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)

0LRB0KZReplacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LRB47ZReplacement of Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRB4JZReplacement of Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRB4KZReplacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRC07ZReplacement of Right Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LRC0JZReplacement of Right Thorax Tendon with Synthetic Substitute, Open Approach
0LRC0KZReplacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LRC47ZReplacement of Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRC4JZReplacement of Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRC4KZReplacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRD07ZReplacement of Left Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LRD0JZReplacement of Left Thorax Tendon with Synthetic Substitute, Open Approach
0LRD0KZReplacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LRD47ZReplacement of Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRD4JZReplacement of Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRD4KZReplacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRF07ZReplacement of Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LRF0JZReplacement of Right Abdomen Tendon with Synthetic Substitute, Open Approach
0LRF0KZReplacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LRF47ZReplacement of Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRF4JZReplacement of Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRF4KZReplacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRG07ZReplacement of Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LRG0JZReplacement of Left Abdomen Tendon with Synthetic Substitute, Open Approach
0LRG0KZReplacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LRG47ZReplacement of Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRG4JZReplacement of Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRG4KZReplacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRH07ZReplacement of Perineum Tendon with Autologous Tissue Substitute, Open Approach
0LRH0JZReplacement of Perineum Tendon with Synthetic Substitute, Open Approach
0LRH0KZReplacement of Perineum Tendon with Nonautologous Tissue Substitute, Open Approach
0LRH47ZReplacement of Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRH4JZReplacement of Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRH4KZReplacement of Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRJ07ZReplacement of Right Hip Tendon with Autologous Tissue Substitute, Open Approach
0LRJ0JZReplacement of Right Hip Tendon with Synthetic Substitute, Open Approach
0LRJ0KZReplacement of Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LRJ47ZReplacement of Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRJ4JZReplacement of Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRJ4KZReplacement of Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRK07ZReplacement of Left Hip Tendon with Autologous Tissue Substitute, Open Approach
0LRK0JZReplacement of Left Hip Tendon with Synthetic Substitute, Open Approach
0LRK0KZReplacement of Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LRK47ZReplacement of Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRK4JZReplacement of Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRK4KZReplacement of Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRL07ZReplacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRL0JZReplacement of Right Upper Leg Tendon with Synthetic Substitute, Open Approach
0LRL0KZReplacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRL47ZReplacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRL4JZReplacement of Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRL4KZReplacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRM07ZReplacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRM0JZReplacement of Left Upper Leg Tendon with Synthetic Substitute, Open Approach
0LRM0KZReplacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRM47ZReplacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRM4JZReplacement of Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRM4KZReplacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRN07ZReplacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRN0JZReplacement of Right Lower Leg Tendon with Synthetic Substitute, Open Approach
0LRN0KZReplacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRN47ZReplacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRN4JZReplacement of Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRN4KZReplacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRP07ZReplacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRP0JZReplacement of Left Lower Leg Tendon with Synthetic Substitute, Open Approach
0LRP0KZReplacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRP47ZReplacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRP4JZReplacement of Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRP4KZReplacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRQ07ZReplacement of Right Knee Tendon with Autologous Tissue Substitute, Open Approach
0LRQ0JZReplacement of Right Knee Tendon with Synthetic Substitute, Open Approach
0LRQ0KZReplacement of Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LRQ47ZReplacement of Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRQ4JZReplacement of Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRQ4KZReplacement of Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRR07ZReplacement of Left Knee Tendon with Autologous Tissue Substitute, Open Approach
0LRR0JZReplacement of Left Knee Tendon with Synthetic Substitute, Open Approach
0LRR0KZReplacement of Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LRR47ZReplacement of Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRR4JZReplacement of Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRR4KZReplacement of Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRS07ZReplacement of Right Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LRS0JZReplacement of Right Ankle Tendon with Synthetic Substitute, Open Approach
0LRS0KZReplacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LRS47ZReplacement of Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRS4JZReplacement of Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRS4KZReplacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRT07ZReplacement of Left Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LRT0JZReplacement of Left Ankle Tendon with Synthetic Substitute, Open Approach
0LRT0KZReplacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LRT47ZReplacement of Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRT4JZReplacement of Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRT4KZReplacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRV07ZReplacement of Right Foot Tendon with Autologous Tissue Substitute, Open Approach
0LRV0JZReplacement of Right Foot Tendon with Synthetic Substitute, Open Approach
0LRV0KZReplacement of Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LRV47ZReplacement of Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRV4JZReplacement of Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRV4KZReplacement of Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRW07ZReplacement of Left Foot Tendon with Autologous Tissue Substitute, Open Approach
0LRW0JZReplacement of Left Foot Tendon with Synthetic Substitute, Open Approach
0LRW0KZReplacement of Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LRW47ZReplacement of Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRW4JZReplacement of Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRW4KZReplacement of Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LS00ZZReposition Head and Neck Tendon, Open Approach
0LS04ZZReposition Head and Neck Tendon, Percutaneous Endoscopic Approach
0LS10ZZReposition Right Shoulder Tendon, Open Approach
0LS14ZZReposition Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LS20ZZReposition Left Shoulder Tendon, Open Approach
0LS24ZZReposition Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LS30ZZReposition Right Upper Arm Tendon, Open Approach
0LS34ZZReposition Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LS40ZZReposition Left Upper Arm Tendon, Open Approach
0LS44ZZReposition Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LS50ZZReposition Right Lower Arm and Wrist Tendon, Open Approach
0LS54ZZReposition Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LS60ZZReposition Left Lower Arm and Wrist Tendon, Open Approach
0LS64ZZReposition Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LS90ZZReposition Right Trunk Tendon, Open Approach
0LS94ZZReposition Right Trunk Tendon, Percutaneous Endoscopic Approach
0LSB0ZZReposition Left Trunk Tendon, Open Approach
0LSB4ZZReposition Left Trunk Tendon, Percutaneous Endoscopic Approach
0LSC0ZZReposition Right Thorax Tendon, Open Approach
0LSC4ZZReposition Right Thorax Tendon, Percutaneous Endoscopic Approach
0LSD0ZZReposition Left Thorax Tendon, Open Approach
0LSD4ZZReposition Left Thorax Tendon, Percutaneous Endoscopic Approach
0LSF0ZZReposition Right Abdomen Tendon, Open Approach
0LSF4ZZReposition Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LSG0ZZReposition Left Abdomen Tendon, Open Approach
0LSG4ZZReposition Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LSH0ZZReposition Perineum Tendon, Open Approach
0LSH4ZZReposition Perineum Tendon, Percutaneous Endoscopic Approach
0LSJ0ZZReposition Right Hip Tendon, Open Approach
0LSJ4ZZReposition Right Hip Tendon, Percutaneous Endoscopic Approach
0LSK0ZZReposition Left Hip Tendon, Open Approach
0LSK4ZZReposition Left Hip Tendon, Percutaneous Endoscopic Approach
0LSL0ZZReposition Right Upper Leg Tendon, Open Approach
0LSL4ZZReposition Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LSM0ZZReposition Left Upper Leg Tendon, Open Approach
0LSM4ZZReposition Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LSN0ZZReposition Right Lower Leg Tendon, Open Approach
0LSN4ZZReposition Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LSP0ZZReposition Left Lower Leg Tendon, Open Approach
0LSP4ZZReposition Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LSQ0ZZReposition Right Knee Tendon, Open Approach
0LSQ4ZZReposition Right Knee Tendon, Percutaneous Endoscopic Approach
0LSR0ZZReposition Left Knee Tendon, Open Approach
0LSR4ZZReposition Left Knee Tendon, Percutaneous Endoscopic Approach
0LSS0ZZReposition Right Ankle Tendon, Open Approach
0LSS4ZZReposition Right Ankle Tendon, Percutaneous Endoscopic Approach
0LST0ZZReposition Left Ankle Tendon, Open Approach
0LST4ZZReposition Left Ankle Tendon, Percutaneous Endoscopic Approach
0LSV0ZZReposition Right Foot Tendon, Open Approach
0LSV4ZZReposition Right Foot Tendon, Percutaneous Endoscopic Approach
0LSW0ZZReposition Left Foot Tendon, Open Approach
0LSW4ZZReposition Left Foot Tendon, Percutaneous Endoscopic Approach
0LT00ZZResection of Head and Neck Tendon, Open Approach
0LT04ZZResection of Head and Neck Tendon, Percutaneous Endoscopic Approach
0LT10ZZResection of Right Shoulder Tendon, Open Approach
0LT14ZZResection of Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LT20ZZResection of Left Shoulder Tendon, Open Approach
0LT24ZZResection of Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LT30ZZResection of Right Upper Arm Tendon, Open Approach
0LT34ZZResection of Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LT40ZZResection of Left Upper Arm Tendon, Open Approach
0LT44ZZResection of Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LT50ZZResection of Right Lower Arm and Wrist Tendon, Open Approach
0LT54ZZResection of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LT60ZZResection of Left Lower Arm and Wrist Tendon, Open Approach
0LT64ZZResection of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LT90ZZResection of Right Trunk Tendon, Open Approach
0LT94ZZResection of Right Trunk Tendon, Percutaneous Endoscopic Approach
0LTB0ZZResection of Left Trunk Tendon, Open Approach
0LTB4ZZResection of Left Trunk Tendon, Percutaneous Endoscopic Approach
0LTC0ZZResection of Right Thorax Tendon, Open Approach
0LTC4ZZResection of Right Thorax Tendon, Percutaneous Endoscopic Approach
0LTD0ZZResection of Left Thorax Tendon, Open Approach
0LTD4ZZResection of Left Thorax Tendon, Percutaneous Endoscopic Approach
0LTF0ZZResection of Right Abdomen Tendon, Open Approach
0LTF4ZZResection of Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LTG0ZZResection of Left Abdomen Tendon, Open Approach
0LTG4ZZResection of Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LTH0ZZResection of Perineum Tendon, Open Approach
0LTH4ZZResection of Perineum Tendon, Percutaneous Endoscopic Approach
0LTJ0ZZResection of Right Hip Tendon, Open Approach
0LTJ4ZZResection of Right Hip Tendon, Percutaneous Endoscopic Approach
0LTK0ZZResection of Left Hip Tendon, Open Approach
0LTK4ZZResection of Left Hip Tendon, Percutaneous Endoscopic Approach
0LTL0ZZResection of Right Upper Leg Tendon, Open Approach
0LTL4ZZResection of Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LTM0ZZResection of Left Upper Leg Tendon, Open Approach
0LTM4ZZResection of Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LTN0ZZResection of Right Lower Leg Tendon, Open Approach
0LTN4ZZResection of Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LTP0ZZResection of Left Lower Leg Tendon, Open Approach
0LTP4ZZResection of Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LTQ0ZZResection of Right Knee Tendon, Open Approach
0LTQ4ZZResection of Right Knee Tendon, Percutaneous Endoscopic Approach
0LTR0ZZResection of Left Knee Tendon, Open Approach
0LTR4ZZResection of Left Knee Tendon, Percutaneous Endoscopic Approach
0LTS0ZZResection of Right Ankle Tendon, Open Approach
0LTS4ZZResection of Right Ankle Tendon, Percutaneous Endoscopic Approach
0LTT0ZZResection of Left Ankle Tendon, Open Approach
0LTT4ZZResection of Left Ankle Tendon, Percutaneous Endoscopic Approach
0LTV0ZZResection of Right Foot Tendon, Open Approach
0LTV4ZZResection of Right Foot Tendon, Percutaneous Endoscopic Approach
0LTW0ZZResection of Left Foot Tendon, Open Approach
0LTW4ZZResection of Left Foot Tendon, Percutaneous Endoscopic Approach
0LU007ZSupplement Head and Neck Tendon with Autologous Tissue Substitute, Open Approach
0LU00JZSupplement Head and Neck Tendon with Synthetic Substitute, Open Approach
0LU00KZSupplement Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach
0LU047ZSupplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU04JZSupplement Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU04KZSupplement Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU107ZSupplement Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LU10JZSupplement Right Shoulder Tendon with Synthetic Substitute, Open Approach
0LU10KZSupplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LU147ZSupplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU14JZSupplement Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU14KZSupplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU207ZSupplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LU20JZSupplement Left Shoulder Tendon with Synthetic Substitute, Open Approach
0LU20KZSupplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LU247ZSupplement Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU24JZSupplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU24KZSupplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU307ZSupplement Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LU30JZSupplement Right Upper Arm Tendon with Synthetic Substitute, Open Approach
0LU30KZSupplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LU347ZSupplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU34JZSupplement Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU34KZSupplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU407ZSupplement Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LU40JZSupplement Left Upper Arm Tendon with Synthetic Substitute, Open Approach
0LU40KZSupplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LU447ZSupplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU44JZSupplement Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU44KZSupplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU507ZSupplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LU50JZSupplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LU50KZSupplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LU547ZSupplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU54JZSupplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU54KZSupplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU607ZSupplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LU60JZSupplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LU60KZSupplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LU647ZSupplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU64JZSupplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU64KZSupplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU907ZSupplement Right Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LU90JZSupplement Right Trunk Tendon with Synthetic Substitute, Open Approach
0LU90KZSupplement Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LU947ZSupplement Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU94JZSupplement Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU94KZSupplement Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUB07ZSupplement Left Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LUB0JZSupplement Left Trunk Tendon with Synthetic Substitute, Open Approach
0LUB0KZSupplement Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LUB47ZSupplement Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUB4JZSupplement Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUB4KZSupplement Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUC07ZSupplement Right Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LUC0JZSupplement Right Thorax Tendon with Synthetic Substitute, Open Approach
0LUC0KZSupplement Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LUC47ZSupplement Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUC4JZSupplement Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUC4KZSupplement Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUD07ZSupplement Left Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LUD0JZSupplement Left Thorax Tendon with Synthetic Substitute, Open Approach
0LUD0KZSupplement Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LUD47ZSupplement Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUD4JZSupplement Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUD4KZSupplement Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUF07ZSupplement Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LUF0JZSupplement Right Abdomen Tendon with Synthetic Substitute, Open Approach
0LUF0KZSupplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LUF47ZSupplement Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUF4JZSupplement Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUF4KZSupplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUG07ZSupplement Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LUG0JZSupplement Left Abdomen Tendon with Synthetic Substitute, Open Approach
0LUG0KZSupplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LUG47ZSupplement Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUG4JZSupplement Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUG4KZSupplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUH07ZSupplement Perineum Tendon with Autologous Tissue Substitute, Open Approach
0LUH0JZSupplement Perineum Tendon with Synthetic Substitute, Open Approach
0LUH0KZSupplement Perineum Tendon with Nonautologous Tissue Substitute, Open Approach
0LUH47ZSupplement Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUH4JZSupplement Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUH4KZSupplement Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUJ07ZSupplement Right Hip Tendon with Autologous Tissue Substitute, Open Approach
0LUJ0JZSupplement Right Hip Tendon with Synthetic Substitute, Open Approach
0LUJ0KZSupplement Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LUJ47ZSupplement Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUJ4JZSupplement Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUJ4KZSupplement Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUK07ZSupplement Left Hip Tendon with Autologous Tissue Substitute, Open Approach
0LUK0JZSupplement Left Hip Tendon with Synthetic Substitute, Open Approach
0LUK0KZSupplement Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LUK47ZSupplement Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUK4JZSupplement Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUK4KZSupplement Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUL07ZSupplement Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUL0JZSupplement Right Upper Leg Tendon with Synthetic Substitute, Open Approach
0LUL0KZSupplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUL47ZSupplement Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUL4JZSupplement Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUL4KZSupplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUM07ZSupplement Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUM0JZSupplement Left Upper Leg Tendon with Synthetic Substitute, Open Approach
0LUM0KZSupplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUM47ZSupplement Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUM4JZSupplement Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUM4KZSupplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUN07ZSupplement Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUN0JZSupplement Right Lower Leg Tendon with Synthetic Substitute, Open Approach
0LUN0KZSupplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUN47ZSupplement Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUN4JZSupplement Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUN4KZSupplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUP07ZSupplement Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUP0JZSupplement Left Lower Leg Tendon with Synthetic Substitute, Open Approach
0LUP0KZSupplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUP47ZSupplement Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUP4JZSupplement Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUP4KZSupplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUQ07ZSupplement Right Knee Tendon with Autologous Tissue Substitute, Open Approach
0LUQ0JZSupplement Right Knee Tendon with Synthetic Substitute, Open Approach
0LUQ0KZSupplement Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LUQ47ZSupplement Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUQ4JZSupplement Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUQ4KZSupplement Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUR07ZSupplement Left Knee Tendon with Autologous Tissue Substitute, Open Approach
0LUR0JZSupplement Left Knee Tendon with Synthetic Substitute, Open Approach
0LUR0KZSupplement Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LUR47ZSupplement Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUR4JZSupplement Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUR4KZSupplement Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUS07ZSupplement Right Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LUS0JZSupplement Right Ankle Tendon with Synthetic Substitute, Open Approach
0LUS0KZSupplement Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LUS47ZSupplement Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUS4JZSupplement Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUS4KZSupplement Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUT07ZSupplement Left Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LUT0JZSupplement Left Ankle Tendon with Synthetic Substitute, Open Approach
0LUT0KZSupplement Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LUT47ZSupplement Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUT4JZSupplement Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUT4KZSupplement Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUV07ZSupplement Right Foot Tendon with Autologous Tissue Substitute, Open Approach
0LUV0JZSupplement Right Foot Tendon with Synthetic Substitute, Open Approach
0LUV0KZSupplement Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LUV47ZSupplement Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUV4JZSupplement Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUV4KZSupplement Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUW07ZSupplement Left Foot Tendon with Autologous Tissue Substitute, Open Approach
0LUW0JZSupplement Left Foot Tendon with Synthetic Substitute, Open Approach
0LUW0KZSupplement Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LUW47ZSupplement Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUW4JZSupplement Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUW4KZSupplement Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LWX00ZRevision of Drainage Device in Upper Tendon, Open Approach
0LWX07ZRevision of Autologous Tissue Substitute in Upper Tendon, Open Approach
0LWX0JZRevision of Synthetic Substitute in Upper Tendon, Open Approach
0LWX0KZRevision of Nonautologous Tissue Substitute in Upper Tendon, Open Approach
0LWX0YZRevision of Other Device in Upper Tendon, Open Approach
0LWX30ZRevision of Drainage Device in Upper Tendon, Percutaneous Approach
0LWX37ZRevision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Approach
0LWX3JZRevision of Synthetic Substitute in Upper Tendon, Percutaneous Approach
0LWX3KZRevision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Approach
0LWX40ZRevision of Drainage Device in Upper Tendon, Percutaneous Endoscopic Approach
0LWX47ZRevision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4JZRevision of Synthetic Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4KZRevision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWY00ZRevision of Drainage Device in Lower Tendon, Open Approach
0LWY07ZRevision of Autologous Tissue Substitute in Lower Tendon, Open Approach
0LWY0JZRevision of Synthetic Substitute in Lower Tendon, Open Approach
0LWY0KZRevision of Nonautologous Tissue Substitute in Lower Tendon, Open Approach
0LWY0YZRevision of Other Device in Lower Tendon, Open Approach
0LWY30ZRevision of Drainage Device in Lower Tendon, Percutaneous Approach
0LWY37ZRevision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Approach
0LWY3JZRevision of Synthetic Substitute in Lower Tendon, Percutaneous Approach
0LWY3KZRevision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Approach
0LWY40ZRevision of Drainage Device in Lower Tendon, Percutaneous Endoscopic Approach
0LWY47ZRevision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4JZRevision of Synthetic Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4KZRevision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LX00ZZTransfer Head and Neck Tendon, Open Approach
0LX04ZZTransfer Head and Neck Tendon, Percutaneous Endoscopic Approach
0LX10ZZTransfer Right Shoulder Tendon, Open Approach
0LX14ZZTransfer Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LX20ZZTransfer Left Shoulder Tendon, Open Approach
0LX24ZZTransfer Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LX30ZZTransfer Right Upper Arm Tendon, Open Approach
0LX34ZZTransfer Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LX40ZZTransfer 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