ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v40.1 Definitions Manual |
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| MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue |
| Soft tissue procedures |
| Page 8 of 11 |
OPERATING ROOM PROCEDURES (continued)
0HDT0ZZ 0JXF3ZZ 0KB63ZZ 0KQ13ZZ 0KUF0JZ 0L5W3ZZ 0LBT0ZZ 0LRB0KZ 0LX44ZZ 0MDJ4ZZ 0MTW4ZZ
| 0LRB0KZ | Replacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRB47Z | Replacement of Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRB4JZ | Replacement of Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRB4KZ | Replacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRC07Z | Replacement of Right Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRC0JZ | Replacement of Right Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LRC0KZ | Replacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRC47Z | Replacement of Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRC4JZ | Replacement of Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRC4KZ | Replacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRD07Z | Replacement of Left Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRD0JZ | Replacement of Left Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LRD0KZ | Replacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRD47Z | Replacement of Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRD4JZ | Replacement of Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRD4KZ | Replacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRF07Z | Replacement of Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRF0JZ | Replacement of Right Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LRF0KZ | Replacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRF47Z | Replacement of Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRF4JZ | Replacement of Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRF4KZ | Replacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRG07Z | Replacement of Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRG0JZ | Replacement of Left Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LRG0KZ | Replacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRG47Z | Replacement of Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRG4JZ | Replacement of Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRG4KZ | Replacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRH07Z | Replacement of Perineum Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRH0JZ | Replacement of Perineum Tendon with Synthetic Substitute, Open Approach |
| 0LRH0KZ | Replacement of Perineum Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRH47Z | Replacement of Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRH4JZ | Replacement of Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRH4KZ | Replacement of Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRJ07Z | Replacement of Right Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRJ0JZ | Replacement of Right Hip Tendon with Synthetic Substitute, Open Approach |
| 0LRJ0KZ | Replacement of Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRJ47Z | Replacement of Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRJ4JZ | Replacement of Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRJ4KZ | Replacement of Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRK07Z | Replacement of Left Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRK0JZ | Replacement of Left Hip Tendon with Synthetic Substitute, Open Approach |
| 0LRK0KZ | Replacement of Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRK47Z | Replacement of Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRK4JZ | Replacement of Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRK4KZ | Replacement of Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRL07Z | Replacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRL0JZ | Replacement of Right Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRL0KZ | Replacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRL47Z | Replacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRL4JZ | Replacement of Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRL4KZ | Replacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRM07Z | Replacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRM0JZ | Replacement of Left Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRM0KZ | Replacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRM47Z | Replacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRM4JZ | Replacement of Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRM4KZ | Replacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRN07Z | Replacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRN0JZ | Replacement of Right Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRN0KZ | Replacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRN47Z | Replacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRN4JZ | Replacement of Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRN4KZ | Replacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRP07Z | Replacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRP0JZ | Replacement of Left Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LRP0KZ | Replacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRP47Z | Replacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRP4JZ | Replacement of Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRP4KZ | Replacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRQ07Z | Replacement of Right Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRQ0JZ | Replacement of Right Knee Tendon with Synthetic Substitute, Open Approach |
| 0LRQ0KZ | Replacement of Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRQ47Z | Replacement of Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRQ4JZ | Replacement of Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRQ4KZ | Replacement of Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRR07Z | Replacement of Left Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRR0JZ | Replacement of Left Knee Tendon with Synthetic Substitute, Open Approach |
| 0LRR0KZ | Replacement of Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRR47Z | Replacement of Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRR4JZ | Replacement of Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRR4KZ | Replacement of Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRS07Z | Replacement of Right Ankle Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRS0JZ | Replacement of Right Ankle Tendon with Synthetic Substitute, Open Approach |
| 0LRS0KZ | Replacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRS47Z | Replacement of Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRS4JZ | Replacement of Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRS4KZ | Replacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRT07Z | Replacement of Left Ankle Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRT0JZ | Replacement of Left Ankle Tendon with Synthetic Substitute, Open Approach |
| 0LRT0KZ | Replacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRT47Z | Replacement of Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRT4JZ | Replacement of Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRT4KZ | Replacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRV07Z | Replacement of Right Foot Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRV0JZ | Replacement of Right Foot Tendon with Synthetic Substitute, Open Approach |
| 0LRV0KZ | Replacement of Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRV47Z | Replacement of Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRV4JZ | Replacement of Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRV4KZ | Replacement of Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRW07Z | Replacement of Left Foot Tendon with Autologous Tissue Substitute, Open Approach |
| 0LRW0JZ | Replacement of Left Foot Tendon with Synthetic Substitute, Open Approach |
| 0LRW0KZ | Replacement of Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LRW47Z | Replacement of Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LRW4JZ | Replacement of Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LRW4KZ | Replacement of Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LS00ZZ | Reposition Head and Neck Tendon, Open Approach |
| 0LS04ZZ | Reposition Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0LS10ZZ | Reposition Right Shoulder Tendon, Open Approach |
| 0LS14ZZ | Reposition Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LS20ZZ | Reposition Left Shoulder Tendon, Open Approach |
| 0LS24ZZ | Reposition Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LS30ZZ | Reposition Right Upper Arm Tendon, Open Approach |
| 0LS34ZZ | Reposition Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LS40ZZ | Reposition Left Upper Arm Tendon, Open Approach |
| 0LS44ZZ | Reposition Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LS50ZZ | Reposition Right Lower Arm and Wrist Tendon, Open Approach |
| 0LS54ZZ | Reposition Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LS60ZZ | Reposition Left Lower Arm and Wrist Tendon, Open Approach |
| 0LS64ZZ | Reposition Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LS90ZZ | Reposition Right Trunk Tendon, Open Approach |
| 0LS94ZZ | Reposition Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LSB0ZZ | Reposition Left Trunk Tendon, Open Approach |
| 0LSB4ZZ | Reposition Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LSC0ZZ | Reposition Right Thorax Tendon, Open Approach |
| 0LSC4ZZ | Reposition Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LSD0ZZ | Reposition Left Thorax Tendon, Open Approach |
| 0LSD4ZZ | Reposition Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LSF0ZZ | Reposition Right Abdomen Tendon, Open Approach |
| 0LSF4ZZ | Reposition Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LSG0ZZ | Reposition Left Abdomen Tendon, Open Approach |
| 0LSG4ZZ | Reposition Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LSH0ZZ | Reposition Perineum Tendon, Open Approach |
| 0LSH4ZZ | Reposition Perineum Tendon, Percutaneous Endoscopic Approach |
| 0LSJ0ZZ | Reposition Right Hip Tendon, Open Approach |
| 0LSJ4ZZ | Reposition Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0LSK0ZZ | Reposition Left Hip Tendon, Open Approach |
| 0LSK4ZZ | Reposition Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0LSL0ZZ | Reposition Right Upper Leg Tendon, Open Approach |
| 0LSL4ZZ | Reposition Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSM0ZZ | Reposition Left Upper Leg Tendon, Open Approach |
| 0LSM4ZZ | Reposition Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSN0ZZ | Reposition Right Lower Leg Tendon, Open Approach |
| 0LSN4ZZ | Reposition Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSP0ZZ | Reposition Left Lower Leg Tendon, Open Approach |
| 0LSP4ZZ | Reposition Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LSQ0ZZ | Reposition Right Knee Tendon, Open Approach |
| 0LSQ4ZZ | Reposition Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0LSR0ZZ | Reposition Left Knee Tendon, Open Approach |
| 0LSR4ZZ | Reposition Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0LSS0ZZ | Reposition Right Ankle Tendon, Open Approach |
| 0LSS4ZZ | Reposition Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LST0ZZ | Reposition Left Ankle Tendon, Open Approach |
| 0LST4ZZ | Reposition Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LSV0ZZ | Reposition Right Foot Tendon, Open Approach |
| 0LSV4ZZ | Reposition Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0LSW0ZZ | Reposition Left Foot Tendon, Open Approach |
| 0LSW4ZZ | Reposition Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LT00ZZ | Resection of Head and Neck Tendon, Open Approach |
| 0LT04ZZ | Resection of Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0LT10ZZ | Resection of Right Shoulder Tendon, Open Approach |
| 0LT14ZZ | Resection of Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LT20ZZ | Resection of Left Shoulder Tendon, Open Approach |
| 0LT24ZZ | Resection of Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LT30ZZ | Resection of Right Upper Arm Tendon, Open Approach |
| 0LT34ZZ | Resection of Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LT40ZZ | Resection of Left Upper Arm Tendon, Open Approach |
| 0LT44ZZ | Resection of Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LT50ZZ | Resection of Right Lower Arm and Wrist Tendon, Open Approach |
| 0LT54ZZ | Resection of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LT60ZZ | Resection of Left Lower Arm and Wrist Tendon, Open Approach |
| 0LT64ZZ | Resection of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0LT90ZZ | Resection of Right Trunk Tendon, Open Approach |
| 0LT94ZZ | Resection of Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LTB0ZZ | Resection of Left Trunk Tendon, Open Approach |
| 0LTB4ZZ | Resection of Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0LTC0ZZ | Resection of Right Thorax Tendon, Open Approach |
| 0LTC4ZZ | Resection of Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LTD0ZZ | Resection of Left Thorax Tendon, Open Approach |
| 0LTD4ZZ | Resection of Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0LTF0ZZ | Resection of Right Abdomen Tendon, Open Approach |
| 0LTF4ZZ | Resection of Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LTG0ZZ | Resection of Left Abdomen Tendon, Open Approach |
| 0LTG4ZZ | Resection of Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0LTH0ZZ | Resection of Perineum Tendon, Open Approach |
| 0LTH4ZZ | Resection of Perineum Tendon, Percutaneous Endoscopic Approach |
| 0LTJ0ZZ | Resection of Right Hip Tendon, Open Approach |
| 0LTJ4ZZ | Resection of Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0LTK0ZZ | Resection of Left Hip Tendon, Open Approach |
| 0LTK4ZZ | Resection of Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0LTL0ZZ | Resection of Right Upper Leg Tendon, Open Approach |
| 0LTL4ZZ | Resection of Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTM0ZZ | Resection of Left Upper Leg Tendon, Open Approach |
| 0LTM4ZZ | Resection of Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTN0ZZ | Resection of Right Lower Leg Tendon, Open Approach |
| 0LTN4ZZ | Resection of Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTP0ZZ | Resection of Left Lower Leg Tendon, Open Approach |
| 0LTP4ZZ | Resection of Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0LTQ0ZZ | Resection of Right Knee Tendon, Open Approach |
| 0LTQ4ZZ | Resection of Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0LTR0ZZ | Resection of Left Knee Tendon, Open Approach |
| 0LTR4ZZ | Resection of Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0LTS0ZZ | Resection of Right Ankle Tendon, Open Approach |
| 0LTS4ZZ | Resection of Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LTT0ZZ | Resection of Left Ankle Tendon, Open Approach |
| 0LTT4ZZ | Resection of Left Ankle Tendon, Percutaneous Endoscopic Approach |
| 0LTV0ZZ | Resection of Right Foot Tendon, Open Approach |
| 0LTV4ZZ | Resection of Right Foot Tendon, Percutaneous Endoscopic Approach |
| 0LTW0ZZ | Resection of Left Foot Tendon, Open Approach |
| 0LTW4ZZ | Resection of Left Foot Tendon, Percutaneous Endoscopic Approach |
| 0LU007Z | Supplement Head and Neck Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU00JZ | Supplement Head and Neck Tendon with Synthetic Substitute, Open Approach |
| 0LU00KZ | Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU047Z | Supplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU04JZ | Supplement Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU04KZ | Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU107Z | Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU10JZ | Supplement Right Shoulder Tendon with Synthetic Substitute, Open Approach |
| 0LU10KZ | Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU147Z | Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU14JZ | Supplement Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU14KZ | Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU207Z | Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU20JZ | Supplement Left Shoulder Tendon with Synthetic Substitute, Open Approach |
| 0LU20KZ | Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU247Z | Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU24JZ | Supplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU24KZ | Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU307Z | Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU30JZ | Supplement Right Upper Arm Tendon with Synthetic Substitute, Open Approach |
| 0LU30KZ | Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU347Z | Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU34JZ | Supplement Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU34KZ | Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU407Z | Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU40JZ | Supplement Left Upper Arm Tendon with Synthetic Substitute, Open Approach |
| 0LU40KZ | Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU447Z | Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU44JZ | Supplement Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU44KZ | Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU507Z | Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU50JZ | Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach |
| 0LU50KZ | Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU547Z | Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU54JZ | Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU54KZ | Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU607Z | Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU60JZ | Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach |
| 0LU60KZ | Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU647Z | Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU64JZ | Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU64KZ | Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU907Z | Supplement Right Trunk Tendon with Autologous Tissue Substitute, Open Approach |
| 0LU90JZ | Supplement Right Trunk Tendon with Synthetic Substitute, Open Approach |
| 0LU90KZ | Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LU947Z | Supplement Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LU94JZ | Supplement Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LU94KZ | Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUB07Z | Supplement Left Trunk Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUB0JZ | Supplement Left Trunk Tendon with Synthetic Substitute, Open Approach |
| 0LUB0KZ | Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUB47Z | Supplement Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUB4JZ | Supplement Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUB4KZ | Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUC07Z | Supplement Right Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUC0JZ | Supplement Right Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LUC0KZ | Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUC47Z | Supplement Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUC4JZ | Supplement Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUC4KZ | Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUD07Z | Supplement Left Thorax Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUD0JZ | Supplement Left Thorax Tendon with Synthetic Substitute, Open Approach |
| 0LUD0KZ | Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUD47Z | Supplement Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUD4JZ | Supplement Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUD4KZ | Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUF07Z | Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUF0JZ | Supplement Right Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LUF0KZ | Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUF47Z | Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUF4JZ | Supplement Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUF4KZ | Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUG07Z | Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUG0JZ | Supplement Left Abdomen Tendon with Synthetic Substitute, Open Approach |
| 0LUG0KZ | Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUG47Z | Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUG4JZ | Supplement Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUG4KZ | Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUH07Z | Supplement Perineum Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUH0JZ | Supplement Perineum Tendon with Synthetic Substitute, Open Approach |
| 0LUH0KZ | Supplement Perineum Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUH47Z | Supplement Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUH4JZ | Supplement Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUH4KZ | Supplement Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUJ07Z | Supplement Right Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUJ0JZ | Supplement Right Hip Tendon with Synthetic Substitute, Open Approach |
| 0LUJ0KZ | Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUJ47Z | Supplement Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUJ4JZ | Supplement Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUJ4KZ | Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUK07Z | Supplement Left Hip Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUK0JZ | Supplement Left Hip Tendon with Synthetic Substitute, Open Approach |
| 0LUK0KZ | Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUK47Z | Supplement Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUK4JZ | Supplement Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUK4KZ | Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUL07Z | Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUL0JZ | Supplement Right Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUL0KZ | Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUL47Z | Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUL4JZ | Supplement Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUL4KZ | Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUM07Z | Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUM0JZ | Supplement Left Upper Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUM0KZ | Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUM47Z | Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUM4JZ | Supplement Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUM4KZ | Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUN07Z | Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUN0JZ | Supplement Right Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUN0KZ | Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUN47Z | Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUN4JZ | Supplement Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUN4KZ | Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUP07Z | Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUP0JZ | Supplement Left Lower Leg Tendon with Synthetic Substitute, Open Approach |
| 0LUP0KZ | Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUP47Z | Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUP4JZ | Supplement Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUP4KZ | Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUQ07Z | Supplement Right Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUQ0JZ | Supplement Right Knee Tendon with Synthetic Substitute, Open Approach |
| 0LUQ0KZ | Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUQ47Z | Supplement Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUQ4JZ | Supplement Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUQ4KZ | Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUR07Z | Supplement Left Knee Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUR0JZ | Supplement Left Knee Tendon with Synthetic Substitute, Open Approach |
| 0LUR0KZ | Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUR47Z | Supplement Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUR4JZ | Supplement Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUR4KZ | Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUS07Z | Supplement Right Ankle Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUS0JZ | Supplement Right Ankle Tendon with Synthetic Substitute, Open Approach |
| 0LUS0KZ | Supplement Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUS47Z | Supplement Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUS4JZ | Supplement Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUS4KZ | Supplement Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUT07Z | Supplement Left Ankle Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUT0JZ | Supplement Left Ankle Tendon with Synthetic Substitute, Open Approach |
| 0LUT0KZ | Supplement Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUT47Z | Supplement Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUT4JZ | Supplement Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUT4KZ | Supplement Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUV07Z | Supplement Right Foot Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUV0JZ | Supplement Right Foot Tendon with Synthetic Substitute, Open Approach |
| 0LUV0KZ | Supplement Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUV47Z | Supplement Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUV4JZ | Supplement Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUV4KZ | Supplement Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUW07Z | Supplement Left Foot Tendon with Autologous Tissue Substitute, Open Approach |
| 0LUW0JZ | Supplement Left Foot Tendon with Synthetic Substitute, Open Approach |
| 0LUW0KZ | Supplement Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach |
| 0LUW47Z | Supplement Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LUW4JZ | Supplement Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0LUW4KZ | Supplement Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0LWX00Z | Revision of Drainage Device in Upper Tendon, Open Approach |
| 0LWX07Z | Revision of Autologous Tissue Substitute in Upper Tendon, Open Approach |
| 0LWX0JZ | Revision of Synthetic Substitute in Upper Tendon, Open Approach |
| 0LWX0KZ | Revision of Nonautologous Tissue Substitute in Upper Tendon, Open Approach |
| 0LWX0YZ | Revision of Other Device in Upper Tendon, Open Approach |
| 0LWX30Z | Revision of Drainage Device in Upper Tendon, Percutaneous Approach |
| 0LWX37Z | Revision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Approach |
| 0LWX3JZ | Revision of Synthetic Substitute in Upper Tendon, Percutaneous Approach |
| 0LWX3KZ | Revision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Approach |
| 0LWX40Z | Revision of Drainage Device in Upper Tendon, Percutaneous Endoscopic Approach |
| 0LWX47Z | Revision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach |
| 0LWX4JZ | Revision of Synthetic Substitute in Upper Tendon, Percutaneous Endoscopic Approach |
| 0LWX4KZ | Revision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach |
| 0LWY00Z | Revision of Drainage Device in Lower Tendon, Open Approach |
| 0LWY07Z | Revision of Autologous Tissue Substitute in Lower Tendon, Open Approach |
| 0LWY0JZ | Revision of Synthetic Substitute in Lower Tendon, Open Approach |
| 0LWY0KZ | Revision of Nonautologous Tissue Substitute in Lower Tendon, Open Approach |
| 0LWY0YZ | Revision of Other Device in Lower Tendon, Open Approach |
| 0LWY30Z | Revision of Drainage Device in Lower Tendon, Percutaneous Approach |
| 0LWY37Z | Revision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Approach |
| 0LWY3JZ | Revision of Synthetic Substitute in Lower Tendon, Percutaneous Approach |
| 0LWY3KZ | Revision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Approach |
| 0LWY40Z | Revision of Drainage Device in Lower Tendon, Percutaneous Endoscopic Approach |
| 0LWY47Z | Revision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach |
| 0LWY4JZ | Revision of Synthetic Substitute in Lower Tendon, Percutaneous Endoscopic Approach |
| 0LWY4KZ | Revision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach |
| 0LX00ZZ | Transfer Head and Neck Tendon, Open Approach |
| 0LX04ZZ | Transfer Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0LX10ZZ | Transfer Right Shoulder Tendon, Open Approach |
| 0LX14ZZ | Transfer Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LX20ZZ | Transfer Left Shoulder Tendon, Open Approach |
| 0LX24ZZ | Transfer Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0LX30ZZ | Transfer Right Upper Arm Tendon, Open Approach |
| 0LX34ZZ | Transfer Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0LX40ZZ | Transfer Left Upper Arm Tendon, Open Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 18 Jan 2023 08:46:59 CMS, code-revision=337, description-revision=1351 |