ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual

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 03B20ZX 04LB3DZ 06DN0ZZ 07PN00Z 08LY0ZZ 08U83JZ 09BL3ZZ 0C513ZZ 0D5B0Z3 0HHT7NZ 0K9L40Z 0KRT4KZ 0LQ13ZZ 0MDM3ZZ 0P5R3ZZ 0PPK34Z 0QB60ZX 0QPP44Z 0SGK33Z 0SWJ04Z 0TW98YZ 0UWH7DZ 0W0N4ZZ 0X064ZZ 0Y003ZZ 0YUP07Z

0LQ13ZZ	Repair Right Shoulder Tendon, Percutaneous Approach
0LQ14ZZ	Repair Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ20ZZ	Repair Left Shoulder Tendon, Open Approach
0LQ23ZZ	Repair Left Shoulder Tendon, Percutaneous Approach
0LQ24ZZ	Repair Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ70ZZ	Repair Right Hand Tendon, Open Approach
0LQ73ZZ	Repair Right Hand Tendon, Percutaneous Approach
0LQ74ZZ	Repair Right Hand Tendon, Percutaneous Endoscopic Approach
0LQ80ZZ	Repair Left Hand Tendon, Open Approach
0LQ83ZZ	Repair Left Hand Tendon, Percutaneous Approach
0LQ84ZZ	Repair Left Hand Tendon, Percutaneous Endoscopic Approach
0LQQ0ZZ	Repair Right Knee Tendon, Open Approach
0LQQ3ZZ	Repair Right Knee Tendon, Percutaneous Approach
0LQQ4ZZ	Repair Right Knee Tendon, Percutaneous Endoscopic Approach
0LQR0ZZ	Repair Left Knee Tendon, Open Approach
0LQR3ZZ	Repair Left Knee Tendon, Percutaneous Approach
0LQR4ZZ	Repair Left Knee Tendon, Percutaneous Endoscopic Approach
0LQS0ZZ	Repair Right Ankle Tendon, Open Approach
0LQS3ZZ	Repair Right Ankle Tendon, Percutaneous Approach
0LQS4ZZ	Repair Right Ankle Tendon, Percutaneous Endoscopic Approach
0LQT0ZZ	Repair Left Ankle Tendon, Open Approach
0LQT3ZZ	Repair Left Ankle Tendon, Percutaneous Approach
0LQT4ZZ	Repair Left Ankle Tendon, Percutaneous Endoscopic Approach
0LWX00Z	Revision of Drainage Device in Upper Tendon, Open Approach
0LWX07Z	Revision of Autologous Tissue Substitute in Upper Tendon, Open Approach
0LWX0JZ	Revision of Synthetic Substitute in Upper Tendon, Open Approach
0LWX0KZ	Revision of Nonautologous Tissue Substitute in Upper Tendon, Open Approach
0LWX0YZ	Revision of Other Device in Upper Tendon, Open Approach
0LWX30Z	Revision of Drainage Device in Upper Tendon, Percutaneous Approach
0LWX37Z	Revision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Approach
0LWX3JZ	Revision of Synthetic Substitute in Upper Tendon, Percutaneous Approach
0LWX3KZ	Revision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Approach
0LWX40Z	Revision of Drainage Device in Upper Tendon, Percutaneous Endoscopic Approach
0LWX47Z	Revision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4JZ	Revision of Synthetic Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4KZ	Revision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWY00Z	Revision of Drainage Device in Lower Tendon, Open Approach
0LWY07Z	Revision of Autologous Tissue Substitute in Lower Tendon, Open Approach
0LWY0JZ	Revision of Synthetic Substitute in Lower Tendon, Open Approach
0LWY0KZ	Revision of Nonautologous Tissue Substitute in Lower Tendon, Open Approach
0LWY0YZ	Revision of Other Device in Lower Tendon, Open Approach
0LWY30Z	Revision of Drainage Device in Lower Tendon, Percutaneous Approach
0LWY37Z	Revision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Approach
0LWY3JZ	Revision of Synthetic Substitute in Lower Tendon, Percutaneous Approach
0LWY3KZ	Revision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Approach
0LWY40Z	Revision of Drainage Device in Lower Tendon, Percutaneous Endoscopic Approach
0LWY47Z	Revision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4JZ	Revision of Synthetic Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4KZ	Revision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0M5N0ZZ	Destruction of Right Knee Bursa and Ligament, Open Approach
0M5N3ZZ	Destruction of Right Knee Bursa and Ligament, Percutaneous Approach
0M5N4ZZ	Destruction of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M5P0ZZ	Destruction of Left Knee Bursa and Ligament, Open Approach
0M5P3ZZ	Destruction of Left Knee Bursa and Ligament, Percutaneous Approach
0M5P4ZZ	Destruction of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M5S0ZZ	Destruction of Right Foot Bursa and Ligament, Open Approach
0M5S3ZZ	Destruction of Right Foot Bursa and Ligament, Percutaneous Approach
0M5S4ZZ	Destruction of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M5T0ZZ	Destruction of Left Foot Bursa and Ligament, Open Approach
0M5T3ZZ	Destruction of Left Foot Bursa and Ligament, Percutaneous Approach
0M5T4ZZ	Destruction of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M800ZZ	Division of Head and Neck Bursa and Ligament, Open Approach
0M803ZZ	Division of Head and Neck Bursa and Ligament, Percutaneous Approach
0M804ZZ	Division of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0M810ZZ	Division of Right Shoulder Bursa and Ligament, Open Approach
0M813ZZ	Division of Right Shoulder Bursa and Ligament, Percutaneous Approach
0M814ZZ	Division of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0M820ZZ	Division of Left Shoulder Bursa and Ligament, Open Approach
0M823ZZ	Division of Left Shoulder Bursa and Ligament, Percutaneous Approach
0M824ZZ	Division of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0M830ZZ	Division of Right Elbow Bursa and Ligament, Open Approach
0M833ZZ	Division of Right Elbow Bursa and Ligament, Percutaneous Approach
0M834ZZ	Division of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0M840ZZ	Division of Left Elbow Bursa and Ligament, Open Approach
0M843ZZ	Division of Left Elbow Bursa and Ligament, Percutaneous Approach
0M844ZZ	Division of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0M890ZZ	Division of Right Upper Extremity Bursa and Ligament, Open Approach
0M893ZZ	Division of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0M894ZZ	Division of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8B0ZZ	Division of Left Upper Extremity Bursa and Ligament, Open Approach
0M8B3ZZ	Division of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0M8B4ZZ	Division of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8C0ZZ	Division of Upper Spine Bursa and Ligament, Open Approach
0M8C3ZZ	Division of Upper Spine Bursa and Ligament, Percutaneous Approach
0M8C4ZZ	Division of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0M8D0ZZ	Division of Lower Spine Bursa and Ligament, Open Approach
0M8D3ZZ	Division of Lower Spine Bursa and Ligament, Percutaneous Approach
0M8D4ZZ	Division of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0M8F0ZZ	Division of Sternum Bursa and Ligament, Open Approach
0M8F3ZZ	Division of Sternum Bursa and Ligament, Percutaneous Approach
0M8F4ZZ	Division of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0M8G0ZZ	Division of Rib(s) Bursa and Ligament, Open Approach
0M8G3ZZ	Division of Rib(s) Bursa and Ligament, Percutaneous Approach
0M8G4ZZ	Division of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0M8H0ZZ	Division of Right Abdomen Bursa and Ligament, Open Approach
0M8H3ZZ	Division of Right Abdomen Bursa and Ligament, Percutaneous Approach
0M8H4ZZ	Division of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0M8J0ZZ	Division of Left Abdomen Bursa and Ligament, Open Approach
0M8J3ZZ	Division of Left Abdomen Bursa and Ligament, Percutaneous Approach
0M8J4ZZ	Division of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0M8K0ZZ	Division of Perineum Bursa and Ligament, Open Approach
0M8K3ZZ	Division of Perineum Bursa and Ligament, Percutaneous Approach
0M8K4ZZ	Division of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0M8L0ZZ	Division of Right Hip Bursa and Ligament, Open Approach
0M8L3ZZ	Division of Right Hip Bursa and Ligament, Percutaneous Approach
0M8L4ZZ	Division of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M8M0ZZ	Division of Left Hip Bursa and Ligament, Open Approach
0M8M3ZZ	Division of Left Hip Bursa and Ligament, Percutaneous Approach
0M8M4ZZ	Division of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M8N0ZZ	Division of Right Knee Bursa and Ligament, Open Approach
0M8N3ZZ	Division of Right Knee Bursa and Ligament, Percutaneous Approach
0M8N4ZZ	Division of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M8P0ZZ	Division of Left Knee Bursa and Ligament, Open Approach
0M8P3ZZ	Division of Left Knee Bursa and Ligament, Percutaneous Approach
0M8P4ZZ	Division of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M8Q0ZZ	Division of Right Ankle Bursa and Ligament, Open Approach
0M8Q3ZZ	Division of Right Ankle Bursa and Ligament, Percutaneous Approach
0M8Q4ZZ	Division of Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0M8R0ZZ	Division of Left Ankle Bursa and Ligament, Open Approach
0M8R3ZZ	Division of Left Ankle Bursa and Ligament, Percutaneous Approach
0M8R4ZZ	Division of Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0M8S0ZZ	Division of Right Foot Bursa and Ligament, Open Approach
0M8S3ZZ	Division of Right Foot Bursa and Ligament, Percutaneous Approach
0M8S4ZZ	Division of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M8T0ZZ	Division of Left Foot Bursa and Ligament, Open Approach
0M8T3ZZ	Division of Left Foot Bursa and Ligament, Percutaneous Approach
0M8T4ZZ	Division of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M8V0ZZ	Division of Right Lower Extremity Bursa and Ligament, Open Approach
0M8V3ZZ	Division of Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0M8V4ZZ	Division of Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8W0ZZ	Division of Left Lower Extremity Bursa and Ligament, Open Approach
0M8W3ZZ	Division of Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0M8W4ZZ	Division of Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M9000Z	Drainage of Head and Neck Bursa and Ligament with Drainage Device, Open Approach
0M900ZZ	Drainage of Head and Neck Bursa and Ligament, Open Approach
0M9100Z	Drainage of Right Shoulder Bursa and Ligament with Drainage Device, Open Approach
0M910ZZ	Drainage of Right Shoulder Bursa and Ligament, Open Approach
0M9200Z	Drainage of Left Shoulder Bursa and Ligament with Drainage Device, Open Approach
0M920ZZ	Drainage of Left Shoulder Bursa and Ligament, Open Approach
0M9300Z	Drainage of Right Elbow Bursa and Ligament with Drainage Device, Open Approach
0M930ZZ	Drainage of Right Elbow Bursa and Ligament, Open Approach
0M9400Z	Drainage of Left Elbow Bursa and Ligament with Drainage Device, Open Approach
0M940ZZ	Drainage of Left Elbow Bursa and Ligament, Open Approach
0M9900Z	Drainage of Right Upper Extremity Bursa and Ligament with Drainage Device, Open Approach
0M990ZX	Drainage of Right Upper Extremity Bursa and Ligament, Open Approach, Diagnostic
0M990ZZ	Drainage of Right Upper Extremity Bursa and Ligament, Open Approach
0M9B00Z	Drainage of Left Upper Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9B0ZX	Drainage of Left Upper Extremity Bursa and Ligament, Open Approach, Diagnostic
0M9B0ZZ	Drainage of Left Upper Extremity Bursa and Ligament, Open Approach
0M9C00Z	Drainage of Upper Spine Bursa and Ligament with Drainage Device, Open Approach
0M9C0ZZ	Drainage of Upper Spine Bursa and Ligament, Open Approach
0M9D00Z	Drainage of Lower Spine Bursa and Ligament with Drainage Device, Open Approach
0M9D0ZZ	Drainage of Lower Spine Bursa and Ligament, Open Approach
0M9F00Z	Drainage of Sternum Bursa and Ligament with Drainage Device, Open Approach
0M9F0ZZ	Drainage of Sternum Bursa and Ligament, Open Approach
0M9G00Z	Drainage of Rib(s) Bursa and Ligament with Drainage Device, Open Approach
0M9G0ZZ	Drainage of Rib(s) Bursa and Ligament, Open Approach
0M9H00Z	Drainage of Right Abdomen Bursa and Ligament with Drainage Device, Open Approach
0M9H0ZX	Drainage of Right Abdomen Bursa and Ligament, Open Approach, Diagnostic
0M9H0ZZ	Drainage of Right Abdomen Bursa and Ligament, Open Approach
0M9J00Z	Drainage of Left Abdomen Bursa and Ligament with Drainage Device, Open Approach
0M9J0ZX	Drainage of Left Abdomen Bursa and Ligament, Open Approach, Diagnostic
0M9J0ZZ	Drainage of Left Abdomen Bursa and Ligament, Open Approach
0M9K00Z	Drainage of Perineum Bursa and Ligament with Drainage Device, Open Approach
0M9K0ZX	Drainage of Perineum Bursa and Ligament, Open Approach, Diagnostic
0M9K0ZZ	Drainage of Perineum Bursa and Ligament, Open Approach
0M9L00Z	Drainage of Right Hip Bursa and Ligament with Drainage Device, Open Approach
0M9L0ZZ	Drainage of Right Hip Bursa and Ligament, Open Approach
0M9M00Z	Drainage of Left Hip Bursa and Ligament with Drainage Device, Open Approach
0M9M0ZZ	Drainage of Left Hip Bursa and Ligament, Open Approach
0M9N00Z	Drainage of Right Knee Bursa and Ligament with Drainage Device, Open Approach
0M9N0ZZ	Drainage of Right Knee Bursa and Ligament, Open Approach
0M9N40Z	Drainage of Right Knee Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9P00Z	Drainage of Left Knee Bursa and Ligament with Drainage Device, Open Approach
0M9P0ZZ	Drainage of Left Knee Bursa and Ligament, Open Approach
0M9P40Z	Drainage of Left Knee Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9Q00Z	Drainage of Right Ankle Bursa and Ligament with Drainage Device, Open Approach
0M9Q0ZZ	Drainage of Right Ankle Bursa and Ligament, Open Approach
0M9R00Z	Drainage of Left Ankle Bursa and Ligament with Drainage Device, Open Approach
0M9R0ZZ	Drainage of Left Ankle Bursa and Ligament, Open Approach
0M9S00Z	Drainage of Right Foot Bursa and Ligament with Drainage Device, Open Approach
0M9S0ZZ	Drainage of Right Foot Bursa and Ligament, Open Approach
0M9S40Z	Drainage of Right Foot Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9T00Z	Drainage of Left Foot Bursa and Ligament with Drainage Device, Open Approach
0M9T0ZZ	Drainage of Left Foot Bursa and Ligament, Open Approach
0M9T40Z	Drainage of Left Foot Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9V00Z	Drainage of Right Lower Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9V0ZX	Drainage of Right Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0M9V0ZZ	Drainage of Right Lower Extremity Bursa and Ligament, Open Approach
0M9W00Z	Drainage of Left Lower Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9W0ZX	Drainage of Left Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0M9W0ZZ	Drainage of Left Lower Extremity Bursa and Ligament, Open Approach
0MB00ZZ	Excision of Head and Neck Bursa and Ligament, Open Approach
0MB03ZZ	Excision of Head and Neck Bursa and Ligament, Percutaneous Approach
0MB04ZZ	Excision of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MB10ZZ	Excision of Right Shoulder Bursa and Ligament, Open Approach
0MB13ZZ	Excision of Right Shoulder Bursa and Ligament, Percutaneous Approach
0MB14ZZ	Excision of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MB20ZZ	Excision of Left Shoulder Bursa and Ligament, Open Approach
0MB23ZZ	Excision of Left Shoulder Bursa and Ligament, Percutaneous Approach
0MB24ZZ	Excision of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MB30ZZ	Excision of Right Elbow Bursa and Ligament, Open Approach
0MB33ZZ	Excision of Right Elbow Bursa and Ligament, Percutaneous Approach
0MB34ZZ	Excision of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MB40ZZ	Excision of Left Elbow Bursa and Ligament, Open Approach
0MB43ZZ	Excision of Left Elbow Bursa and Ligament, Percutaneous Approach
0MB44ZZ	Excision of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MB50ZZ	Excision of Right Wrist Bursa and Ligament, Open Approach
0MB53ZZ	Excision of Right Wrist Bursa and Ligament, Percutaneous Approach
0MB54ZZ	Excision of Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MB60ZZ	Excision of Left Wrist Bursa and Ligament, Open Approach
0MB63ZZ	Excision of Left Wrist Bursa and Ligament, Percutaneous Approach
0MB64ZZ	Excision of Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MB90ZX	Excision of Right Upper Extremity Bursa and Ligament, Open Approach, Diagnostic
0MB90ZZ	Excision of Right Upper Extremity Bursa and Ligament, Open Approach
0MB93ZZ	Excision of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MB94ZZ	Excision of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MBB0ZZ	Excision of Left Upper Extremity Bursa and Ligament, Open Approach
0MBB3ZZ	Excision of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MBB4ZZ	Excision of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MBC0ZZ	Excision of Upper Spine Bursa and Ligament, Open Approach
0MBC3ZZ	Excision of Upper Spine Bursa and Ligament, Percutaneous Approach
0MBC4ZZ	Excision of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MBD0ZZ	Excision of Lower Spine Bursa and Ligament, Open Approach
0MBD3ZZ	Excision of Lower Spine Bursa and Ligament, Percutaneous Approach
0MBD4ZZ	Excision of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MBF0ZZ	Excision of Sternum Bursa and Ligament, Open Approach
0MBF3ZZ	Excision of Sternum Bursa and Ligament, Percutaneous Approach
0MBF4ZZ	Excision of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MBG0ZZ	Excision of Rib(s) Bursa and Ligament, Open Approach
0MBG3ZZ	Excision of Rib(s) Bursa and Ligament, Percutaneous Approach
0MBG4ZZ	Excision of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MBH0ZX	Excision of Right Abdomen Bursa and Ligament, Open Approach, Diagnostic
0MBH0ZZ	Excision of Right Abdomen Bursa and Ligament, Open Approach
0MBH3ZZ	Excision of Right Abdomen Bursa and Ligament, Percutaneous Approach
0MBH4ZZ	Excision of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MBJ0ZX	Excision of Left Abdomen Bursa and Ligament, Open Approach, Diagnostic
0MBJ0ZZ	Excision of Left Abdomen Bursa and Ligament, Open Approach
0MBJ3ZZ	Excision of Left Abdomen Bursa and Ligament, Percutaneous Approach
0MBJ4ZZ	Excision of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MBK0ZX	Excision of Perineum Bursa and Ligament, Open Approach, Diagnostic
0MBK0ZZ	Excision of Perineum Bursa and Ligament, Open Approach
0MBK3ZZ	Excision of Perineum Bursa and Ligament, Percutaneous Approach
0MBK4ZZ	Excision of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MBL0ZZ	Excision of Right Hip Bursa and Ligament, Open Approach
0MBL3ZZ	Excision of Right Hip Bursa and Ligament, Percutaneous Approach
0MBL4ZZ	Excision of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MBM0ZZ	Excision of Left Hip Bursa and Ligament, Open Approach
0MBM3ZZ	Excision of Left Hip Bursa and Ligament, Percutaneous Approach
0MBM4ZZ	Excision of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MBN0ZZ	Excision of Right Knee Bursa and Ligament, Open Approach
0MBN3ZZ	Excision of Right Knee Bursa and Ligament, Percutaneous Approach
0MBN4ZZ	Excision of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MBP0ZZ	Excision of Left Knee Bursa and Ligament, Open Approach
0MBP3ZZ	Excision of Left Knee Bursa and Ligament, Percutaneous Approach
0MBP4ZZ	Excision of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MBQ0ZZ	Excision of Right Ankle Bursa and Ligament, Open Approach
0MBQ3ZZ	Excision of Right Ankle Bursa and Ligament, Percutaneous Approach
0MBQ4ZZ	Excision of Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MBR0ZZ	Excision of Left Ankle Bursa and Ligament, Open Approach
0MBR3ZZ	Excision of Left Ankle Bursa and Ligament, Percutaneous Approach
0MBR4ZZ	Excision of Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MBS0ZZ	Excision of Right Foot Bursa and Ligament, Open Approach
0MBS3ZZ	Excision of Right Foot Bursa and Ligament, Percutaneous Approach
0MBS4ZZ	Excision of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MBT0ZZ	Excision of Left Foot Bursa and Ligament, Open Approach
0MBT3ZZ	Excision of Left Foot Bursa and Ligament, Percutaneous Approach
0MBT4ZZ	Excision of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MBV0ZX	Excision of Right Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0MBV0ZZ	Excision of Right Lower Extremity Bursa and Ligament, Open Approach
0MBV3ZZ	Excision of Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0MBV4ZZ	Excision of Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MBW0ZX	Excision of Left Lower Extremity Bursa and Ligament, Open Approach, Diagnostic
0MBW0ZZ	Excision of Left Lower Extremity Bursa and Ligament, Open Approach
0MBW3ZZ	Excision of Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0MBW4ZZ	Excision of Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MC00ZZ	Extirpation of Matter from Head and Neck Bursa and Ligament, Open Approach
0MC03ZZ	Extirpation of Matter from Head and Neck Bursa and Ligament, Percutaneous Approach
0MC04ZZ	Extirpation of Matter from Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MC10ZZ	Extirpation of Matter from Right Shoulder Bursa and Ligament, Open Approach
0MC13ZZ	Extirpation of Matter from Right Shoulder Bursa and Ligament, Percutaneous Approach
0MC14ZZ	Extirpation of Matter from Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MC20ZZ	Extirpation of Matter from Left Shoulder Bursa and Ligament, Open Approach
0MC23ZZ	Extirpation of Matter from Left Shoulder Bursa and Ligament, Percutaneous Approach
0MC24ZZ	Extirpation of Matter from Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MC30ZZ	Extirpation of Matter from Right Elbow Bursa and Ligament, Open Approach
0MC33ZZ	Extirpation of Matter from Right Elbow Bursa and Ligament, Percutaneous Approach
0MC34ZZ	Extirpation of Matter from Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MC40ZZ	Extirpation of Matter from Left Elbow Bursa and Ligament, Open Approach
0MC43ZZ	Extirpation of Matter from Left Elbow Bursa and Ligament, Percutaneous Approach
0MC44ZZ	Extirpation of Matter from Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MC90ZZ	Extirpation of Matter from Right Upper Extremity Bursa and Ligament, Open Approach
0MC93ZZ	Extirpation of Matter from Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MC94ZZ	Extirpation of Matter from Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCB0ZZ	Extirpation of Matter from Left Upper Extremity Bursa and Ligament, Open Approach
0MCB3ZZ	Extirpation of Matter from Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MCB4ZZ	Extirpation of Matter from Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCC0ZZ	Extirpation of Matter from Upper Spine Bursa and Ligament, Open Approach
0MCC3ZZ	Extirpation of Matter from Upper Spine Bursa and Ligament, Percutaneous Approach
0MCC4ZZ	Extirpation of Matter from Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MCD0ZZ	Extirpation of Matter from Lower Spine Bursa and Ligament, Open Approach
0MCD3ZZ	Extirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Approach
0MCD4ZZ	Extirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MCF0ZZ	Extirpation of Matter from Sternum Bursa and Ligament, Open Approach
0MCF3ZZ	Extirpation of Matter from Sternum Bursa and Ligament, Percutaneous Approach
0MCF4ZZ	Extirpation of Matter from Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MCG0ZZ	Extirpation of Matter from Rib(s) Bursa and Ligament, Open Approach
0MCG3ZZ	Extirpation of Matter from Rib(s) Bursa and Ligament, Percutaneous Approach
0MCG4ZZ	Extirpation of Matter from Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MCH0ZZ	Extirpation of Matter from Right Abdomen Bursa and Ligament, Open Approach
0MCH3ZZ	Extirpation of Matter from Right Abdomen Bursa and Ligament, Percutaneous Approach
0MCH4ZZ	Extirpation of Matter from Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MCJ0ZZ	Extirpation of Matter from Left Abdomen Bursa and Ligament, Open Approach
0MCJ3ZZ	Extirpation of Matter from Left Abdomen Bursa and Ligament, Percutaneous Approach
0MCJ4ZZ	Extirpation of Matter from Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MCK0ZZ	Extirpation of Matter from Perineum Bursa and Ligament, Open Approach
0MCK3ZZ	Extirpation of Matter from Perineum Bursa and Ligament, Percutaneous Approach
0MCK4ZZ	Extirpation of Matter from Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MCL0ZZ	Extirpation of Matter from Right Hip Bursa and Ligament, Open Approach
0MCL3ZZ	Extirpation of Matter from Right Hip Bursa and Ligament, Percutaneous Approach
0MCL4ZZ	Extirpation of Matter from Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MCM0ZZ	Extirpation of Matter from Left Hip Bursa and Ligament, Open Approach
0MCM3ZZ	Extirpation of Matter from Left Hip Bursa and Ligament, Percutaneous Approach
0MCM4ZZ	Extirpation of Matter from Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MCN0ZZ	Extirpation of Matter from Right Knee Bursa and Ligament, Open Approach
0MCN3ZZ	Extirpation of Matter from Right Knee Bursa and Ligament, Percutaneous Approach
0MCN4ZZ	Extirpation of Matter from Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MCP0ZZ	Extirpation of Matter from Left Knee Bursa and Ligament, Open Approach
0MCP3ZZ	Extirpation of Matter from Left Knee Bursa and Ligament, Percutaneous Approach
0MCP4ZZ	Extirpation of Matter from Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MCQ0ZZ	Extirpation of Matter from Right Ankle Bursa and Ligament, Open Approach
0MCQ3ZZ	Extirpation of Matter from Right Ankle Bursa and Ligament, Percutaneous Approach
0MCQ4ZZ	Extirpation of Matter from Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MCR0ZZ	Extirpation of Matter from Left Ankle Bursa and Ligament, Open Approach
0MCR3ZZ	Extirpation of Matter from Left Ankle Bursa and Ligament, Percutaneous Approach
0MCR4ZZ	Extirpation of Matter from Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MCS0ZZ	Extirpation of Matter from Right Foot Bursa and Ligament, Open Approach
0MCS3ZZ	Extirpation of Matter from Right Foot Bursa and Ligament, Percutaneous Approach
0MCS4ZZ	Extirpation of Matter from Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MCT0ZZ	Extirpation of Matter from Left Foot Bursa and Ligament, Open Approach
0MCT3ZZ	Extirpation of Matter from Left Foot Bursa and Ligament, Percutaneous Approach
0MCT4ZZ	Extirpation of Matter from Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MCV0ZZ	Extirpation of Matter from Right Lower Extremity Bursa and Ligament, Open Approach
0MCV3ZZ	Extirpation of Matter from Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0MCV4ZZ	Extirpation of Matter from Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCW0ZZ	Extirpation of Matter from Left Lower Extremity Bursa and Ligament, Open Approach
0MCW3ZZ	Extirpation of Matter from Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0MCW4ZZ	Extirpation of Matter from Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MD00ZZ	Extraction of Head and Neck Bursa and Ligament, Open Approach
0MD03ZZ	Extraction of Head and Neck Bursa and Ligament, Percutaneous Approach
0MD04ZZ	Extraction of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MD10ZZ	Extraction of Right Shoulder Bursa and Ligament, Open Approach
0MD13ZZ	Extraction of Right Shoulder Bursa and Ligament, Percutaneous Approach
0MD14ZZ	Extraction of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MD20ZZ	Extraction of Left Shoulder Bursa and Ligament, Open Approach
0MD23ZZ	Extraction of Left Shoulder Bursa and Ligament, Percutaneous Approach
0MD24ZZ	Extraction of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MD30ZZ	Extraction of Right Elbow Bursa and Ligament, Open Approach
0MD33ZZ	Extraction of Right Elbow Bursa and Ligament, Percutaneous Approach
0MD34ZZ	Extraction of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MD40ZZ	Extraction of Left Elbow Bursa and Ligament, Open Approach
0MD43ZZ	Extraction of Left Elbow Bursa and Ligament, Percutaneous Approach
0MD44ZZ	Extraction of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MD50ZZ	Extraction of Right Wrist Bursa and Ligament, Open Approach
0MD53ZZ	Extraction of Right Wrist Bursa and Ligament, Percutaneous Approach
0MD54ZZ	Extraction of Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MD60ZZ	Extraction of Left Wrist Bursa and Ligament, Open Approach
0MD63ZZ	Extraction of Left Wrist Bursa and Ligament, Percutaneous Approach
0MD64ZZ	Extraction of Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MD90ZZ	Extraction of Right Upper Extremity Bursa and Ligament, Open Approach
0MD93ZZ	Extraction of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MD94ZZ	Extraction of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MDB0ZZ	Extraction of Left Upper Extremity Bursa and Ligament, Open Approach
0MDB3ZZ	Extraction of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MDB4ZZ	Extraction of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MDC0ZZ	Extraction of Upper Spine Bursa and Ligament, Open Approach
0MDC3ZZ	Extraction of Upper Spine Bursa and Ligament, Percutaneous Approach
0MDC4ZZ	Extraction of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MDD0ZZ	Extraction of Lower Spine Bursa and Ligament, Open Approach
0MDD3ZZ	Extraction of Lower Spine Bursa and Ligament, Percutaneous Approach
0MDD4ZZ	Extraction of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MDF0ZZ	Extraction of Sternum Bursa and Ligament, Open Approach
0MDF3ZZ	Extraction of Sternum Bursa and Ligament, Percutaneous Approach
0MDF4ZZ	Extraction of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MDG0ZZ	Extraction of Rib(s) Bursa and Ligament, Open Approach
0MDG3ZZ	Extraction of Rib(s) Bursa and Ligament, Percutaneous Approach
0MDG4ZZ	Extraction of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MDH0ZZ	Extraction of Right Abdomen Bursa and Ligament, Open Approach
0MDH3ZZ	Extraction of Right Abdomen Bursa and Ligament, Percutaneous Approach
0MDH4ZZ	Extraction of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MDJ0ZZ	Extraction of Left Abdomen Bursa and Ligament, Open Approach
0MDJ3ZZ	Extraction of Left Abdomen Bursa and Ligament, Percutaneous Approach
0MDJ4ZZ	Extraction of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MDK0ZZ	Extraction of Perineum Bursa and Ligament, Open Approach
0MDK3ZZ	Extraction of Perineum Bursa and Ligament, Percutaneous Approach
0MDK4ZZ	Extraction of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MDL0ZZ	Extraction of Right Hip Bursa and Ligament, Open Approach
0MDL3ZZ	Extraction of Right Hip Bursa and Ligament, Percutaneous Approach
0MDL4ZZ	Extraction of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MDM0ZZ	Extraction of Left Hip Bursa and Ligament, Open Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
13 Oct 2023 12:52:35
CMS, code-revision=349, description-revision=1375