ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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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)
00503Z3 03B23ZX 04LB4CZ 06DP0ZZ 07PN0YZ 08LY7ZZ 08U90JZ 09BM8ZZ 0C540ZZ 0D5C3Z3 0HHU81Z 0K9N4ZZ 0KRW4KZ 0LQQ4ZZ 0MDS0ZZ 0P933ZX 0PPL47Z 0QBH4ZX 0QPR44Z 0SGQ05Z 0SWK3KZ 0TWD7CZ 0V5K3ZZ 0WB33ZZ 0X094ZZ 0Y0B47Z 0YUV0KZ
| 0KRW4KZ | Replacement of Left Foot Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KWX00Z | Revision of Drainage Device in Upper Muscle, Open Approach |
| 0KWX07Z | Revision of Autologous Tissue Substitute in Upper Muscle, Open Approach |
| 0KWX0JZ | Revision of Synthetic Substitute in Upper Muscle, Open Approach |
| 0KWX0KZ | Revision of Nonautologous Tissue Substitute in Upper Muscle, Open Approach |
| 0KWX0MZ | Revision of Stimulator Lead in Upper Muscle, Open Approach |
| 0KWX0YZ | Revision of Other Device in Upper Muscle, Open Approach |
| 0KWX30Z | Revision of Drainage Device in Upper Muscle, Percutaneous Approach |
| 0KWX37Z | Revision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Approach |
| 0KWX3JZ | Revision of Synthetic Substitute in Upper Muscle, Percutaneous Approach |
| 0KWX3KZ | Revision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Approach |
| 0KWX3MZ | Revision of Stimulator Lead in Upper Muscle, Percutaneous Approach |
| 0KWX40Z | Revision of Drainage Device in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX47Z | Revision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX4JZ | Revision of Synthetic Substitute in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX4KZ | Revision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX4MZ | Revision of Stimulator Lead in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWY00Z | Revision of Drainage Device in Lower Muscle, Open Approach |
| 0KWY07Z | Revision of Autologous Tissue Substitute in Lower Muscle, Open Approach |
| 0KWY0JZ | Revision of Synthetic Substitute in Lower Muscle, Open Approach |
| 0KWY0KZ | Revision of Nonautologous Tissue Substitute in Lower Muscle, Open Approach |
| 0KWY0MZ | Revision of Stimulator Lead in Lower Muscle, Open Approach |
| 0KWY0YZ | Revision of Other Device in Lower Muscle, Open Approach |
| 0KWY30Z | Revision of Drainage Device in Lower Muscle, Percutaneous Approach |
| 0KWY37Z | Revision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Approach |
| 0KWY3JZ | Revision of Synthetic Substitute in Lower Muscle, Percutaneous Approach |
| 0KWY3KZ | Revision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Approach |
| 0KWY3MZ | Revision of Stimulator Lead in Lower Muscle, Percutaneous Approach |
| 0KWY40Z | Revision of Drainage Device in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY47Z | Revision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY4JZ | Revision of Synthetic Substitute in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY4KZ | Revision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY4MZ | Revision of Stimulator Lead in Lower Muscle, Percutaneous Endoscopic Approach |
| 0L570ZZ | Destruction of Right Hand Tendon, Open Approach |
| 0L573ZZ | Destruction of Right Hand Tendon, Percutaneous Approach |
| 0L574ZZ | Destruction of Right Hand Tendon, Percutaneous Endoscopic Approach |
| 0L580ZZ | Destruction of Left Hand Tendon, Open Approach |
| 0L583ZZ | Destruction of Left Hand Tendon, Percutaneous Approach |
| 0L584ZZ | Destruction of Left Hand Tendon, Percutaneous Endoscopic Approach |
| 0L800ZZ | Division of Head and Neck Tendon, Open Approach |
| 0L803ZZ | Division of Head and Neck Tendon, Percutaneous Approach |
| 0L804ZZ | Division of Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0L810ZZ | Division of Right Shoulder Tendon, Open Approach |
| 0L813ZZ | Division of Right Shoulder Tendon, Percutaneous Approach |
| 0L814ZZ | Division of Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0L820ZZ | Division of Left Shoulder Tendon, Open Approach |
| 0L823ZZ | Division of Left Shoulder Tendon, Percutaneous Approach |
| 0L824ZZ | Division of Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0L830ZZ | Division of Right Upper Arm Tendon, Open Approach |
| 0L833ZZ | Division of Right Upper Arm Tendon, Percutaneous Approach |
| 0L834ZZ | Division of Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0L840ZZ | Division of Left Upper Arm Tendon, Open Approach |
| 0L843ZZ | Division of Left Upper Arm Tendon, Percutaneous Approach |
| 0L844ZZ | Division of Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0L850ZZ | Division of Right Lower Arm and Wrist Tendon, Open Approach |
| 0L853ZZ | Division of Right Lower Arm and Wrist Tendon, Percutaneous Approach |
| 0L854ZZ | Division of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0L860ZZ | Division of Left Lower Arm and Wrist Tendon, Open Approach |
| 0L863ZZ | Division of Left Lower Arm and Wrist Tendon, Percutaneous Approach |
| 0L864ZZ | Division of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0L870ZZ | Division of Right Hand Tendon, Open Approach |
| 0L873ZZ | Division of Right Hand Tendon, Percutaneous Approach |
| 0L874ZZ | Division of Right Hand Tendon, Percutaneous Endoscopic Approach |
| 0L880ZZ | Division of Left Hand Tendon, Open Approach |
| 0L883ZZ | Division of Left Hand Tendon, Percutaneous Approach |
| 0L884ZZ | Division of Left Hand Tendon, Percutaneous Endoscopic Approach |
| 0L890ZZ | Division of Right Trunk Tendon, Open Approach |
| 0L893ZZ | Division of Right Trunk Tendon, Percutaneous Approach |
| 0L894ZZ | Division of Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0L8B0ZZ | Division of Left Trunk Tendon, Open Approach |
| 0L8B3ZZ | Division of Left Trunk Tendon, Percutaneous Approach |
| 0L8B4ZZ | Division of Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0L8C0ZZ | Division of Right Thorax Tendon, Open Approach |
| 0L8C3ZZ | Division of Right Thorax Tendon, Percutaneous Approach |
| 0L8C4ZZ | Division of Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0L8D0ZZ | Division of Left Thorax Tendon, Open Approach |
| 0L8D3ZZ | Division of Left Thorax Tendon, Percutaneous Approach |
| 0L8D4ZZ | Division of Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0L8F0ZZ | Division of Right Abdomen Tendon, Open Approach |
| 0L8F3ZZ | Division of Right Abdomen Tendon, Percutaneous Approach |
| 0L8F4ZZ | Division of Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0L8G0ZZ | Division of Left Abdomen Tendon, Open Approach |
| 0L8G3ZZ | Division of Left Abdomen Tendon, Percutaneous Approach |
| 0L8G4ZZ | Division of Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0L8H0ZZ | Division of Perineum Tendon, Open Approach |
| 0L8H3ZZ | Division of Perineum Tendon, Percutaneous Approach |
| 0L8H4ZZ | Division of Perineum Tendon, Percutaneous Endoscopic Approach |
| 0L8L0ZZ | Division of Right Upper Leg Tendon, Open Approach |
| 0L8L3ZZ | Division of Right Upper Leg Tendon, Percutaneous Approach |
| 0L8L4ZZ | Division of Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0L8M0ZZ | Division of Left Upper Leg Tendon, Open Approach |
| 0L8M3ZZ | Division of Left Upper Leg Tendon, Percutaneous Approach |
| 0L8M4ZZ | Division of Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0L8Q0ZZ | Division of Right Knee Tendon, Open Approach |
| 0L8Q3ZZ | Division of Right Knee Tendon, Percutaneous Approach |
| 0L8Q4ZZ | Division of Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0L8R0ZZ | Division of Left Knee Tendon, Open Approach |
| 0L8R3ZZ | Division of Left Knee Tendon, Percutaneous Approach |
| 0L8R4ZZ | Division of Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0L8S0ZZ | Division of Right Ankle Tendon, Open Approach |
| 0L8S3ZZ | Division of Right Ankle Tendon, Percutaneous Approach |
| 0L8S4ZZ | Division of Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0L8T0ZZ | Division of Left Ankle Tendon, Open Approach |
| 0L8T3ZZ | Division of Left Ankle Tendon, Percutaneous Approach |
| 0L8T4ZZ | Division of Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0L8V0ZZ | Division of Right Foot Tendon, Open Approach |
| 0L8V3ZZ | Division of Right Foot Tendon, Percutaneous Approach |
| 0L8V4ZZ | Division of Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0L8W0ZZ | Division of Left Foot Tendon, Open Approach |
| 0L8W3ZZ | Division of Left Foot Tendon, Percutaneous Approach |
| 0L8W4ZZ | Division of Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0L9000Z | Drainage of Head and Neck Tendon with Drainage Device, Open Approach |
| 0L900ZX | Drainage of Head and Neck Tendon, Open Approach, Diagnostic |
| 0L900ZZ | Drainage of Head and Neck Tendon, Open Approach |
| 0L9040Z | Drainage of Head and Neck Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L904ZZ | Drainage of Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0L9100Z | Drainage of Right Shoulder Tendon with Drainage Device, Open Approach |
| 0L910ZX | Drainage of Right Shoulder Tendon, Open Approach, Diagnostic |
| 0L910ZZ | Drainage of Right Shoulder Tendon, Open Approach |
| 0L9140Z | Drainage of Right Shoulder Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L914ZZ | Drainage of Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0L9200Z | Drainage of Left Shoulder Tendon with Drainage Device, Open Approach |
| 0L920ZX | Drainage of Left Shoulder Tendon, Open Approach, Diagnostic |
| 0L920ZZ | Drainage of Left Shoulder Tendon, Open Approach |
| 0L9240Z | Drainage of Left Shoulder Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L924ZZ | Drainage of Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0L9300Z | Drainage of Right Upper Arm Tendon with Drainage Device, Open Approach |
| 0L930ZX | Drainage of Right Upper Arm Tendon, Open Approach, Diagnostic |
| 0L930ZZ | Drainage of Right Upper Arm Tendon, Open Approach |
| 0L9340Z | Drainage of Right Upper Arm Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L934ZZ | Drainage of Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0L9400Z | Drainage of Left Upper Arm Tendon with Drainage Device, Open Approach |
| 0L940ZX | Drainage of Left Upper Arm Tendon, Open Approach, Diagnostic |
| 0L940ZZ | Drainage of Left Upper Arm Tendon, Open Approach |
| 0L9440Z | Drainage of Left Upper Arm Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L944ZZ | Drainage of Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0L9500Z | Drainage of Right Lower Arm and Wrist Tendon with Drainage Device, Open Approach |
| 0L950ZX | Drainage of Right Lower Arm and Wrist Tendon, Open Approach, Diagnostic |
| 0L950ZZ | Drainage of Right Lower Arm and Wrist Tendon, Open Approach |
| 0L9540Z | Drainage of Right Lower Arm and Wrist Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L954ZZ | Drainage of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0L9600Z | Drainage of Left Lower Arm and Wrist Tendon with Drainage Device, Open Approach |
| 0L960ZX | Drainage of Left Lower Arm and Wrist Tendon, Open Approach, Diagnostic |
| 0L960ZZ | Drainage of Left Lower Arm and Wrist Tendon, Open Approach |
| 0L9640Z | Drainage of Left Lower Arm and Wrist Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L964ZZ | Drainage of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0L9700Z | Drainage of Right Hand Tendon with Drainage Device, Open Approach |
| 0L970ZX | Drainage of Right Hand Tendon, Open Approach, Diagnostic |
| 0L970ZZ | Drainage of Right Hand Tendon, Open Approach |
| 0L9740Z | Drainage of Right Hand Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9800Z | Drainage of Left Hand Tendon with Drainage Device, Open Approach |
| 0L980ZX | Drainage of Left Hand Tendon, Open Approach, Diagnostic |
| 0L980ZZ | Drainage of Left Hand Tendon, Open Approach |
| 0L9840Z | Drainage of Left Hand Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9900Z | Drainage of Right Trunk Tendon with Drainage Device, Open Approach |
| 0L990ZX | Drainage of Right Trunk Tendon, Open Approach, Diagnostic |
| 0L990ZZ | Drainage of Right Trunk Tendon, Open Approach |
| 0L9940Z | Drainage of Right Trunk Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L994ZZ | Drainage of Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0L9B00Z | Drainage of Left Trunk Tendon with Drainage Device, Open Approach |
| 0L9B0ZX | Drainage of Left Trunk Tendon, Open Approach, Diagnostic |
| 0L9B0ZZ | Drainage of Left Trunk Tendon, Open Approach |
| 0L9B40Z | Drainage of Left Trunk Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9B4ZZ | Drainage of Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0L9C00Z | Drainage of Right Thorax Tendon with Drainage Device, Open Approach |
| 0L9C0ZX | Drainage of Right Thorax Tendon, Open Approach, Diagnostic |
| 0L9C0ZZ | Drainage of Right Thorax Tendon, Open Approach |
| 0L9C40Z | Drainage of Right Thorax Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9C4ZZ | Drainage of Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0L9D00Z | Drainage of Left Thorax Tendon with Drainage Device, Open Approach |
| 0L9D0ZX | Drainage of Left Thorax Tendon, Open Approach, Diagnostic |
| 0L9D0ZZ | Drainage of Left Thorax Tendon, Open Approach |
| 0L9D40Z | Drainage of Left Thorax Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9D4ZZ | Drainage of Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0L9F00Z | Drainage of Right Abdomen Tendon with Drainage Device, Open Approach |
| 0L9F0ZX | Drainage of Right Abdomen Tendon, Open Approach, Diagnostic |
| 0L9F0ZZ | Drainage of Right Abdomen Tendon, Open Approach |
| 0L9F40Z | Drainage of Right Abdomen Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9F4ZZ | Drainage of Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0L9G00Z | Drainage of Left Abdomen Tendon with Drainage Device, Open Approach |
| 0L9G0ZX | Drainage of Left Abdomen Tendon, Open Approach, Diagnostic |
| 0L9G0ZZ | Drainage of Left Abdomen Tendon, Open Approach |
| 0L9G40Z | Drainage of Left Abdomen Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9G4ZZ | Drainage of Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0L9H00Z | Drainage of Perineum Tendon with Drainage Device, Open Approach |
| 0L9H0ZX | Drainage of Perineum Tendon, Open Approach, Diagnostic |
| 0L9H0ZZ | Drainage of Perineum Tendon, Open Approach |
| 0L9H40Z | Drainage of Perineum Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9H4ZZ | Drainage of Perineum Tendon, Percutaneous Endoscopic Approach |
| 0L9J00Z | Drainage of Right Hip Tendon with Drainage Device, Open Approach |
| 0L9J0ZX | Drainage of Right Hip Tendon, Open Approach, Diagnostic |
| 0L9J0ZZ | Drainage of Right Hip Tendon, Open Approach |
| 0L9J40Z | Drainage of Right Hip Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9J4ZZ | Drainage of Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0L9K00Z | Drainage of Left Hip Tendon with Drainage Device, Open Approach |
| 0L9K0ZX | Drainage of Left Hip Tendon, Open Approach, Diagnostic |
| 0L9K0ZZ | Drainage of Left Hip Tendon, Open Approach |
| 0L9K40Z | Drainage of Left Hip Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9K4ZZ | Drainage of Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0L9L00Z | Drainage of Right Upper Leg Tendon with Drainage Device, Open Approach |
| 0L9L0ZX | Drainage of Right Upper Leg Tendon, Open Approach, Diagnostic |
| 0L9L0ZZ | Drainage of Right Upper Leg Tendon, Open Approach |
| 0L9L40Z | Drainage of Right Upper Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9L4ZZ | Drainage of Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0L9M00Z | Drainage of Left Upper Leg Tendon with Drainage Device, Open Approach |
| 0L9M0ZX | Drainage of Left Upper Leg Tendon, Open Approach, Diagnostic |
| 0L9M0ZZ | Drainage of Left Upper Leg Tendon, Open Approach |
| 0L9M40Z | Drainage of Left Upper Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9M4ZZ | Drainage of Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0L9N00Z | Drainage of Right Lower Leg Tendon with Drainage Device, Open Approach |
| 0L9N0ZX | Drainage of Right Lower Leg Tendon, Open Approach, Diagnostic |
| 0L9N0ZZ | Drainage of Right Lower Leg Tendon, Open Approach |
| 0L9N40Z | Drainage of Right Lower Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9N4ZZ | Drainage of Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0L9P00Z | Drainage of Left Lower Leg Tendon with Drainage Device, Open Approach |
| 0L9P0ZX | Drainage of Left Lower Leg Tendon, Open Approach, Diagnostic |
| 0L9P0ZZ | Drainage of Left Lower Leg Tendon, Open Approach |
| 0L9P40Z | Drainage of Left Lower Leg Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9P4ZZ | Drainage of Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0L9Q00Z | Drainage of Right Knee Tendon with Drainage Device, Open Approach |
| 0L9Q0ZX | Drainage of Right Knee Tendon, Open Approach, Diagnostic |
| 0L9Q0ZZ | Drainage of Right Knee Tendon, Open Approach |
| 0L9Q40Z | Drainage of Right Knee Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9Q4ZZ | Drainage of Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0L9R00Z | Drainage of Left Knee Tendon with Drainage Device, Open Approach |
| 0L9R0ZX | Drainage of Left Knee Tendon, Open Approach, Diagnostic |
| 0L9R0ZZ | Drainage of Left Knee Tendon, Open Approach |
| 0L9R40Z | Drainage of Left Knee Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9R4ZZ | Drainage of Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0L9S00Z | Drainage of Right Ankle Tendon with Drainage Device, Open Approach |
| 0L9S0ZX | Drainage of Right Ankle Tendon, Open Approach, Diagnostic |
| 0L9S0ZZ | Drainage of Right Ankle Tendon, Open Approach |
| 0L9S40Z | Drainage of Right Ankle Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9S4ZZ | Drainage of Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0L9T00Z | Drainage of Left Ankle Tendon with Drainage Device, Open Approach |
| 0L9T0ZX | Drainage of Left Ankle Tendon, Open Approach, Diagnostic |
| 0L9T0ZZ | Drainage of Left Ankle Tendon, Open Approach |
| 0L9T40Z | Drainage of Left Ankle Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9T4ZZ | Drainage of Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0L9V00Z | Drainage of Right Foot Tendon with Drainage Device, Open Approach |
| 0L9V0ZX | Drainage of Right Foot Tendon, Open Approach, Diagnostic |
| 0L9V0ZZ | Drainage of Right Foot Tendon, Open Approach |
| 0L9V40Z | Drainage of Right Foot Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9V4ZZ | Drainage of Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0L9W00Z | Drainage of Left Foot Tendon with Drainage Device, Open Approach |
| 0L9W0ZX | Drainage of Left Foot Tendon, Open Approach, Diagnostic |
| 0L9W0ZZ | Drainage of Left Foot Tendon, Open Approach |
| 0L9W40Z | Drainage of Left Foot Tendon with Drainage Device, Percutaneous Endoscopic Approach |
| 0L9W4ZZ | Drainage of Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LB00ZX | Excision of Head and Neck Tendon, Open Approach, Diagnostic |
| 0LB10ZX | Excision of Right Shoulder Tendon, Open Approach, Diagnostic |
| 0LB20ZX | Excision of Left Shoulder Tendon, Open Approach, Diagnostic |
| 0LB30ZX | Excision of Right Upper Arm Tendon, Open Approach, Diagnostic |
| 0LB40ZX | Excision of Left Upper Arm Tendon, Open Approach, Diagnostic |
| 0LB50ZX | Excision of Right Lower Arm and Wrist Tendon, Open Approach, Diagnostic |
| 0LB60ZX | Excision of Left Lower Arm and Wrist Tendon, Open Approach, Diagnostic |
| 0LB70ZX | Excision of Right Hand Tendon, Open Approach, Diagnostic |
| 0LB80ZX | Excision of Left Hand Tendon, Open Approach, Diagnostic |
| 0LB90ZX | Excision of Right Trunk Tendon, Open Approach, Diagnostic |
| 0LBB0ZX | Excision of Left Trunk Tendon, Open Approach, Diagnostic |
| 0LBC0ZX | Excision of Right Thorax Tendon, Open Approach, Diagnostic |
| 0LBD0ZX | Excision of Left Thorax Tendon, Open Approach, Diagnostic |
| 0LBF0ZX | Excision of Right Abdomen Tendon, Open Approach, Diagnostic |
| 0LBG0ZX | Excision of Left Abdomen Tendon, Open Approach, Diagnostic |
| 0LBH0ZX | Excision of Perineum Tendon, Open Approach, Diagnostic |
| 0LBJ0ZX | Excision of Right Hip Tendon, Open Approach, Diagnostic |
| 0LBK0ZX | Excision of Left Hip Tendon, Open Approach, Diagnostic |
| 0LBL0ZX | Excision of Right Upper Leg Tendon, Open Approach, Diagnostic |
| 0LBM0ZX | Excision of Left Upper Leg Tendon, Open Approach, Diagnostic |
| 0LBN0ZX | Excision of Right Lower Leg Tendon, Open Approach, Diagnostic |
| 0LBP0ZX | Excision of Left Lower Leg Tendon, Open Approach, Diagnostic |
| 0LBQ0ZX | Excision of Right Knee Tendon, Open Approach, Diagnostic |
| 0LBR0ZX | Excision of Left Knee Tendon, Open Approach, Diagnostic |
| 0LBS0ZX | Excision of Right Ankle Tendon, Open Approach, Diagnostic |
| 0LBT0ZX | Excision of Left Ankle Tendon, Open Approach, Diagnostic |
| 0LBV0ZX | Excision of Right Foot Tendon, Open Approach, Diagnostic |
| 0LBW0ZX | Excision of Left Foot Tendon, Open Approach, Diagnostic |
| 0LC00ZZ | Extirpation of Matter from Head and Neck Tendon, Open Approach |
| 0LC03ZZ | Extirpation of Matter from Head and Neck Tendon, Percutaneous Approach |
| 0LC04ZZ | Extirpation of Matter from Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0LC10ZZ | Extirpation of Matter from Right Shoulder Tendon, Open Approach |
| 0LC13ZZ | Extirpation of Matter from Right Shoulder Tendon, Percutaneous Approach |
| 0LC14ZZ | Extirpation of Matter from Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LC20ZZ | Extirpation of Matter from Left Shoulder Tendon, Open Approach |
| 0LC23ZZ | Extirpation of Matter from Left Shoulder Tendon, Percutaneous Approach |
| 0LC24ZZ | Extirpation of Matter from Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LC30ZZ | Extirpation of Matter from Right Upper Arm Tendon, Open Approach |
| 0LC33ZZ | Extirpation of Matter from Right Upper Arm Tendon, Percutaneous Approach |
| 0LC34ZZ | Extirpation of Matter from Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LC40ZZ | Extirpation of Matter from Left Upper Arm Tendon, Open Approach |
| 0LC43ZZ | Extirpation of Matter from Left Upper Arm Tendon, Percutaneous Approach |
| 0LC44ZZ | Extirpation of Matter from Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LC50ZZ | Extirpation of Matter from Right Lower Arm and Wrist Tendon, Open Approach |
| 0LC53ZZ | Extirpation of Matter from Right Lower Arm and Wrist Tendon, Percutaneous Approach |
| 0LC54ZZ | Extirpation of Matter from Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LC60ZZ | Extirpation of Matter from Left Lower Arm and Wrist Tendon, Open Approach |
| 0LC63ZZ | Extirpation of Matter from Left Lower Arm and Wrist Tendon, Percutaneous Approach |
| 0LC64ZZ | Extirpation of Matter from Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LC70ZZ | Extirpation of Matter from Right Hand Tendon, Open Approach |
| 0LC73ZZ | Extirpation of Matter from Right Hand Tendon, Percutaneous Approach |
| 0LC74ZZ | Extirpation of Matter from Right Hand Tendon, Percutaneous Endoscopic Approach |
| 0LC80ZZ | Extirpation of Matter from Left Hand Tendon, Open Approach |
| 0LC83ZZ | Extirpation of Matter from Left Hand Tendon, Percutaneous Approach |
| 0LC84ZZ | Extirpation of Matter from Left Hand Tendon, Percutaneous Endoscopic Approach |
| 0LC90ZZ | Extirpation of Matter from Right Trunk Tendon, Open Approach |
| 0LC93ZZ | Extirpation of Matter from Right Trunk Tendon, Percutaneous Approach |
| 0LC94ZZ | Extirpation of Matter from Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LCB0ZZ | Extirpation of Matter from Left Trunk Tendon, Open Approach |
| 0LCB3ZZ | Extirpation of Matter from Left Trunk Tendon, Percutaneous Approach |
| 0LCB4ZZ | Extirpation of Matter from Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LCC0ZZ | Extirpation of Matter from Right Thorax Tendon, Open Approach |
| 0LCC3ZZ | Extirpation of Matter from Right Thorax Tendon, Percutaneous Approach |
| 0LCC4ZZ | Extirpation of Matter from Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LCD0ZZ | Extirpation of Matter from Left Thorax Tendon, Open Approach |
| 0LCD3ZZ | Extirpation of Matter from Left Thorax Tendon, Percutaneous Approach |
| 0LCD4ZZ | Extirpation of Matter from Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LCF0ZZ | Extirpation of Matter from Right Abdomen Tendon, Open Approach |
| 0LCF3ZZ | Extirpation of Matter from Right Abdomen Tendon, Percutaneous Approach |
| 0LCF4ZZ | Extirpation of Matter from Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LCG0ZZ | Extirpation of Matter from Left Abdomen Tendon, Open Approach |
| 0LCG3ZZ | Extirpation of Matter from Left Abdomen Tendon, Percutaneous Approach |
| 0LCG4ZZ | Extirpation of Matter from Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LCH0ZZ | Extirpation of Matter from Perineum Tendon, Open Approach |
| 0LCH3ZZ | Extirpation of Matter from Perineum Tendon, Percutaneous Approach |
| 0LCH4ZZ | Extirpation of Matter from Perineum Tendon, Percutaneous Endoscopic Approach |
| 0LCJ0ZZ | Extirpation of Matter from Right Hip Tendon, Open Approach |
| 0LCJ3ZZ | Extirpation of Matter from Right Hip Tendon, Percutaneous Approach |
| 0LCJ4ZZ | Extirpation of Matter from Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0LCK0ZZ | Extirpation of Matter from Left Hip Tendon, Open Approach |
| 0LCK3ZZ | Extirpation of Matter from Left Hip Tendon, Percutaneous Approach |
| 0LCK4ZZ | Extirpation of Matter from Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0LCL0ZZ | Extirpation of Matter from Right Upper Leg Tendon, Open Approach |
| 0LCL3ZZ | Extirpation of Matter from Right Upper Leg Tendon, Percutaneous Approach |
| 0LCL4ZZ | Extirpation of Matter from Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LCM0ZZ | Extirpation of Matter from Left Upper Leg Tendon, Open Approach |
| 0LCM3ZZ | Extirpation of Matter from Left Upper Leg Tendon, Percutaneous Approach |
| 0LCM4ZZ | Extirpation of Matter from Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LCN0ZZ | Extirpation of Matter from Right Lower Leg Tendon, Open Approach |
| 0LCN3ZZ | Extirpation of Matter from Right Lower Leg Tendon, Percutaneous Approach |
| 0LCN4ZZ | Extirpation of Matter from Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LCP0ZZ | Extirpation of Matter from Left Lower Leg Tendon, Open Approach |
| 0LCP3ZZ | Extirpation of Matter from Left Lower Leg Tendon, Percutaneous Approach |
| 0LCP4ZZ | Extirpation of Matter from Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LCQ0ZZ | Extirpation of Matter from Right Knee Tendon, Open Approach |
| 0LCQ3ZZ | Extirpation of Matter from Right Knee Tendon, Percutaneous Approach |
| 0LCQ4ZZ | Extirpation of Matter from Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0LCR0ZZ | Extirpation of Matter from Left Knee Tendon, Open Approach |
| 0LCR3ZZ | Extirpation of Matter from Left Knee Tendon, Percutaneous Approach |
| 0LCR4ZZ | Extirpation of Matter from Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0LCS0ZZ | Extirpation of Matter from Right Ankle Tendon, Open Approach |
| 0LCS3ZZ | Extirpation of Matter from Right Ankle Tendon, Percutaneous Approach |
| 0LCS4ZZ | Extirpation of Matter from Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LCT0ZZ | Extirpation of Matter from Left Ankle Tendon, Open Approach |
| 0LCT3ZZ | Extirpation of Matter from Left Ankle Tendon, Percutaneous Approach |
| 0LCT4ZZ | Extirpation of Matter from Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LCV0ZZ | Extirpation of Matter from Right Foot Tendon, Open Approach |
| 0LCV3ZZ | Extirpation of Matter from Right Foot Tendon, Percutaneous Approach |
| 0LCV4ZZ | Extirpation of Matter from Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0LCW0ZZ | Extirpation of Matter from Left Foot Tendon, Open Approach |
| 0LCW3ZZ | Extirpation of Matter from Left Foot Tendon, Percutaneous Approach |
| 0LCW4ZZ | Extirpation of Matter from Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LJX0ZZ | Inspection of Upper Tendon, Open Approach |
| 0LJX4ZZ | Inspection of Upper Tendon, Percutaneous Endoscopic Approach |
| 0LPX00Z | Removal of Drainage Device from Upper Tendon, Open Approach |
| 0LPX07Z | Removal of Autologous Tissue Substitute from Upper Tendon, Open Approach |
| 0LPX0JZ | Removal of Synthetic Substitute from Upper Tendon, Open Approach |
| 0LPX0KZ | Removal of Nonautologous Tissue Substitute from Upper Tendon, Open Approach |
| 0LPX0YZ | Removal of Other Device from Upper Tendon, Open Approach |
| 0LPX37Z | Removal of Autologous Tissue Substitute from Upper Tendon, Percutaneous Approach |
| 0LPX3JZ | Removal of Synthetic Substitute from Upper Tendon, Percutaneous Approach |
| 0LPX3KZ | Removal of Nonautologous Tissue Substitute from Upper Tendon, Percutaneous Approach |
| 0LPX40Z | Removal of Drainage Device from Upper Tendon, Percutaneous Endoscopic Approach |
| 0LPX47Z | Removal of Autologous Tissue Substitute from Upper Tendon, Percutaneous Endoscopic Approach |
| 0LPX4JZ | Removal of Synthetic Substitute from Upper Tendon, Percutaneous Endoscopic Approach |
| 0LPX4KZ | Removal of Nonautologous Tissue Substitute from Upper Tendon, Percutaneous Endoscopic Approach |
| 0LPY00Z | Removal of Drainage Device from Lower Tendon, Open Approach |
| 0LPY07Z | Removal of Autologous Tissue Substitute from Lower Tendon, Open Approach |
| 0LPY0JZ | Removal of Synthetic Substitute from Lower Tendon, Open Approach |
| 0LPY0KZ | Removal of Nonautologous Tissue Substitute from Lower Tendon, Open Approach |
| 0LPY0YZ | Removal of Other Device from Lower Tendon, Open Approach |
| 0LPY37Z | Removal of Autologous Tissue Substitute from Lower Tendon, Percutaneous Approach |
| 0LPY3JZ | Removal of Synthetic Substitute from Lower Tendon, Percutaneous Approach |
| 0LPY3KZ | Removal of Nonautologous Tissue Substitute from Lower Tendon, Percutaneous Approach |
| 0LPY40Z | Removal of Drainage Device from Lower Tendon, Percutaneous Endoscopic Approach |
| 0LPY47Z | Removal of Autologous Tissue Substitute from Lower Tendon, Percutaneous Endoscopic Approach |
| 0LPY4JZ | Removal of Synthetic Substitute from Lower Tendon, Percutaneous Endoscopic Approach |
| 0LPY4KZ | Removal of Nonautologous Tissue Substitute from Lower Tendon, Percutaneous Endoscopic Approach |
| 0LQ10ZZ | Repair Right Shoulder Tendon, Open Approach |
| 0LQ13ZZ | Repair Right Shoulder Tendon, Percutaneous Approach |
| 0LQ14ZZ | Repair Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LQ20ZZ | Repair Left Shoulder Tendon, Open Approach |
| 0LQ23ZZ | Repair Left Shoulder Tendon, Percutaneous Approach |
| 0LQ24ZZ | Repair Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LQ70ZZ | Repair Right Hand Tendon, Open Approach |
| 0LQ73ZZ | Repair Right Hand Tendon, Percutaneous Approach |
| 0LQ74ZZ | Repair Right Hand Tendon, Percutaneous Endoscopic Approach |
| 0LQ80ZZ | Repair Left Hand Tendon, Open Approach |
| 0LQ83ZZ | Repair Left Hand Tendon, Percutaneous Approach |
| 0LQ84ZZ | Repair Left Hand Tendon, Percutaneous Endoscopic Approach |
| 0LQQ0ZZ | Repair Right Knee Tendon, Open Approach |
| 0LQQ3ZZ | Repair 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 |