ICD-10-CM/PCS MS-DRG v40.1 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 14 of 27

ONLY OPERATING ROOM PROCEDURES (continued)

00503Z3 03B23ZX 04LB4CZ 06DP0ZZ 07PN0YZ 08LY7ZZ 08U90JZ 09BM8ZZ 0C540ZZ 0D5C3Z3 0HHU81Z 0K9N4ZZ 0KRW4KZ 0LQQ4ZZ 0MDS0ZZ 0P913ZX 0PPL35Z 0QBC4ZX 0QPQ4JZ 0SGP35Z 0SWK03Z 0TWD42Z 0V5G3ZZ 0W9N4ZZ 0X084ZZ 0Y0947Z 0YUT0KZ

0LQQ4ZZRepair Right Knee Tendon, Percutaneous Endoscopic Approach
0LQR0ZZRepair Left Knee Tendon, Open Approach
0LQR3ZZRepair Left Knee Tendon, Percutaneous Approach
0LQR4ZZRepair Left Knee Tendon, Percutaneous Endoscopic Approach
0LQS0ZZRepair Right Ankle Tendon, Open Approach
0LQS3ZZRepair Right Ankle Tendon, Percutaneous Approach
0LQS4ZZRepair Right Ankle Tendon, Percutaneous Endoscopic Approach
0LQT0ZZRepair Left Ankle Tendon, Open Approach
0LQT3ZZRepair Left Ankle Tendon, Percutaneous Approach
0LQT4ZZRepair Left Ankle Tendon, 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
0M5N0ZZDestruction of Right Knee Bursa and Ligament, Open Approach
0M5N3ZZDestruction of Right Knee Bursa and Ligament, Percutaneous Approach
0M5N4ZZDestruction of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M5P0ZZDestruction of Left Knee Bursa and Ligament, Open Approach
0M5P3ZZDestruction of Left Knee Bursa and Ligament, Percutaneous Approach
0M5P4ZZDestruction of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M5S0ZZDestruction of Right Foot Bursa and Ligament, Open Approach
0M5S3ZZDestruction of Right Foot Bursa and Ligament, Percutaneous Approach
0M5S4ZZDestruction of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M5T0ZZDestruction of Left Foot Bursa and Ligament, Open Approach
0M5T3ZZDestruction of Left Foot Bursa and Ligament, Percutaneous Approach
0M5T4ZZDestruction of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M800ZZDivision of Head and Neck Bursa and Ligament, Open Approach
0M803ZZDivision of Head and Neck Bursa and Ligament, Percutaneous Approach
0M804ZZDivision of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0M810ZZDivision of Right Shoulder Bursa and Ligament, Open Approach
0M813ZZDivision of Right Shoulder Bursa and Ligament, Percutaneous Approach
0M814ZZDivision of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0M820ZZDivision of Left Shoulder Bursa and Ligament, Open Approach
0M823ZZDivision of Left Shoulder Bursa and Ligament, Percutaneous Approach
0M824ZZDivision of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0M830ZZDivision of Right Elbow Bursa and Ligament, Open Approach
0M833ZZDivision of Right Elbow Bursa and Ligament, Percutaneous Approach
0M834ZZDivision of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0M840ZZDivision of Left Elbow Bursa and Ligament, Open Approach
0M843ZZDivision of Left Elbow Bursa and Ligament, Percutaneous Approach
0M844ZZDivision of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0M890ZZDivision of Right Upper Extremity Bursa and Ligament, Open Approach
0M893ZZDivision of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0M894ZZDivision of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8B0ZZDivision of Left Upper Extremity Bursa and Ligament, Open Approach
0M8B3ZZDivision of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0M8B4ZZDivision of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8C0ZZDivision of Upper Spine Bursa and Ligament, Open Approach
0M8C3ZZDivision of Upper Spine Bursa and Ligament, Percutaneous Approach
0M8C4ZZDivision of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0M8D0ZZDivision of Lower Spine Bursa and Ligament, Open Approach
0M8D3ZZDivision of Lower Spine Bursa and Ligament, Percutaneous Approach
0M8D4ZZDivision of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0M8F0ZZDivision of Sternum Bursa and Ligament, Open Approach
0M8F3ZZDivision of Sternum Bursa and Ligament, Percutaneous Approach
0M8F4ZZDivision of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0M8G0ZZDivision of Rib(s) Bursa and Ligament, Open Approach
0M8G3ZZDivision of Rib(s) Bursa and Ligament, Percutaneous Approach
0M8G4ZZDivision of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0M8H0ZZDivision of Right Abdomen Bursa and Ligament, Open Approach
0M8H3ZZDivision of Right Abdomen Bursa and Ligament, Percutaneous Approach
0M8H4ZZDivision of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0M8J0ZZDivision of Left Abdomen Bursa and Ligament, Open Approach
0M8J3ZZDivision of Left Abdomen Bursa and Ligament, Percutaneous Approach
0M8J4ZZDivision of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0M8K0ZZDivision of Perineum Bursa and Ligament, Open Approach
0M8K3ZZDivision of Perineum Bursa and Ligament, Percutaneous Approach
0M8K4ZZDivision of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0M8L0ZZDivision of Right Hip Bursa and Ligament, Open Approach
0M8L3ZZDivision of Right Hip Bursa and Ligament, Percutaneous Approach
0M8L4ZZDivision of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M8M0ZZDivision of Left Hip Bursa and Ligament, Open Approach
0M8M3ZZDivision of Left Hip Bursa and Ligament, Percutaneous Approach
0M8M4ZZDivision of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M8N0ZZDivision of Right Knee Bursa and Ligament, Open Approach
0M8N3ZZDivision of Right Knee Bursa and Ligament, Percutaneous Approach
0M8N4ZZDivision of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M8P0ZZDivision of Left Knee Bursa and Ligament, Open Approach
0M8P3ZZDivision of Left Knee Bursa and Ligament, Percutaneous Approach
0M8P4ZZDivision of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M8Q0ZZDivision of Right Ankle Bursa and Ligament, Open Approach
0M8Q3ZZDivision of Right Ankle Bursa and Ligament, Percutaneous Approach
0M8Q4ZZDivision of Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0M8R0ZZDivision of Left Ankle Bursa and Ligament, Open Approach
0M8R3ZZDivision of Left Ankle Bursa and Ligament, Percutaneous Approach
0M8R4ZZDivision of Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0M8S0ZZDivision of Right Foot Bursa and Ligament, Open Approach
0M8S3ZZDivision of Right Foot Bursa and Ligament, Percutaneous Approach
0M8S4ZZDivision of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M8T0ZZDivision of Left Foot Bursa and Ligament, Open Approach
0M8T3ZZDivision of Left Foot Bursa and Ligament, Percutaneous Approach
0M8T4ZZDivision of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M8V0ZZDivision of Right Lower Extremity Bursa and Ligament, Open Approach
0M8V3ZZDivision of Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0M8V4ZZDivision of Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8W0ZZDivision of Left Lower Extremity Bursa and Ligament, Open Approach
0M8W3ZZDivision of Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0M8W4ZZDivision of Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M9000ZDrainage of Head and Neck Bursa and Ligament with Drainage Device, Open Approach
0M900ZZDrainage of Head and Neck Bursa and Ligament, Open Approach
0M9100ZDrainage of Right Shoulder Bursa and Ligament with Drainage Device, Open Approach
0M910ZZDrainage of Right Shoulder Bursa and Ligament, Open Approach
0M9200ZDrainage of Left Shoulder Bursa and Ligament with Drainage Device, Open Approach
0M920ZZDrainage of Left Shoulder Bursa and Ligament, Open Approach
0M9300ZDrainage of Right Elbow Bursa and Ligament with Drainage Device, Open Approach
0M930ZZDrainage of Right Elbow Bursa and Ligament, Open Approach
0M9400ZDrainage of Left Elbow Bursa and Ligament with Drainage Device, Open Approach
0M940ZZDrainage of Left Elbow Bursa and Ligament, Open Approach
0M9900ZDrainage of Right Upper Extremity Bursa and Ligament with Drainage Device, Open Approach
0M990ZXDrainage of Right Upper Extremity Bursa and Ligament, Open Approach, Diagnostic
0M990ZZDrainage of Right Upper Extremity Bursa and Ligament, Open Approach
0M9B00ZDrainage of Left Upper Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9B0ZXDrainage of Left Upper Extremity Bursa and Ligament, Open Approach, Diagnostic
0M9B0ZZDrainage of Left Upper Extremity Bursa and Ligament, Open Approach
0M9C00ZDrainage of Upper Spine Bursa and Ligament with Drainage Device, Open Approach
0M9C0ZZDrainage of Upper Spine Bursa and Ligament, Open Approach
0M9D00ZDrainage of Lower Spine Bursa and Ligament with Drainage Device, Open Approach
0M9D0ZZDrainage of Lower Spine Bursa and Ligament, Open Approach
0M9F00ZDrainage of Sternum Bursa and Ligament with Drainage Device, Open Approach
0M9F0ZZDrainage of Sternum Bursa and Ligament, Open Approach
0M9G00ZDrainage of Rib(s) Bursa and Ligament with Drainage Device, Open Approach
0M9G0ZZDrainage of Rib(s) Bursa and Ligament, Open Approach
0M9H00ZDrainage of Right Abdomen Bursa and Ligament with Drainage Device, Open Approach
0M9H0ZXDrainage of Right Abdomen Bursa and Ligament, Open Approach, Diagnostic
0M9H0ZZDrainage of Right Abdomen Bursa and Ligament, Open Approach
0M9J00ZDrainage of Left Abdomen Bursa and Ligament with Drainage Device, Open Approach
0M9J0ZXDrainage of Left Abdomen Bursa and Ligament, Open Approach, Diagnostic
0M9J0ZZDrainage of Left Abdomen Bursa and Ligament, Open Approach
0M9K00ZDrainage of Perineum Bursa and Ligament with Drainage Device, Open Approach
0M9K0ZXDrainage of Perineum Bursa and Ligament, Open Approach, Diagnostic
0M9K0ZZDrainage of Perineum Bursa and Ligament, Open Approach
0M9L00ZDrainage of Right Hip Bursa and Ligament with Drainage Device, Open Approach
0M9L0ZZDrainage of Right Hip Bursa and Ligament, Open Approach
0M9M00ZDrainage of Left Hip Bursa and Ligament with Drainage Device, Open Approach
0M9M0ZZDrainage of Left Hip Bursa and Ligament, Open Approach
0M9N00ZDrainage of Right Knee Bursa and Ligament with Drainage Device, Open Approach
0M9N0ZZDrainage of Right Knee Bursa and Ligament, Open Approach
0M9N40ZDrainage of Right Knee Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9P00ZDrainage of Left Knee Bursa and Ligament with Drainage Device, Open Approach
0M9P0ZZDrainage of Left Knee Bursa and Ligament, Open Approach
0M9P40ZDrainage of Left Knee Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9Q00ZDrainage of Right Ankle Bursa and Ligament with Drainage Device, Open Approach
0M9Q0ZZDrainage of Right Ankle Bursa and Ligament, Open Approach
0M9R00ZDrainage of Left Ankle Bursa and Ligament with Drainage Device, Open Approach
0M9R0ZZDrainage of Left Ankle Bursa and Ligament, Open Approach
0M9S00ZDrainage of Right Foot Bursa and Ligament with Drainage Device, Open Approach
0M9S0ZZDrainage of Right Foot Bursa and Ligament, Open Approach
0M9S40ZDrainage of Right Foot Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9T00ZDrainage of Left Foot Bursa and Ligament with Drainage Device, Open Approach
0M9T0ZZDrainage of Left Foot Bursa and Ligament, Open Approach
0M9T40ZDrainage of Left Foot Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9V00ZDrainage of Right Lower Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9V0ZXDrainage of Right Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0M9V0ZZDrainage of Right Lower Extremity Bursa and Ligament, Open Approach
0M9W00ZDrainage of Left Lower Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9W0ZXDrainage of Left Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0M9W0ZZDrainage of Left Lower Extremity Bursa and Ligament, Open Approach
0MB00ZZExcision of Head and Neck Bursa and Ligament, Open Approach
0MB03ZZExcision of Head and Neck Bursa and Ligament, Percutaneous Approach
0MB04ZZExcision of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MB10ZZExcision of Right Shoulder Bursa and Ligament, Open Approach
0MB13ZZExcision of Right Shoulder Bursa and Ligament, Percutaneous Approach
0MB14ZZExcision of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MB20ZZExcision of Left Shoulder Bursa and Ligament, Open Approach
0MB23ZZExcision of Left Shoulder Bursa and Ligament, Percutaneous Approach
0MB24ZZExcision of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MB30ZZExcision of Right Elbow Bursa and Ligament, Open Approach
0MB33ZZExcision of Right Elbow Bursa and Ligament, Percutaneous Approach
0MB34ZZExcision of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MB40ZZExcision of Left Elbow Bursa and Ligament, Open Approach
0MB43ZZExcision of Left Elbow Bursa and Ligament, Percutaneous Approach
0MB44ZZExcision of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MB50ZZExcision of Right Wrist Bursa and Ligament, Open Approach
0MB53ZZExcision of Right Wrist Bursa and Ligament, Percutaneous Approach
0MB54ZZExcision of Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MB60ZZExcision of Left Wrist Bursa and Ligament, Open Approach
0MB63ZZExcision of Left Wrist Bursa and Ligament, Percutaneous Approach
0MB64ZZExcision of Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MB90ZXExcision of Right Upper Extremity Bursa and Ligament, Open Approach, Diagnostic
0MB90ZZExcision of Right Upper Extremity Bursa and Ligament, Open Approach
0MB93ZZExcision of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MB94ZZExcision of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MBB0ZZExcision of Left Upper Extremity Bursa and Ligament, Open Approach
0MBB3ZZExcision of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MBB4ZZExcision of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MBC0ZZExcision of Upper Spine Bursa and Ligament, Open Approach
0MBC3ZZExcision of Upper Spine Bursa and Ligament, Percutaneous Approach
0MBC4ZZExcision of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MBD0ZZExcision of Lower Spine Bursa and Ligament, Open Approach
0MBD3ZZExcision of Lower Spine Bursa and Ligament, Percutaneous Approach
0MBD4ZZExcision of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MBF0ZZExcision of Sternum Bursa and Ligament, Open Approach
0MBF3ZZExcision of Sternum Bursa and Ligament, Percutaneous Approach
0MBF4ZZExcision of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MBG0ZZExcision of Rib(s) Bursa and Ligament, Open Approach
0MBG3ZZExcision of Rib(s) Bursa and Ligament, Percutaneous Approach
0MBG4ZZExcision of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MBH0ZXExcision of Right Abdomen Bursa and Ligament, Open Approach, Diagnostic
0MBH0ZZExcision of Right Abdomen Bursa and Ligament, Open Approach
0MBH3ZZExcision of Right Abdomen Bursa and Ligament, Percutaneous Approach
0MBH4ZZExcision of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MBJ0ZXExcision of Left Abdomen Bursa and Ligament, Open Approach, Diagnostic
0MBJ0ZZExcision of Left Abdomen Bursa and Ligament, Open Approach
0MBJ3ZZExcision of Left Abdomen Bursa and Ligament, Percutaneous Approach
0MBJ4ZZExcision of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MBK0ZXExcision of Perineum Bursa and Ligament, Open Approach, Diagnostic
0MBK0ZZExcision of Perineum Bursa and Ligament, Open Approach
0MBK3ZZExcision of Perineum Bursa and Ligament, Percutaneous Approach
0MBK4ZZExcision of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MBL0ZZExcision of Right Hip Bursa and Ligament, Open Approach
0MBL3ZZExcision of Right Hip Bursa and Ligament, Percutaneous Approach
0MBL4ZZExcision of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MBM0ZZExcision of Left Hip Bursa and Ligament, Open Approach
0MBM3ZZExcision of Left Hip Bursa and Ligament, Percutaneous Approach
0MBM4ZZExcision of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MBN0ZZExcision of Right Knee Bursa and Ligament, Open Approach
0MBN3ZZExcision of Right Knee Bursa and Ligament, Percutaneous Approach
0MBN4ZZExcision of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MBP0ZZExcision of Left Knee Bursa and Ligament, Open Approach
0MBP3ZZExcision of Left Knee Bursa and Ligament, Percutaneous Approach
0MBP4ZZExcision of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MBQ0ZZExcision of Right Ankle Bursa and Ligament, Open Approach
0MBQ3ZZExcision of Right Ankle Bursa and Ligament, Percutaneous Approach
0MBQ4ZZExcision of Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MBR0ZZExcision of Left Ankle Bursa and Ligament, Open Approach
0MBR3ZZExcision of Left Ankle Bursa and Ligament, Percutaneous Approach
0MBR4ZZExcision of Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MBS0ZZExcision of Right Foot Bursa and Ligament, Open Approach
0MBS3ZZExcision of Right Foot Bursa and Ligament, Percutaneous Approach
0MBS4ZZExcision of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MBT0ZZExcision of Left Foot Bursa and Ligament, Open Approach
0MBT3ZZExcision of Left Foot Bursa and Ligament, Percutaneous Approach
0MBT4ZZExcision of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MBV0ZXExcision of Right Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0MBV0ZZExcision of Right Lower Extremity Bursa and Ligament, Open Approach
0MBV3ZZExcision of Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0MBV4ZZExcision of Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MBW0ZXExcision of Left Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0MBW0ZZExcision of Left Lower Extremity Bursa and Ligament, Open Approach
0MBW3ZZExcision of Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0MBW4ZZExcision of Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MC00ZZExtirpation of Matter from Head and Neck Bursa and Ligament, Open Approach
0MC03ZZExtirpation of Matter from Head and Neck Bursa and Ligament, Percutaneous Approach
0MC04ZZExtirpation of Matter from Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MC10ZZExtirpation of Matter from Right Shoulder Bursa and Ligament, Open Approach
0MC13ZZExtirpation of Matter from Right Shoulder Bursa and Ligament, Percutaneous Approach
0MC14ZZExtirpation of Matter from Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MC20ZZExtirpation of Matter from Left Shoulder Bursa and Ligament, Open Approach
0MC23ZZExtirpation of Matter from Left Shoulder Bursa and Ligament, Percutaneous Approach
0MC24ZZExtirpation of Matter from Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MC30ZZExtirpation of Matter from Right Elbow Bursa and Ligament, Open Approach
0MC33ZZExtirpation of Matter from Right Elbow Bursa and Ligament, Percutaneous Approach
0MC34ZZExtirpation of Matter from Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MC40ZZExtirpation of Matter from Left Elbow Bursa and Ligament, Open Approach
0MC43ZZExtirpation of Matter from Left Elbow Bursa and Ligament, Percutaneous Approach
0MC44ZZExtirpation of Matter from Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MC90ZZExtirpation of Matter from Right Upper Extremity Bursa and Ligament, Open Approach
0MC93ZZExtirpation of Matter from Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MC94ZZExtirpation of Matter from Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCB0ZZExtirpation of Matter from Left Upper Extremity Bursa and Ligament, Open Approach
0MCB3ZZExtirpation of Matter from Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MCB4ZZExtirpation of Matter from Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCC0ZZExtirpation of Matter from Upper Spine Bursa and Ligament, Open Approach
0MCC3ZZExtirpation of Matter from Upper Spine Bursa and Ligament, Percutaneous Approach
0MCC4ZZExtirpation of Matter from Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MCD0ZZExtirpation of Matter from Lower Spine Bursa and Ligament, Open Approach
0MCD3ZZExtirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Approach
0MCD4ZZExtirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MCF0ZZExtirpation of Matter from Sternum Bursa and Ligament, Open Approach
0MCF3ZZExtirpation of Matter from Sternum Bursa and Ligament, Percutaneous Approach
0MCF4ZZExtirpation of Matter from Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MCG0ZZExtirpation of Matter from Rib(s) Bursa and Ligament, Open Approach
0MCG3ZZExtirpation of Matter from Rib(s) Bursa and Ligament, Percutaneous Approach
0MCG4ZZExtirpation of Matter from Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MCH0ZZExtirpation of Matter from Right Abdomen Bursa and Ligament, Open Approach
0MCH3ZZExtirpation of Matter from Right Abdomen Bursa and Ligament, Percutaneous Approach
0MCH4ZZExtirpation of Matter from Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MCJ0ZZExtirpation of Matter from Left Abdomen Bursa and Ligament, Open Approach
0MCJ3ZZExtirpation of Matter from Left Abdomen Bursa and Ligament, Percutaneous Approach
0MCJ4ZZExtirpation of Matter from Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MCK0ZZExtirpation of Matter from Perineum Bursa and Ligament, Open Approach
0MCK3ZZExtirpation of Matter from Perineum Bursa and Ligament, Percutaneous Approach
0MCK4ZZExtirpation of Matter from Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MCL0ZZExtirpation of Matter from Right Hip Bursa and Ligament, Open Approach
0MCL3ZZExtirpation of Matter from Right Hip Bursa and Ligament, Percutaneous Approach
0MCL4ZZExtirpation of Matter from Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MCM0ZZExtirpation of Matter from Left Hip Bursa and Ligament, Open Approach
0MCM3ZZExtirpation of Matter from Left Hip Bursa and Ligament, Percutaneous Approach
0MCM4ZZExtirpation of Matter from Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MCN0ZZExtirpation of Matter from Right Knee Bursa and Ligament, Open Approach
0MCN3ZZExtirpation of Matter from Right Knee Bursa and Ligament, Percutaneous Approach
0MCN4ZZExtirpation of Matter from Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MCP0ZZExtirpation of Matter from Left Knee Bursa and Ligament, Open Approach
0MCP3ZZExtirpation of Matter from Left Knee Bursa and Ligament, Percutaneous Approach
0MCP4ZZExtirpation of Matter from Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MCQ0ZZExtirpation of Matter from Right Ankle Bursa and Ligament, Open Approach
0MCQ3ZZExtirpation of Matter from Right Ankle Bursa and Ligament, Percutaneous Approach
0MCQ4ZZExtirpation of Matter from Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MCR0ZZExtirpation of Matter from Left Ankle Bursa and Ligament, Open Approach
0MCR3ZZExtirpation of Matter from Left Ankle Bursa and Ligament, Percutaneous Approach
0MCR4ZZExtirpation of Matter from Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MCS0ZZExtirpation of Matter from Right Foot Bursa and Ligament, Open Approach
0MCS3ZZExtirpation of Matter from Right Foot Bursa and Ligament, Percutaneous Approach
0MCS4ZZExtirpation of Matter from Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MCT0ZZExtirpation of Matter from Left Foot Bursa and Ligament, Open Approach
0MCT3ZZExtirpation of Matter from Left Foot Bursa and Ligament, Percutaneous Approach
0MCT4ZZExtirpation of Matter from Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MCV0ZZExtirpation of Matter from Right Lower Extremity Bursa and Ligament, Open Approach
0MCV3ZZExtirpation of Matter from Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0MCV4ZZExtirpation of Matter from Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCW0ZZExtirpation of Matter from Left Lower Extremity Bursa and Ligament, Open Approach
0MCW3ZZExtirpation of Matter from Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0MCW4ZZExtirpation of Matter from Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MD00ZZExtraction of Head and Neck Bursa and Ligament, Open Approach
0MD03ZZExtraction of Head and Neck Bursa and Ligament, Percutaneous Approach
0MD04ZZExtraction of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MD10ZZExtraction of Right Shoulder Bursa and Ligament, Open Approach
0MD13ZZExtraction of Right Shoulder Bursa and Ligament, Percutaneous Approach
0MD14ZZExtraction of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MD20ZZExtraction of Left Shoulder Bursa and Ligament, Open Approach
0MD23ZZExtraction of Left Shoulder Bursa and Ligament, Percutaneous Approach
0MD24ZZExtraction of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MD30ZZExtraction of Right Elbow Bursa and Ligament, Open Approach
0MD33ZZExtraction of Right Elbow Bursa and Ligament, Percutaneous Approach
0MD34ZZExtraction of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MD40ZZExtraction of Left Elbow Bursa and Ligament, Open Approach
0MD43ZZExtraction of Left Elbow Bursa and Ligament, Percutaneous Approach
0MD44ZZExtraction of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MD50ZZExtraction of Right Wrist Bursa and Ligament, Open Approach
0MD53ZZExtraction of Right Wrist Bursa and Ligament, Percutaneous Approach
0MD54ZZExtraction of Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MD60ZZExtraction of Left Wrist Bursa and Ligament, Open Approach
0MD63ZZExtraction of Left Wrist Bursa and Ligament, Percutaneous Approach
0MD64ZZExtraction of Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MD90ZZExtraction of Right Upper Extremity Bursa and Ligament, Open Approach
0MD93ZZExtraction of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MD94ZZExtraction of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MDB0ZZExtraction of Left Upper Extremity Bursa and Ligament, Open Approach
0MDB3ZZExtraction of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MDB4ZZExtraction of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MDC0ZZExtraction of Upper Spine Bursa and Ligament, Open Approach
0MDC3ZZExtraction of Upper Spine Bursa and Ligament, Percutaneous Approach
0MDC4ZZExtraction of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MDD0ZZExtraction of Lower Spine Bursa and Ligament, Open Approach
0MDD3ZZExtraction of Lower Spine Bursa and Ligament, Percutaneous Approach
0MDD4ZZExtraction of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MDF0ZZExtraction of Sternum Bursa and Ligament, Open Approach
0MDF3ZZExtraction of Sternum Bursa and Ligament, Percutaneous Approach
0MDF4ZZExtraction of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MDG0ZZExtraction of Rib(s) Bursa and Ligament, Open Approach
0MDG3ZZExtraction of Rib(s) Bursa and Ligament, Percutaneous Approach
0MDG4ZZExtraction of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MDH0ZZExtraction of Right Abdomen Bursa and Ligament, Open Approach
0MDH3ZZExtraction of Right Abdomen Bursa and Ligament, Percutaneous Approach
0MDH4ZZExtraction of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MDJ0ZZExtraction of Left Abdomen Bursa and Ligament, Open Approach
0MDJ3ZZExtraction of Left Abdomen Bursa and Ligament, Percutaneous Approach
0MDJ4ZZExtraction of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MDK0ZZExtraction of Perineum Bursa and Ligament, Open Approach
0MDK3ZZExtraction of Perineum Bursa and Ligament, Percutaneous Approach
0MDK4ZZExtraction of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MDL0ZZExtraction of Right Hip Bursa and Ligament, Open Approach
0MDL3ZZExtraction of Right Hip Bursa and Ligament, Percutaneous Approach
0MDL4ZZExtraction of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MDM0ZZExtraction of Left Hip Bursa and Ligament, Open Approach
0MDM3ZZExtraction of Left Hip Bursa and Ligament, Percutaneous Approach
0MDM4ZZExtraction of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MDN0ZZExtraction of Right Knee Bursa and Ligament, Open Approach
0MDN3ZZExtraction of Right Knee Bursa and Ligament, Percutaneous Approach
0MDN4ZZExtraction of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MDP0ZZExtraction of Left Knee Bursa and Ligament, Open Approach
0MDP3ZZExtraction of Left Knee Bursa and Ligament, Percutaneous Approach
0MDP4ZZExtraction of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MDQ0ZZExtraction of Right Ankle Bursa and Ligament, Open Approach
0MDQ3ZZExtraction of Right Ankle Bursa and Ligament, Percutaneous Approach
0MDQ4ZZExtraction of Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MDR0ZZExtraction of Left Ankle Bursa and Ligament, Open Approach
0MDR3ZZExtraction of Left Ankle Bursa and Ligament, Percutaneous Approach
0MDR4ZZExtraction of Left Ankle Bursa and Ligament, Percutaneous Endoscopic 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