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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| Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989) |
| Non-extensive O.R. procedures unrelated to principal diagnosis |
| Page 25 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
| 0X084ZZ | Alteration of Right Upper Arm, Percutaneous Endoscopic Approach |
| 0X0907Z | Alteration of Left Upper Arm with Autologous Tissue Substitute, Open Approach |
| 0X090JZ | Alteration of Left Upper Arm with Synthetic Substitute, Open Approach |
| 0X090KZ | Alteration of Left Upper Arm with Nonautologous Tissue Substitute, Open Approach |
| 0X090ZZ | Alteration of Left Upper Arm, Open Approach |
| 0X0937Z | Alteration of Left Upper Arm with Autologous Tissue Substitute, Percutaneous Approach |
| 0X093JZ | Alteration of Left Upper Arm with Synthetic Substitute, Percutaneous Approach |
| 0X093KZ | Alteration of Left Upper Arm with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X093ZZ | Alteration of Left Upper Arm, Percutaneous Approach |
| 0X0947Z | Alteration of Left Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X094JZ | Alteration of Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X094KZ | Alteration of Left Upper Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X094ZZ | Alteration of Left Upper Arm, Percutaneous Endoscopic Approach |
| 0X0B07Z | Alteration of Right Elbow Region with Autologous Tissue Substitute, Open Approach |
| 0X0B0JZ | Alteration of Right Elbow Region with Synthetic Substitute, Open Approach |
| 0X0B0KZ | Alteration of Right Elbow Region with Nonautologous Tissue Substitute, Open Approach |
| 0X0B0ZZ | Alteration of Right Elbow Region, Open Approach |
| 0X0B37Z | Alteration of Right Elbow Region with Autologous Tissue Substitute, Percutaneous Approach |
| 0X0B3JZ | Alteration of Right Elbow Region with Synthetic Substitute, Percutaneous Approach |
| 0X0B3KZ | Alteration of Right Elbow Region with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X0B3ZZ | Alteration of Right Elbow Region, Percutaneous Approach |
| 0X0B47Z | Alteration of Right Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0B4JZ | Alteration of Right Elbow Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X0B4KZ | Alteration of Right Elbow Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0B4ZZ | Alteration of Right Elbow Region, Percutaneous Endoscopic Approach |
| 0X0C07Z | Alteration of Left Elbow Region with Autologous Tissue Substitute, Open Approach |
| 0X0C0JZ | Alteration of Left Elbow Region with Synthetic Substitute, Open Approach |
| 0X0C0KZ | Alteration of Left Elbow Region with Nonautologous Tissue Substitute, Open Approach |
| 0X0C0ZZ | Alteration of Left Elbow Region, Open Approach |
| 0X0C37Z | Alteration of Left Elbow Region with Autologous Tissue Substitute, Percutaneous Approach |
| 0X0C3JZ | Alteration of Left Elbow Region with Synthetic Substitute, Percutaneous Approach |
| 0X0C3KZ | Alteration of Left Elbow Region with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X0C3ZZ | Alteration of Left Elbow Region, Percutaneous Approach |
| 0X0C47Z | Alteration of Left Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0C4JZ | Alteration of Left Elbow Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X0C4KZ | Alteration of Left Elbow Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0C4ZZ | Alteration of Left Elbow Region, Percutaneous Endoscopic Approach |
| 0X0D07Z | Alteration of Right Lower Arm with Autologous Tissue Substitute, Open Approach |
| 0X0D0JZ | Alteration of Right Lower Arm with Synthetic Substitute, Open Approach |
| 0X0D0KZ | Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Open Approach |
| 0X0D0ZZ | Alteration of Right Lower Arm, Open Approach |
| 0X0D37Z | Alteration of Right Lower Arm with Autologous Tissue Substitute, Percutaneous Approach |
| 0X0D3JZ | Alteration of Right Lower Arm with Synthetic Substitute, Percutaneous Approach |
| 0X0D3KZ | Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X0D3ZZ | Alteration of Right Lower Arm, Percutaneous Approach |
| 0X0D47Z | Alteration of Right Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0D4JZ | Alteration of Right Lower Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X0D4KZ | Alteration of Right Lower Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0D4ZZ | Alteration of Right Lower Arm, Percutaneous Endoscopic Approach |
| 0X0F07Z | Alteration of Left Lower Arm with Autologous Tissue Substitute, Open Approach |
| 0X0F0JZ | Alteration of Left Lower Arm with Synthetic Substitute, Open Approach |
| 0X0F0KZ | Alteration of Left Lower Arm with Nonautologous Tissue Substitute, Open Approach |
| 0X0F0ZZ | Alteration of Left Lower Arm, Open Approach |
| 0X0F37Z | Alteration of Left Lower Arm with Autologous Tissue Substitute, Percutaneous Approach |
| 0X0F3JZ | Alteration of Left Lower Arm with Synthetic Substitute, Percutaneous Approach |
| 0X0F3KZ | Alteration of Left Lower Arm with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X0F3ZZ | Alteration of Left Lower Arm, Percutaneous Approach |
| 0X0F47Z | Alteration of Left Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0F4JZ | Alteration of Left Lower Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X0F4KZ | Alteration of Left Lower Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0F4ZZ | Alteration of Left Lower Arm, Percutaneous Endoscopic Approach |
| 0X0G07Z | Alteration of Right Wrist Region with Autologous Tissue Substitute, Open Approach |
| 0X0G0JZ | Alteration of Right Wrist Region with Synthetic Substitute, Open Approach |
| 0X0G0KZ | Alteration of Right Wrist Region with Nonautologous Tissue Substitute, Open Approach |
| 0X0G0ZZ | Alteration of Right Wrist Region, Open Approach |
| 0X0G37Z | Alteration of Right Wrist Region with Autologous Tissue Substitute, Percutaneous Approach |
| 0X0G3JZ | Alteration of Right Wrist Region with Synthetic Substitute, Percutaneous Approach |
| 0X0G3KZ | Alteration of Right Wrist Region with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X0G3ZZ | Alteration of Right Wrist Region, Percutaneous Approach |
| 0X0G47Z | Alteration of Right Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0G4JZ | Alteration of Right Wrist Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X0G4KZ | Alteration of Right Wrist Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0G4ZZ | Alteration of Right Wrist Region, Percutaneous Endoscopic Approach |
| 0X0H07Z | Alteration of Left Wrist Region with Autologous Tissue Substitute, Open Approach |
| 0X0H0JZ | Alteration of Left Wrist Region with Synthetic Substitute, Open Approach |
| 0X0H0KZ | Alteration of Left Wrist Region with Nonautologous Tissue Substitute, Open Approach |
| 0X0H0ZZ | Alteration of Left Wrist Region, Open Approach |
| 0X0H37Z | Alteration of Left Wrist Region with Autologous Tissue Substitute, Percutaneous Approach |
| 0X0H3JZ | Alteration of Left Wrist Region with Synthetic Substitute, Percutaneous Approach |
| 0X0H3KZ | Alteration of Left Wrist Region with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0X0H3ZZ | Alteration of Left Wrist Region, Percutaneous Approach |
| 0X0H47Z | Alteration of Left Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0H4JZ | Alteration of Left Wrist Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0X0H4KZ | Alteration of Left Wrist Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0X0H4ZZ | Alteration of Left Wrist Region, Percutaneous Endoscopic Approach |
| 0X6N0Z0 | Detachment at Right Index Finger, Complete, Open Approach |
| 0X6N0Z1 | Detachment at Right Index Finger, High, Open Approach |
| 0X6N0Z2 | Detachment at Right Index Finger, Mid, Open Approach |
| 0X6N0Z3 | Detachment at Right Index Finger, Low, Open Approach |
| 0X6P0Z0 | Detachment at Left Index Finger, Complete, Open Approach |
| 0X6P0Z1 | Detachment at Left Index Finger, High, Open Approach |
| 0X6P0Z2 | Detachment at Left Index Finger, Mid, Open Approach |
| 0X6P0Z3 | Detachment at Left Index Finger, Low, Open Approach |
| 0X6Q0Z0 | Detachment at Right Middle Finger, Complete, Open Approach |
| 0X6Q0Z1 | Detachment at Right Middle Finger, High, Open Approach |
| 0X6Q0Z2 | Detachment at Right Middle Finger, Mid, Open Approach |
| 0X6Q0Z3 | Detachment at Right Middle Finger, Low, Open Approach |
| 0X6R0Z0 | Detachment at Left Middle Finger, Complete, Open Approach |
| 0X6R0Z1 | Detachment at Left Middle Finger, High, Open Approach |
| 0X6R0Z2 | Detachment at Left Middle Finger, Mid, Open Approach |
| 0X6R0Z3 | Detachment at Left Middle Finger, Low, Open Approach |
| 0X6S0Z0 | Detachment at Right Ring Finger, Complete, Open Approach |
| 0X6S0Z1 | Detachment at Right Ring Finger, High, Open Approach |
| 0X6S0Z2 | Detachment at Right Ring Finger, Mid, Open Approach |
| 0X6S0Z3 | Detachment at Right Ring Finger, Low, Open Approach |
| 0X6T0Z0 | Detachment at Left Ring Finger, Complete, Open Approach |
| 0X6T0Z1 | Detachment at Left Ring Finger, High, Open Approach |
| 0X6T0Z2 | Detachment at Left Ring Finger, Mid, Open Approach |
| 0X6T0Z3 | Detachment at Left Ring Finger, Low, Open Approach |
| 0X6V0Z0 | Detachment at Right Little Finger, Complete, Open Approach |
| 0X6V0Z1 | Detachment at Right Little Finger, High, Open Approach |
| 0X6V0Z2 | Detachment at Right Little Finger, Mid, Open Approach |
| 0X6V0Z3 | Detachment at Right Little Finger, Low, Open Approach |
| 0X6W0Z0 | Detachment at Left Little Finger, Complete, Open Approach |
| 0X6W0Z1 | Detachment at Left Little Finger, High, Open Approach |
| 0X6W0Z2 | Detachment at Left Little Finger, Mid, Open Approach |
| 0X6W0Z3 | Detachment at Left Little Finger, Low, Open Approach |
| 0XB20ZZ | Excision of Right Shoulder Region, Open Approach |
| 0XB23ZZ | Excision of Right Shoulder Region, Percutaneous Approach |
| 0XB24ZZ | Excision of Right Shoulder Region, Percutaneous Endoscopic Approach |
| 0XB30ZZ | Excision of Left Shoulder Region, Open Approach |
| 0XB33ZZ | Excision of Left Shoulder Region, Percutaneous Approach |
| 0XB34ZZ | Excision of Left Shoulder Region, Percutaneous Endoscopic Approach |
| 0XB40ZZ | Excision of Right Axilla, Open Approach |
| 0XB43ZZ | Excision of Right Axilla, Percutaneous Approach |
| 0XB44ZZ | Excision of Right Axilla, Percutaneous Endoscopic Approach |
| 0XB50ZZ | Excision of Left Axilla, Open Approach |
| 0XB53ZZ | Excision of Left Axilla, Percutaneous Approach |
| 0XB54ZZ | Excision of Left Axilla, Percutaneous Endoscopic Approach |
| 0XB60ZZ | Excision of Right Upper Extremity, Open Approach |
| 0XB63ZZ | Excision of Right Upper Extremity, Percutaneous Approach |
| 0XB64ZZ | Excision of Right Upper Extremity, Percutaneous Endoscopic Approach |
| 0XB70ZZ | Excision of Left Upper Extremity, Open Approach |
| 0XB73ZZ | Excision of Left Upper Extremity, Percutaneous Approach |
| 0XB74ZZ | Excision of Left Upper Extremity, Percutaneous Endoscopic Approach |
| 0XB80ZZ | Excision of Right Upper Arm, Open Approach |
| 0XB83ZZ | Excision of Right Upper Arm, Percutaneous Approach |
| 0XB84ZZ | Excision of Right Upper Arm, Percutaneous Endoscopic Approach |
| 0XB90ZZ | Excision of Left Upper Arm, Open Approach |
| 0XB93ZZ | Excision of Left Upper Arm, Percutaneous Approach |
| 0XB94ZZ | Excision of Left Upper Arm, Percutaneous Endoscopic Approach |
| 0XBB0ZZ | Excision of Right Elbow Region, Open Approach |
| 0XBB3ZZ | Excision of Right Elbow Region, Percutaneous Approach |
| 0XBB4ZZ | Excision of Right Elbow Region, Percutaneous Endoscopic Approach |
| 0XBC0ZZ | Excision of Left Elbow Region, Open Approach |
| 0XBC3ZZ | Excision of Left Elbow Region, Percutaneous Approach |
| 0XBC4ZZ | Excision of Left Elbow Region, Percutaneous Endoscopic Approach |
| 0XBD0ZZ | Excision of Right Lower Arm, Open Approach |
| 0XBD3ZZ | Excision of Right Lower Arm, Percutaneous Approach |
| 0XBD4ZZ | Excision of Right Lower Arm, Percutaneous Endoscopic Approach |
| 0XBF0ZZ | Excision of Left Lower Arm, Open Approach |
| 0XBF3ZZ | Excision of Left Lower Arm, Percutaneous Approach |
| 0XBF4ZZ | Excision of Left Lower Arm, Percutaneous Endoscopic Approach |
| 0XBG0ZZ | Excision of Right Wrist Region, Open Approach |
| 0XBG3ZZ | Excision of Right Wrist Region, Percutaneous Approach |
| 0XBG4ZZ | Excision of Right Wrist Region, Percutaneous Endoscopic Approach |
| 0XBH0ZZ | Excision of Left Wrist Region, Open Approach |
| 0XBH3ZZ | Excision of Left Wrist Region, Percutaneous Approach |
| 0XBH4ZZ | Excision of Left Wrist Region, Percutaneous Endoscopic Approach |
| 0XBJ0ZZ | Excision of Right Hand, Open Approach |
| 0XBJ3ZZ | Excision of Right Hand, Percutaneous Approach |
| 0XBJ4ZZ | Excision of Right Hand, Percutaneous Endoscopic Approach |
| 0XBK0ZZ | Excision of Left Hand, Open Approach |
| 0XBK3ZZ | Excision of Left Hand, Percutaneous Approach |
| 0XBK4ZZ | Excision of Left Hand, Percutaneous Endoscopic Approach |
| 0XH201Z | Insertion of Radioactive Element into Right Shoulder Region, Open Approach |
| 0XH231Z | Insertion of Radioactive Element into Right Shoulder Region, Percutaneous Approach |
| 0XH241Z | Insertion of Radioactive Element into Right Shoulder Region, Percutaneous Endoscopic Approach |
| 0XH301Z | Insertion of Radioactive Element into Left Shoulder Region, Open Approach |
| 0XH331Z | Insertion of Radioactive Element into Left Shoulder Region, Percutaneous Approach |
| 0XH341Z | Insertion of Radioactive Element into Left Shoulder Region, Percutaneous Endoscopic Approach |
| 0XH401Z | Insertion of Radioactive Element into Right Axilla, Open Approach |
| 0XH431Z | Insertion of Radioactive Element into Right Axilla, Percutaneous Approach |
| 0XH441Z | Insertion of Radioactive Element into Right Axilla, Percutaneous Endoscopic Approach |
| 0XH501Z | Insertion of Radioactive Element into Left Axilla, Open Approach |
| 0XH531Z | Insertion of Radioactive Element into Left Axilla, Percutaneous Approach |
| 0XH541Z | Insertion of Radioactive Element into Left Axilla, Percutaneous Endoscopic Approach |
| 0XH601Z | Insertion of Radioactive Element into Right Upper Extremity, Open Approach |
| 0XH631Z | Insertion of Radioactive Element into Right Upper Extremity, Percutaneous Approach |
| 0XH641Z | Insertion of Radioactive Element into Right Upper Extremity, Percutaneous Endoscopic Approach |
| 0XH701Z | Insertion of Radioactive Element into Left Upper Extremity, Open Approach |
| 0XH731Z | Insertion of Radioactive Element into Left Upper Extremity, Percutaneous Approach |
| 0XH741Z | Insertion of Radioactive Element into Left Upper Extremity, Percutaneous Endoscopic Approach |
| 0XH801Z | Insertion of Radioactive Element into Right Upper Arm, Open Approach |
| 0XH831Z | Insertion of Radioactive Element into Right Upper Arm, Percutaneous Approach |
| 0XH841Z | Insertion of Radioactive Element into Right Upper Arm, Percutaneous Endoscopic Approach |
| 0XH901Z | Insertion of Radioactive Element into Left Upper Arm, Open Approach |
| 0XH931Z | Insertion of Radioactive Element into Left Upper Arm, Percutaneous Approach |
| 0XH941Z | Insertion of Radioactive Element into Left Upper Arm, Percutaneous Endoscopic Approach |
| 0XHB01Z | Insertion of Radioactive Element into Right Elbow Region, Open Approach |
| 0XHB31Z | Insertion of Radioactive Element into Right Elbow Region, Percutaneous Approach |
| 0XHB41Z | Insertion of Radioactive Element into Right Elbow Region, Percutaneous Endoscopic Approach |
| 0XHC01Z | Insertion of Radioactive Element into Left Elbow Region, Open Approach |
| 0XHC31Z | Insertion of Radioactive Element into Left Elbow Region, Percutaneous Approach |
| 0XHC41Z | Insertion of Radioactive Element into Left Elbow Region, Percutaneous Endoscopic Approach |
| 0XHD01Z | Insertion of Radioactive Element into Right Lower Arm, Open Approach |
| 0XHD31Z | Insertion of Radioactive Element into Right Lower Arm, Percutaneous Approach |
| 0XHD41Z | Insertion of Radioactive Element into Right Lower Arm, Percutaneous Endoscopic Approach |
| 0XHF01Z | Insertion of Radioactive Element into Left Lower Arm, Open Approach |
| 0XHF31Z | Insertion of Radioactive Element into Left Lower Arm, Percutaneous Approach |
| 0XHF41Z | Insertion of Radioactive Element into Left Lower Arm, Percutaneous Endoscopic Approach |
| 0XHG01Z | Insertion of Radioactive Element into Right Wrist Region, Open Approach |
| 0XHG31Z | Insertion of Radioactive Element into Right Wrist Region, Percutaneous Approach |
| 0XHG41Z | Insertion of Radioactive Element into Right Wrist Region, Percutaneous Endoscopic Approach |
| 0XHH01Z | Insertion of Radioactive Element into Left Wrist Region, Open Approach |
| 0XHH31Z | Insertion of Radioactive Element into Left Wrist Region, Percutaneous Approach |
| 0XHH41Z | Insertion of Radioactive Element into Left Wrist Region, Percutaneous Endoscopic Approach |
| 0XHJ01Z | Insertion of Radioactive Element into Right Hand, Open Approach |
| 0XHJ31Z | Insertion of Radioactive Element into Right Hand, Percutaneous Approach |
| 0XHJ41Z | Insertion of Radioactive Element into Right Hand, Percutaneous Endoscopic Approach |
| 0XHK01Z | Insertion of Radioactive Element into Left Hand, Open Approach |
| 0XHK31Z | Insertion of Radioactive Element into Left Hand, Percutaneous Approach |
| 0XHK41Z | Insertion of Radioactive Element into Left Hand, Percutaneous Endoscopic Approach |
| 0XU207Z | Supplement Right Shoulder Region with Autologous Tissue Substitute, Open Approach |
| 0XU20JZ | Supplement Right Shoulder Region with Synthetic Substitute, Open Approach |
| 0XU20KZ | Supplement Right Shoulder Region with Nonautologous Tissue Substitute, Open Approach |
| 0XU247Z | Supplement Right Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU24JZ | Supplement Right Shoulder Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU24KZ | Supplement Right Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU307Z | Supplement Left Shoulder Region with Autologous Tissue Substitute, Open Approach |
| 0XU30JZ | Supplement Left Shoulder Region with Synthetic Substitute, Open Approach |
| 0XU30KZ | Supplement Left Shoulder Region with Nonautologous Tissue Substitute, Open Approach |
| 0XU347Z | Supplement Left Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU34JZ | Supplement Left Shoulder Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU34KZ | Supplement Left Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU407Z | Supplement Right Axilla with Autologous Tissue Substitute, Open Approach |
| 0XU40JZ | Supplement Right Axilla with Synthetic Substitute, Open Approach |
| 0XU40KZ | Supplement Right Axilla with Nonautologous Tissue Substitute, Open Approach |
| 0XU447Z | Supplement Right Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU44JZ | Supplement Right Axilla with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU44KZ | Supplement Right Axilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU507Z | Supplement Left Axilla with Autologous Tissue Substitute, Open Approach |
| 0XU50JZ | Supplement Left Axilla with Synthetic Substitute, Open Approach |
| 0XU50KZ | Supplement Left Axilla with Nonautologous Tissue Substitute, Open Approach |
| 0XU547Z | Supplement Left Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU54JZ | Supplement Left Axilla with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU54KZ | Supplement Left Axilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU607Z | Supplement Right Upper Extremity with Autologous Tissue Substitute, Open Approach |
| 0XU60JZ | Supplement Right Upper Extremity with Synthetic Substitute, Open Approach |
| 0XU60KZ | Supplement Right Upper Extremity with Nonautologous Tissue Substitute, Open Approach |
| 0XU647Z | Supplement Right Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU64JZ | Supplement Right Upper Extremity with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU64KZ | Supplement Right Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU707Z | Supplement Left Upper Extremity with Autologous Tissue Substitute, Open Approach |
| 0XU70JZ | Supplement Left Upper Extremity with Synthetic Substitute, Open Approach |
| 0XU70KZ | Supplement Left Upper Extremity with Nonautologous Tissue Substitute, Open Approach |
| 0XU747Z | Supplement Left Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU74JZ | Supplement Left Upper Extremity with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU74KZ | Supplement Left Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU807Z | Supplement Right Upper Arm with Autologous Tissue Substitute, Open Approach |
| 0XU80JZ | Supplement Right Upper Arm with Synthetic Substitute, Open Approach |
| 0XU80KZ | Supplement Right Upper Arm with Nonautologous Tissue Substitute, Open Approach |
| 0XU847Z | Supplement Right Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU84JZ | Supplement Right Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU84KZ | Supplement Right Upper Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU907Z | Supplement Left Upper Arm with Autologous Tissue Substitute, Open Approach |
| 0XU90JZ | Supplement Left Upper Arm with Synthetic Substitute, Open Approach |
| 0XU90KZ | Supplement Left Upper Arm with Nonautologous Tissue Substitute, Open Approach |
| 0XU947Z | Supplement Left Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XU94JZ | Supplement Left Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XU94KZ | Supplement Left Upper Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUB07Z | Supplement Right Elbow Region with Autologous Tissue Substitute, Open Approach |
| 0XUB0JZ | Supplement Right Elbow Region with Synthetic Substitute, Open Approach |
| 0XUB0KZ | Supplement Right Elbow Region with Nonautologous Tissue Substitute, Open Approach |
| 0XUB47Z | Supplement Right Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUB4JZ | Supplement Right Elbow Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUB4KZ | Supplement Right Elbow Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUC07Z | Supplement Left Elbow Region with Autologous Tissue Substitute, Open Approach |
| 0XUC0JZ | Supplement Left Elbow Region with Synthetic Substitute, Open Approach |
| 0XUC0KZ | Supplement Left Elbow Region with Nonautologous Tissue Substitute, Open Approach |
| 0XUC47Z | Supplement Left Elbow Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUC4JZ | Supplement Left Elbow Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUC4KZ | Supplement Left Elbow Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUD07Z | Supplement Right Lower Arm with Autologous Tissue Substitute, Open Approach |
| 0XUD0JZ | Supplement Right Lower Arm with Synthetic Substitute, Open Approach |
| 0XUD0KZ | Supplement Right Lower Arm with Nonautologous Tissue Substitute, Open Approach |
| 0XUD47Z | Supplement Right Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUD4JZ | Supplement Right Lower Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUD4KZ | Supplement Right Lower Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUF07Z | Supplement Left Lower Arm with Autologous Tissue Substitute, Open Approach |
| 0XUF0JZ | Supplement Left Lower Arm with Synthetic Substitute, Open Approach |
| 0XUF0KZ | Supplement Left Lower Arm with Nonautologous Tissue Substitute, Open Approach |
| 0XUF47Z | Supplement Left Lower Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUF4JZ | Supplement Left Lower Arm with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUF4KZ | Supplement Left Lower Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUG07Z | Supplement Right Wrist Region with Autologous Tissue Substitute, Open Approach |
| 0XUG0JZ | Supplement Right Wrist Region with Synthetic Substitute, Open Approach |
| 0XUG0KZ | Supplement Right Wrist Region with Nonautologous Tissue Substitute, Open Approach |
| 0XUG47Z | Supplement Right Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUG4JZ | Supplement Right Wrist Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUG4KZ | Supplement Right Wrist Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUH07Z | Supplement Left Wrist Region with Autologous Tissue Substitute, Open Approach |
| 0XUH0JZ | Supplement Left Wrist Region with Synthetic Substitute, Open Approach |
| 0XUH0KZ | Supplement Left Wrist Region with Nonautologous Tissue Substitute, Open Approach |
| 0XUH47Z | Supplement Left Wrist Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUH4JZ | Supplement Left Wrist Region with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUH4KZ | Supplement Left Wrist Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUJ07Z | Supplement Right Hand with Autologous Tissue Substitute, Open Approach |
| 0XUJ0JZ | Supplement Right Hand with Synthetic Substitute, Open Approach |
| 0XUJ0KZ | Supplement Right Hand with Nonautologous Tissue Substitute, Open Approach |
| 0XUJ47Z | Supplement Right Hand with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUJ4JZ | Supplement Right Hand with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUJ4KZ | Supplement Right Hand with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUK07Z | Supplement Left Hand with Autologous Tissue Substitute, Open Approach |
| 0XUK0JZ | Supplement Left Hand with Synthetic Substitute, Open Approach |
| 0XUK0KZ | Supplement Left Hand with Nonautologous Tissue Substitute, Open Approach |
| 0XUK47Z | Supplement Left Hand with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUK4JZ | Supplement Left Hand with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUK4KZ | Supplement Left Hand with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUL07Z | Supplement Right Thumb with Autologous Tissue Substitute, Open Approach |
| 0XUL0JZ | Supplement Right Thumb with Synthetic Substitute, Open Approach |
| 0XUL0KZ | Supplement Right Thumb with Nonautologous Tissue Substitute, Open Approach |
| 0XUL47Z | Supplement Right Thumb with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUL4JZ | Supplement Right Thumb with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUL4KZ | Supplement Right Thumb with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUM07Z | Supplement Left Thumb with Autologous Tissue Substitute, Open Approach |
| 0XUM0JZ | Supplement Left Thumb with Synthetic Substitute, Open Approach |
| 0XUM0KZ | Supplement Left Thumb with Nonautologous Tissue Substitute, Open Approach |
| 0XUM47Z | Supplement Left Thumb with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUM4JZ | Supplement Left Thumb with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUM4KZ | Supplement Left Thumb with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUN07Z | Supplement Right Index Finger with Autologous Tissue Substitute, Open Approach |
| 0XUN0JZ | Supplement Right Index Finger with Synthetic Substitute, Open Approach |
| 0XUN0KZ | Supplement Right Index Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUN47Z | Supplement Right Index Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUN4JZ | Supplement Right Index Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUN4KZ | Supplement Right Index Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUP07Z | Supplement Left Index Finger with Autologous Tissue Substitute, Open Approach |
| 0XUP0JZ | Supplement Left Index Finger with Synthetic Substitute, Open Approach |
| 0XUP0KZ | Supplement Left Index Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUP47Z | Supplement Left Index Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUP4JZ | Supplement Left Index Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUP4KZ | Supplement Left Index Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUQ07Z | Supplement Right Middle Finger with Autologous Tissue Substitute, Open Approach |
| 0XUQ0JZ | Supplement Right Middle Finger with Synthetic Substitute, Open Approach |
| 0XUQ0KZ | Supplement Right Middle Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUQ47Z | Supplement Right Middle Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUQ4JZ | Supplement Right Middle Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUQ4KZ | Supplement Right Middle Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUR07Z | Supplement Left Middle Finger with Autologous Tissue Substitute, Open Approach |
| 0XUR0JZ | Supplement Left Middle Finger with Synthetic Substitute, Open Approach |
| 0XUR0KZ | Supplement Left Middle Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUR47Z | Supplement Left Middle Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUR4JZ | Supplement Left Middle Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUR4KZ | Supplement Left Middle Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUS07Z | Supplement Right Ring Finger with Autologous Tissue Substitute, Open Approach |
| 0XUS0JZ | Supplement Right Ring Finger with Synthetic Substitute, Open Approach |
| 0XUS0KZ | Supplement Right Ring Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUS47Z | Supplement Right Ring Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUS4JZ | Supplement Right Ring Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUS4KZ | Supplement Right Ring Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUT07Z | Supplement Left Ring Finger with Autologous Tissue Substitute, Open Approach |
| 0XUT0JZ | Supplement Left Ring Finger with Synthetic Substitute, Open Approach |
| 0XUT0KZ | Supplement Left Ring Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUT47Z | Supplement Left Ring Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUT4JZ | Supplement Left Ring Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUT4KZ | Supplement Left Ring Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUV07Z | Supplement Right Little Finger with Autologous Tissue Substitute, Open Approach |
| 0XUV0JZ | Supplement Right Little Finger with Synthetic Substitute, Open Approach |
| 0XUV0KZ | Supplement Right Little Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUV47Z | Supplement Right Little Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUV4JZ | Supplement Right Little Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUV4KZ | Supplement Right Little Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUW07Z | Supplement Left Little Finger with Autologous Tissue Substitute, Open Approach |
| 0XUW0JZ | Supplement Left Little Finger with Synthetic Substitute, Open Approach |
| 0XUW0KZ | Supplement Left Little Finger with Nonautologous Tissue Substitute, Open Approach |
| 0XUW47Z | Supplement Left Little Finger with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0XUW4JZ | Supplement Left Little Finger with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0XUW4KZ | Supplement Left Little Finger with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0Y0007Z | Alteration of Right Buttock with Autologous Tissue Substitute, Open Approach |
| 0Y000JZ | Alteration of Right Buttock with Synthetic Substitute, Open Approach |
| 0Y000KZ | Alteration of Right Buttock with Nonautologous Tissue Substitute, Open Approach |
| 0Y000ZZ | Alteration of Right Buttock, Open Approach |
| 0Y0037Z | Alteration of Right Buttock with Autologous Tissue Substitute, Percutaneous Approach |
| 0Y003JZ | Alteration of Right Buttock with Synthetic Substitute, Percutaneous Approach |
| 0Y003KZ | Alteration of Right Buttock with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0Y003ZZ | Alteration of Right Buttock, Percutaneous Approach |
| 0Y0047Z | Alteration of Right Buttock with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0Y004JZ | Alteration of Right Buttock with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0Y004KZ | Alteration of Right Buttock with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0Y004ZZ | Alteration of Right Buttock, Percutaneous Endoscopic Approach |
| 0Y0107Z | Alteration of Left Buttock with Autologous Tissue Substitute, Open Approach |
| 0Y010JZ | Alteration of Left Buttock with Synthetic Substitute, Open Approach |
| 0Y010KZ | Alteration of Left Buttock with Nonautologous Tissue Substitute, Open Approach |
| 0Y010ZZ | Alteration of Left Buttock, Open Approach |
| 0Y0137Z | Alteration of Left Buttock with Autologous Tissue Substitute, Percutaneous Approach |
| 0Y013JZ | Alteration of Left Buttock with Synthetic Substitute, Percutaneous Approach |
| 0Y013KZ | Alteration of Left Buttock with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0Y013ZZ | Alteration of Left Buttock, Percutaneous Approach |
| 0Y0147Z | Alteration of Left Buttock with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0Y014JZ | Alteration of Left Buttock with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0Y014KZ | Alteration of Left Buttock with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0Y014ZZ | Alteration of Left Buttock, Percutaneous Endoscopic Approach |
| 0Y0907Z | Alteration of Right Lower Extremity with Autologous Tissue Substitute, Open Approach |
| 0Y090JZ | Alteration of Right Lower Extremity with Synthetic Substitute, Open Approach |
| 0Y090KZ | Alteration of Right Lower Extremity with Nonautologous Tissue Substitute, Open Approach |
| 0Y090ZZ | Alteration of Right Lower Extremity, Open Approach |
| 0Y0937Z | Alteration of Right Lower Extremity with Autologous Tissue Substitute, Percutaneous Approach |
| 0Y093JZ | Alteration of Right Lower Extremity with Synthetic Substitute, Percutaneous Approach |
| 0Y093KZ | Alteration of Right Lower Extremity with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0Y093ZZ | Alteration of Right Lower Extremity, Percutaneous 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 |