trunk Tendon, Percutaneous Approach
0L894ZZDivision of Right Trunk Tendon, Percutaneous Endoscopic Approach
0L8B0ZZDivision of Left Trunk Tendon, Open Approach
0L8B3ZZDivision of Left Trunk Tendon, Percutaneous Approach
0L8B4ZZDivision of Left Trunk Tendon, Percutaneous Endoscopic Approach
0L8C0ZZDivision of Right Thorax Tendon, Open Approach
0L8C3ZZDivision of Right Thorax Tendon, Percutaneous Approach
0L8C4ZZDivision of Right Thorax Tendon, Percutaneous Endoscopic Approach
0L8D0ZZDivision of Left Thorax Tendon, Open Approach
0L8D3ZZDivision of Left Thorax Tendon, Percutaneous Approach
0L8D4ZZDivision of Left Thorax Tendon, Percutaneous Endoscopic Approach
0L8F0ZZDivision of Right Abdomen Tendon, Open Approach
0L8F3ZZDivision of Right Abdomen Tendon, Percutaneous Approach
0L8F4ZZDivision of Right Abdomen Tendon, Percutaneous Endoscopic Approach
0L8G0ZZDivision of Left Abdomen Tendon, Open Approach
0L8G3ZZDivision of Left Abdomen Tendon, Percutaneous Approach
0L8G4ZZDivision of Left Abdomen Tendon, Percutaneous Endoscopic Approach
0L8H0ZZDivision of Perineum Tendon, Open Approach
0L8H3ZZDivision of Perineum Tendon, Percutaneous Approach
0L8H4ZZDivision of Perineum Tendon, Percutaneous Endoscopic Approach
0L8L0ZZDivision of Right Upper Leg Tendon, Open Approach
0L8L3ZZDivision of Right Upper Leg Tendon, Percutaneous Approach
0L8L4ZZDivision of Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0L8M0ZZDivision of Left Upper Leg Tendon, Open Approach
0L8M3ZZDivision of Left Upper Leg Tendon, Percutaneous Approach
0L8M4ZZDivision of Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0L8Q0ZZDivision of Right Knee Tendon, Open Approach
0L8Q3ZZDivision of Right Knee Tendon, Percutaneous Approach
0L8Q4ZZDivision of Right Knee Tendon, Percutaneous Endoscopic Approach
0L8R0ZZDivision of Left Knee Tendon, Open Approach
0L8R3ZZDivision of Left Knee Tendon, Percutaneous Approach
0L8R4ZZDivision of Left Knee Tendon, Percutaneous Endoscopic Approach
0L8S0ZZDivision of Right Ankle Tendon, Open Approach
0L8S3ZZDivision of Right Ankle Tendon, Percutaneous Approach
0L8S4ZZDivision of Right Ankle Tendon, Percutaneous Endoscopic Approach
0L8T0ZZDivision of Left Ankle Tendon, Open Approach
0L8T3ZZDivision of Left Ankle Tendon, Percutaneous Approach
0L8T4ZZDivision of Left Ankle Tendon, Percutaneous Endoscopic Approach
0L8V0ZZDivision of Right Foot Tendon, Open Approach
0L8V3ZZDivision of Right Foot Tendon, Percutaneous Approach
0L8V4ZZDivision of Right Foot Tendon, Percutaneous Endoscopic Approach
0L8W0ZZDivision of Left Foot Tendon, Open Approach
0L8W3ZZDivision of Left Foot Tendon, Percutaneous Approach
0L8W4ZZDivision of Left Foot Tendon, Percutaneous Endoscopic Approach
0L9000ZDrainage of Head and Neck Tendon with Drainage Device, Open Approach
0L900ZXDrainage of Head and Neck Tendon, Open Approach, Diagnostic
0L900ZZDrainage of Head and Neck Tendon, Open Approach
0L9040ZDrainage of Head and Neck Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L904ZZDrainage of Head and Neck Tendon, Percutaneous Endoscopic Approach
0L9100ZDrainage of Right Shoulder Tendon with Drainage Device, Open Approach
0L910ZXDrainage of Right Shoulder Tendon, Open Approach, Diagnostic
0L910ZZDrainage of Right Shoulder Tendon, Open Approach
0L9140ZDrainage of Right Shoulder Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L914ZZDrainage of Right Shoulder Tendon, Percutaneous Endoscopic Approach
0L9200ZDrainage of Left Shoulder Tendon with Drainage Device, Open Approach
0L920ZXDrainage of Left Shoulder Tendon, Open Approach, Diagnostic
0L920ZZDrainage of Left Shoulder Tendon, Open Approach
0L9240ZDrainage of Left Shoulder Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L924ZZDrainage of Left Shoulder Tendon, Percutaneous Endoscopic Approach
0L9300ZDrainage of Right Upper Arm Tendon with Drainage Device, Open Approach
0L930ZXDrainage of Right Upper Arm Tendon, Open Approach, Diagnostic
0L930ZZDrainage of Right Upper Arm Tendon, Open Approach
0L9340ZDrainage of Right Upper Arm Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L934ZZDrainage of Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0L9400ZDrainage of Left Upper Arm Tendon with Drainage Device, Open Approach
0L940ZXDrainage of Left Upper Arm Tendon, Open Approach, Diagnostic
0L940ZZDrainage of Left Upper Arm Tendon, Open Approach
0L9440ZDrainage of Left Upper Arm Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L944ZZDrainage of Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0L9500ZDrainage of Right Lower Arm and Wrist Tendon with Drainage Device, Open Approach
0L950ZXDrainage of Right Lower Arm and Wrist Tendon, Open Approach, Diagnostic
0L950ZZDrainage of Right Lower Arm and Wrist Tendon, Open Approach
0L9540ZDrainage of Right Lower Arm and Wrist Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L954ZZDrainage of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0L9600ZDrainage of Left Lower Arm and Wrist Tendon with Drainage Device, Open Approach
0L960ZXDrainage of Left Lower Arm and Wrist Tendon, Open Approach, Diagnostic
0L960ZZDrainage of Left Lower Arm and Wrist Tendon, Open Approach
0L9640ZDrainage of Left Lower Arm and Wrist Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L964ZZDrainage of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0L9700ZDrainage of Right Hand Tendon with Drainage Device, Open Approach
0L970ZXDrainage of Right Hand Tendon, Open Approach, Diagnostic
0L970ZZDrainage of Right Hand Tendon, Open Approach
0L9740ZDrainage of Right Hand Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9800ZDrainage of Left Hand Tendon with Drainage Device, Open Approach
0L980ZXDrainage of Left Hand Tendon, Open Approach, Diagnostic
0L980ZZDrainage of Left Hand Tendon, Open Approach
0L9840ZDrainage of Left Hand Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9900ZDrainage of Right Trunk Tendon with Drainage Device, Open Approach
0L990ZXDrainage of Right Trunk Tendon, Open Approach, Diagnostic
0L990ZZDrainage of Right Trunk Tendon, Open Approach
0L9940ZDrainage of Right Trunk Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L994ZZDrainage of Right Trunk Tendon, Percutaneous Endoscopic Approach
0L9B00ZDrainage of Left Trunk Tendon with Drainage Device, Open Approach
0L9B0ZXDrainage of Left Trunk Tendon, Open Approach, Diagnostic
0L9B0ZZDrainage of Left Trunk Tendon, Open Approach
0L9B40ZDrainage of Left Trunk Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9B4ZZDrainage of Left Trunk Tendon, Percutaneous Endoscopic Approach
0L9C00ZDrainage of Right Thorax Tendon with Drainage Device, Open Approach
0L9C0ZXDrainage of Right Thorax Tendon, Open Approach, Diagnostic
0L9C0ZZDrainage of Right Thorax Tendon, Open Approach
0L9C40ZDrainage of Right Thorax Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9C4ZZDrainage of Right Thorax Tendon, Percutaneous Endoscopic Approach
0L9D00ZDrainage of Left Thorax Tendon with Drainage Device, Open Approach
0L9D0ZXDrainage of Left Thorax Tendon, Open Approach, Diagnostic
0L9D0ZZDrainage of Left Thorax Tendon, Open Approach
0L9D40ZDrainage of Left Thorax Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9D4ZZDrainage of Left Thorax Tendon, Percutaneous Endoscopic Approach
0L9F00ZDrainage of Right Abdomen Tendon with Drainage Device, Open Approach
0L9F0ZXDrainage of Right Abdomen Tendon, Open Approach, Diagnostic
0L9F0ZZDrainage of Right Abdomen Tendon, Open Approach
0L9F40ZDrainage of Right Abdomen Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9F4ZZDrainage of Right Abdomen Tendon, Percutaneous Endoscopic Approach
0L9G00ZDrainage of Left Abdomen Tendon with Drainage Device, Open Approach
0L9G0ZXDrainage of Left Abdomen Tendon, Open Approach, Diagnostic
0L9G0ZZDrainage of Left Abdomen Tendon, Open Approach
0L9G40ZDrainage of Left Abdomen Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9G4ZZDrainage of Left Abdomen Tendon, Percutaneous Endoscopic Approach
0L9H00ZDrainage of Perineum Tendon with Drainage Device, Open Approach
0L9H0ZXDrainage of Perineum Tendon, Open Approach, Diagnostic
0L9H0ZZDrainage of Perineum Tendon, Open Approach
0L9H40ZDrainage of Perineum Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9H4ZZDrainage of Perineum Tendon, Percutaneous Endoscopic Approach
0L9J00ZDrainage of Right Hip Tendon with Drainage Device, Open Approach
0L9J0ZXDrainage of Right Hip Tendon, Open Approach, Diagnostic
0L9J0ZZDrainage of Right Hip Tendon, Open Approach
0L9J40ZDrainage of Right Hip Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9J4ZZDrainage of Right Hip Tendon, Percutaneous Endoscopic Approach
0L9K00ZDrainage of Left Hip Tendon with Drainage Device, Open Approach
0L9K0ZXDrainage of Left Hip Tendon, Open Approach, Diagnostic
0L9K0ZZDrainage of Left Hip Tendon, Open Approach
0L9K40ZDrainage of Left Hip Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9K4ZZDrainage of Left Hip Tendon, Percutaneous Endoscopic Approach
0L9L00ZDrainage of Right Upper Leg Tendon with Drainage Device, Open Approach
0L9L0ZXDrainage of Right Upper Leg Tendon, Open Approach, Diagnostic
0L9L0ZZDrainage of Right Upper Leg Tendon, Open Approach
0L9L40ZDrainage of Right Upper Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9L4ZZDrainage of Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0L9M00ZDrainage of Left Upper Leg Tendon with Drainage Device, Open Approach
0L9M0ZXDrainage of Left Upper Leg Tendon, Open Approach, Diagnostic
0L9M0ZZDrainage of Left Upper Leg Tendon, Open Approach
0L9M40ZDrainage of Left Upper Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9M4ZZDrainage of Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0L9N00ZDrainage of Right Lower Leg Tendon with Drainage Device, Open Approach
0L9N0ZXDrainage of Right Lower Leg Tendon, Open Approach, Diagnostic
0L9N0ZZDrainage of Right Lower Leg Tendon, Open Approach
0L9N40ZDrainage of Right Lower Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9N4ZZDrainage of Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0L9P00ZDrainage of Left Lower Leg Tendon with Drainage Device, Open Approach
0L9P0ZXDrainage of Left Lower Leg Tendon, Open Approach, Diagnostic
0L9P0ZZDrainage of Left Lower Leg Tendon, Open Approach
0L9P40ZDrainage of Left Lower Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9P4ZZDrainage of Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0L9Q00ZDrainage of Right Knee Tendon with Drainage Device, Open Approach
0L9Q0ZXDrainage of Right Knee Tendon, Open Approach, Diagnostic
0L9Q0ZZDrainage of Right Knee Tendon, Open Approach
0L9Q40ZDrainage of Right Knee Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9Q4ZZDrainage of Right Knee Tendon, Percutaneous Endoscopic Approach
0L9R00ZDrainage of Left Knee Tendon with Drainage Device, Open Approach
0L9R0ZXDrainage of Left Knee Tendon, Open Approach, Diagnostic
0L9R0ZZDrainage of Left Knee Tendon, Open Approach
0L9R40ZDrainage of Left Knee Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9R4ZZDrainage of Left Knee Tendon, Percutaneous Endoscopic Approach
0L9S00ZDrainage of Right Ankle Tendon with Drainage Device, Open Approach
0L9S0ZXDrainage of Right Ankle Tendon, Open Approach, Diagnostic
0L9S0ZZDrainage of Right Ankle Tendon, Open Approach
0L9S40ZDrainage of Right Ankle Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9S4ZZDrainage of Right Ankle Tendon, Percutaneous Endoscopic Approach
0L9T00ZDrainage of Left Ankle Tendon with Drainage Device, Open Approach
0L9T0ZXDrainage of Left Ankle Tendon, Open Approach, Diagnostic
0L9T0ZZDrainage of Left Ankle Tendon, Open Approach
0L9T40ZDrainage of Left Ankle Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9T4ZZDrainage of Left Ankle Tendon, Percutaneous Endoscopic Approach
0L9V00ZDrainage of Right Foot Tendon with Drainage Device, Open Approach
0L9V0ZXDrainage of Right Foot Tendon, Open Approach, Diagnostic
0L9V0ZZDrainage of Right Foot Tendon, Open Approach
0L9V40ZDrainage of Right Foot Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9V4ZZDrainage of Right Foot Tendon, Percutaneous Endoscopic Approach
0L9W00ZDrainage of Left Foot Tendon with Drainage Device, Open Approach
0L9W0ZXDrainage of Left Foot Tendon, Open Approach, Diagnostic
0L9W0ZZDrainage of Left Foot Tendon, Open Approach
0L9W40ZDrainage of Left Foot Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9W4ZZDrainage of Left Foot Tendon, Percutaneous Endoscopic Approach
0LB00ZXExcision of Head and Neck Tendon, Open Approach, Diagnostic
0LB10ZXExcision of Right Shoulder Tendon, Open Approach, Diagnostic
0LB20ZXExcision of Left Shoulder Tendon, Open Approach, Diagnostic
0LB30ZXExcision of Right Upper Arm Tendon, Open Approach, Diagnostic
0LB40ZXExcision of Left Upper Arm Tendon, Open Approach, Diagnostic
0LB50ZXExcision of Right Lower Arm and Wrist Tendon, Open Approach, Diagnostic
0LB60ZXExcision of Left Lower Arm and Wrist Tendon, Open Approach, Diagnostic
0LB70ZXExcision of Right Hand Tendon, Open Approach, Diagnostic
0LB80ZXExcision of Left Hand Tendon, Open Approach, Diagnostic
0LB90ZXExcision of Right Trunk Tendon, Open Approach, Diagnostic
0LBB0ZXExcision of Left Trunk Tendon, Open Approach, Diagnostic
0LBC0ZXExcision of Right Thorax Tendon, Open Approach, Diagnostic
0LBD0ZXExcision of Left Thorax Tendon, Open Approach, Diagnostic
0LBF0ZXExcision of Right Abdomen Tendon, Open Approach, Diagnostic
0LBG0ZXExcision of Left Abdomen Tendon, Open Approach, Diagnostic
0LBH0ZXExcision of Perineum Tendon, Open Approach, Diagnostic
0LBJ0ZXExcision of Right Hip Tendon, Open Approach, Diagnostic
0LBK0ZXExcision of Left Hip Tendon, Open Approach, Diagnostic
0LBL0ZXExcision of Right Upper Leg Tendon, Open Approach, Diagnostic
0LBM0ZXExcision of Left Upper Leg Tendon, Open Approach, Diagnostic
0LBN0ZXExcision of Right Lower Leg Tendon, Open Approach, Diagnostic
0LBP0ZXExcision of Left Lower Leg Tendon, Open Approach, Diagnostic
0LBQ0ZXExcision of Right Knee Tendon, Open Approach, Diagnostic
0LBR0ZXExcision of Left Knee Tendon, Open Approach, Diagnostic
0LBS0ZXExcision of Right Ankle Tendon, Open Approach, Diagnostic
0LBT0ZXExcision of Left Ankle Tendon, Open Approach, Diagnostic
0LBV0ZXExcision of Right Foot Tendon, Open Approach, Diagnostic
0LBW0ZXExcision of Left Foot Tendon, Open Approach, Diagnostic
0LC00ZZExtirpation of Matter from Head and Neck Tendon, Open Approach
0LC03ZZExtirpation of Matter from Head and Neck Tendon, Percutaneous Approach
0LC04ZZExtirpation of Matter from Head and Neck Tendon, Percutaneous Endoscopic Approach
0LC10ZZExtirpation of Matter from Right Shoulder Tendon, Open Approach
0LC13ZZExtirpation of Matter from Right Shoulder Tendon, Percutaneous Approach
0LC14ZZExtirpation of Matter from Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LC20ZZExtirpation of Matter from Left Shoulder Tendon, Open Approach
0LC23ZZExtirpation of Matter from Left Shoulder Tendon, Percutaneous Approach
0LC24ZZExtirpation of Matter from Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LC30ZZExtirpation of Matter from Right Upper Arm Tendon, Open Approach
0LC33ZZExtirpation of Matter from Right Upper Arm Tendon, Percutaneous Approach
0LC34ZZExtirpation of Matter from Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LC40ZZExtirpation of Matter from Left Upper Arm Tendon, Open Approach
0LC43ZZExtirpation of Matter from Left Upper Arm Tendon, Percutaneous Approach
0LC44ZZExtirpation of Matter from Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LC50ZZExtirpation of Matter from Right Lower Arm and Wrist Tendon, Open Approach
0LC53ZZExtirpation of Matter from Right Lower Arm and Wrist Tendon, Percutaneous Approach
0LC54ZZExtirpation of Matter from Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LC60ZZExtirpation of Matter from Left Lower Arm and Wrist Tendon, Open Approach
0LC63ZZExtirpation of Matter from Left Lower Arm and Wrist Tendon, Percutaneous Approach
0LC64ZZExtirpation of Matter from Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LC70ZZExtirpation of Matter from Right Hand Tendon, Open Approach
0LC73ZZExtirpation of Matter from Right Hand Tendon, Percutaneous Approach
0LC74ZZExtirpation of Matter from Right Hand Tendon, Percutaneous Endoscopic Approach
0LC80ZZExtirpation of Matter from Left Hand Tendon, Open Approach
0LC83ZZExtirpation of Matter from Left Hand Tendon, Percutaneous Approach
0LC84ZZExtirpation of Matter from Left Hand Tendon, Percutaneous Endoscopic Approach
0LC90ZZExtirpation of Matter from Right Trunk Tendon, Open Approach
0LC93ZZExtirpation of Matter from Right Trunk Tendon, Percutaneous Approach
0LC94ZZExtirpation of Matter from Right Trunk Tendon, Percutaneous Endoscopic Approach
0LCB0ZZExtirpation of Matter from Left Trunk Tendon, Open Approach
0LCB3ZZExtirpation of Matter from Left Trunk Tendon, Percutaneous Approach
0LCB4ZZExtirpation of Matter from Left Trunk Tendon, Percutaneous Endoscopic Approach
0LCC0ZZExtirpation of Matter from Right Thorax Tendon, Open Approach
0LCC3ZZExtirpation of Matter from Right Thorax Tendon, Percutaneous Approach
0LCC4ZZExtirpation of Matter from Right Thorax Tendon, Percutaneous Endoscopic Approach
0LCD0ZZExtirpation of Matter from Left Thorax Tendon, Open Approach
0LCD3ZZExtirpation of Matter from Left Thorax Tendon, Percutaneous Approach
0LCD4ZZExtirpation of Matter from Left Thorax Tendon, Percutaneous Endoscopic Approach
0LCF0ZZExtirpation of Matter from Right Abdomen Tendon, Open Approach
0LCF3ZZExtirpation of Matter from Right Abdomen Tendon, Percutaneous Approach
0LCF4ZZExtirpation of Matter from Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LCG0ZZExtirpation of Matter from Left Abdomen Tendon, Open Approach
0LCG3ZZExtirpation of Matter from Left Abdomen Tendon, Percutaneous Approach
0LCG4ZZExtirpation of Matter from Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LCH0ZZExtirpation of Matter from Perineum Tendon, Open Approach
0LCH3ZZExtirpation of Matter from Perineum Tendon, Percutaneous Approach
0LCH4ZZExtirpation of Matter from Perineum Tendon, Percutaneous Endoscopic Approach
0LCJ0ZZExtirpation of Matter from Right Hip Tendon, Open Approach
0LCJ3ZZExtirpation of Matter from Right Hip Tendon, Percutaneous Approach
0LCJ4ZZExtirpation of Matter from Right Hip Tendon, Percutaneous Endoscopic Approach
0LCK0ZZExtirpation of Matter from Left Hip Tendon, Open Approach
0LCK3ZZExtirpation of Matter from Left Hip Tendon, Percutaneous Approach
0LCK4ZZExtirpation of Matter from Left Hip Tendon, Percutaneous Endoscopic Approach
0LCL0ZZExtirpation of Matter from Right Upper Leg Tendon, Open Approach
0LCL3ZZExtirpation of Matter from Right Upper Leg Tendon, Percutaneous Approach
0LCL4ZZExtirpation of Matter from Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LCM0ZZExtirpation of Matter from Left Upper Leg Tendon, Open Approach
0LCM3ZZExtirpation of Matter from Left Upper Leg Tendon, Percutaneous Approach
0LCM4ZZExtirpation of Matter from Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LCN0ZZExtirpation of Matter from Right Lower Leg Tendon, Open Approach
0LCN3ZZExtirpation of Matter from Right Lower Leg Tendon, Percutaneous Approach
0LCN4ZZExtirpation of Matter from Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LCP0ZZExtirpation of Matter from Left Lower Leg Tendon, Open Approach
0LCP3ZZExtirpation of Matter from Left Lower Leg Tendon, Percutaneous Approach
0LCP4ZZExtirpation of Matter from Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LCQ0ZZExtirpation of Matter from Right Knee Tendon, Open Approach
0LCQ3ZZExtirpation of Matter from Right Knee Tendon, Percutaneous Approach
0LCQ4ZZExtirpation of Matter from Right Knee Tendon, Percutaneous Endoscopic Approach
0LCR0ZZExtirpation of Matter from Left Knee Tendon, Open Approach
0LCR3ZZExtirpation of Matter from Left Knee Tendon, Percutaneous Approach
0LCR4ZZExtirpation of Matter from Left Knee Tendon, Percutaneous Endoscopic Approach
0LCS0ZZExtirpation of Matter from Right Ankle Tendon, Open Approach
0LCS3ZZExtirpation of Matter from Right Ankle Tendon, Percutaneous Approach
0LCS4ZZExtirpation of Matter from Right Ankle Tendon, Percutaneous Endoscopic Approach
0LCT0ZZExtirpation of Matter from Left Ankle Tendon, Open Approach
0LCT3ZZExtirpation of Matter from Left Ankle Tendon, Percutaneous Approach
0LCT4ZZExtirpation of Matter from Left Ankle Tendon, Percutaneous Endoscopic Approach
0LCV0ZZExtirpation of Matter from Right Foot Tendon, Open Approach
0LCV3ZZExtirpation of Matter from Right Foot Tendon, Percutaneous Approach
0LCV4ZZExtirpation of Matter from Right Foot Tendon, Percutaneous Endoscopic Approach
0LCW0ZZExtirpation of Matter from Left Foot Tendon, Open Approach
0LCW3ZZExtirpation of Matter from Left Foot Tendon, Percutaneous Approach
0LCW4ZZExtirpation of Matter from Left Foot Tendon, Percutaneous Endoscopic Approach
0LJX0ZZInspection of Upper Tendon, Open Approach
0LJX4ZZInspection of Upper Tendon, Percutaneous Endoscopic Approach
0LPX00ZRemoval of Drainage Device from Upper Tendon, Open Approach
0LPX07ZRemoval of Autologous Tissue Substitute from Upper Tendon, Open Approach
0LPX0JZRemoval of Synthetic Substitute from Upper Tendon, Open Approach
0LPX0KZRemoval of Nonautologous Tissue Substitute from Upper Tendon, Open Approach
0LPX0YZRemoval of Other Device from Upper Tendon, Open Approach
0LPX37ZRemoval of Autologous Tissue Substitute from Upper Tendon, Percutaneous Approach
0LPX3JZRemoval of Synthetic Substitute from Upper Tendon, Percutaneous Approach
0LPX3KZRemoval of Nonautologous Tissue Substitute from Upper Tendon, Percutaneous Approach
0LPX40ZRemoval of Drainage Device from Upper Tendon, Percutaneous Endoscopic Approach
0LPX47ZRemoval of Autologous Tissue Substitute from Upper Tendon, Percutaneous Endoscopic Approach
0LPX4JZRemoval of Synthetic Substitute from Upper Tendon, Percutaneous Endoscopic Approach
0LPX4KZRemoval of Nonautologous Tissue Substitute from Upper Tendon, Percutaneous Endoscopic Approach
0LPY00ZRemoval of Drainage Device from Lower Tendon, Open Approach
0LPY07ZRemoval of Autologous Tissue Substitute from Lower Tendon, Open Approach
0LPY0JZRemoval of Synthetic Substitute from Lower Tendon, Open Approach
0LPY0KZRemoval of Nonautologous Tissue Substitute from Lower Tendon, Open Approach
0LPY0YZRemoval of Other Device from Lower Tendon, Open Approach
0LPY37ZRemoval of Autologous Tissue Substitute from Lower Tendon, Percutaneous Approach
0LPY3JZRemoval of Synthetic Substitute from Lower Tendon, Percutaneous Approach
0LPY3KZRemoval of Nonautologous Tissue Substitute from Lower Tendon, Percutaneous Approach
0LPY40ZRemoval of Drainage Device from Lower Tendon, Percutaneous Endoscopic Approach
0LPY47ZRemoval of Autologous Tissue Substitute from Lower Tendon, Percutaneous Endoscopic Approach
0LPY4JZRemoval of Synthetic Substitute from Lower Tendon, Percutaneous Endoscopic Approach
0LPY4KZRemoval of Nonautologous Tissue Substitute from Lower Tendon, Percutaneous Endoscopic Approach
0LQ10ZZRepair Right Shoulder Tendon, Open Approach
0LQ13ZZRepair Right Shoulder Tendon, Percutaneous Approach
0LQ14ZZRepair Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ20ZZRepair Left Shoulder Tendon, Open Approach
0LQ23ZZRepair Left Shoulder Tendon, Percutaneous Approach
0LQ24ZZRepair Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ70ZZRepair Right Hand Tendon, Open Approach
0LQ73ZZRepair Right Hand Tendon, Percutaneous Approach
0LQ74ZZRepair Right Hand Tendon, Percutaneous Endoscopic Approach
0LQ80ZZRepair Left Hand Tendon, Open Approach
0LQ83ZZRepair Left Hand Tendon, Percutaneous Approach
0LQ84ZZRepair Left Hand Tendon, Percutaneous Endoscopic Approach
0LQQ0ZZRepair Right Knee Tendon, Open Approach
0LQQ3ZZRepair Right Knee Tendon, Percutaneous Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
29 Aug 2022 07:55:53
CMS, code-revision=335, description-revision=1339