ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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MDC 21 Injuries, Poisonings & Toxic Effects of Drugs
Other Procedures for Injuries
Page 44 of 74

OPERATING ROOM PROCEDURES (continued)

0016070 00DH3ZZ 00RN0JZ 00XL4ZK 01NG3ZZ 021R4JA 02RP0JZ 03180JV 037P45Z 03LA4DZ 03S40ZZ 03VL3DZ 041F4AK 047J3D1 04L64ZZ 04RF0JZ 04V40DZ 05BS3ZZ 05P34MZ 05UR4JZ 06L83DZ 06UC3JZ 07L83DZ 07V23DZ 08CGXZZ 08UH0KZ 09UM3JZ 0BR94JZ 0CRB3JZ 0D18474 0D1H07K 0D9900Z 0DLQ4ZZ 0DRU4KZ 0DUV47Z 0DWD73Z 0FH142Z 0FU73KZ 0HM2XZZ 0JR50JZ 0K8M3ZZ 0KPY4JZ 0KUB07Z 0L9T0ZZ 0LRB4JZ 0LX54ZZ 0MD40ZZ 0NBH3ZZ 0NSG04Z 0PCJ4ZZ 0PP80KZ 0PS804Z 0Q880ZZ 0QHG0CZ 0QPJ37Z 0QS805Z 0QUP3JZ 0RG83J0 0RPK43Z 0RWG3KZ 0SG13J1 0SJK0ZZ 0SPQ47Z 0SWB0KZ 0T164K8 0TLC3ZZ 0TVDXZZ 0UUG77Z 0VUQ8JZ 0WF10ZZ 0WWQ4YZ 0XQ74ZZ 0Y6H0Z1 0YUM0KZ

0L9T0ZZDrainage of Left Ankle Tendon, Open Approach
0L9T40ZDrainage of Left Ankle Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9T4ZZDrainage of Left Ankle Tendon, Percutaneous Endoscopic Approach
0L9V00ZDrainage of Right Foot Tendon with Drainage Device, Open Approach
0L9V0ZZDrainage of Right Foot Tendon, Open Approach
0L9V40ZDrainage of Right Foot Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9V4ZZDrainage of Right Foot Tendon, Percutaneous Endoscopic Approach
0L9W00ZDrainage of Left Foot Tendon with Drainage Device, Open Approach
0L9W0ZZDrainage of Left Foot Tendon, Open Approach
0L9W40ZDrainage of Left Foot Tendon with Drainage Device, Percutaneous Endoscopic Approach
0L9W4ZZDrainage of Left Foot Tendon, Percutaneous Endoscopic Approach
0LB00ZZExcision of Head and Neck Tendon, Open Approach
0LB03ZZExcision of Head and Neck Tendon, Percutaneous Approach
0LB04ZZExcision of Head and Neck Tendon, Percutaneous Endoscopic Approach
0LB10ZZExcision of Right Shoulder Tendon, Open Approach
0LB13ZZExcision of Right Shoulder Tendon, Percutaneous Approach
0LB14ZZExcision of Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LB20ZZExcision of Left Shoulder Tendon, Open Approach
0LB23ZZExcision of Left Shoulder Tendon, Percutaneous Approach
0LB24ZZExcision of Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LB30ZZExcision of Right Upper Arm Tendon, Open Approach
0LB33ZZExcision of Right Upper Arm Tendon, Percutaneous Approach
0LB34ZZExcision of Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LB40ZZExcision of Left Upper Arm Tendon, Open Approach
0LB43ZZExcision of Left Upper Arm Tendon, Percutaneous Approach
0LB44ZZExcision of Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LB50ZZExcision of Right Lower Arm and Wrist Tendon, Open Approach
0LB53ZZExcision of Right Lower Arm and Wrist Tendon, Percutaneous Approach
0LB54ZZExcision of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LB60ZZExcision of Left Lower Arm and Wrist Tendon, Open Approach
0LB63ZZExcision of Left Lower Arm and Wrist Tendon, Percutaneous Approach
0LB64ZZExcision of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LB90ZZExcision of Right Trunk Tendon, Open Approach
0LB93ZZExcision of Right Trunk Tendon, Percutaneous Approach
0LB94ZZExcision of Right Trunk Tendon, Percutaneous Endoscopic Approach
0LBB0ZZExcision of Left Trunk Tendon, Open Approach
0LBB3ZZExcision of Left Trunk Tendon, Percutaneous Approach
0LBB4ZZExcision of Left Trunk Tendon, Percutaneous Endoscopic Approach
0LBC0ZZExcision of Right Thorax Tendon, Open Approach
0LBC3ZZExcision of Right Thorax Tendon, Percutaneous Approach
0LBC4ZZExcision of Right Thorax Tendon, Percutaneous Endoscopic Approach
0LBD0ZZExcision of Left Thorax Tendon, Open Approach
0LBD3ZZExcision of Left Thorax Tendon, Percutaneous Approach
0LBD4ZZExcision of Left Thorax Tendon, Percutaneous Endoscopic Approach
0LBF0ZZExcision of Right Abdomen Tendon, Open Approach
0LBF3ZZExcision of Right Abdomen Tendon, Percutaneous Approach
0LBF4ZZExcision of Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LBG0ZZExcision of Left Abdomen Tendon, Open Approach
0LBG3ZZExcision of Left Abdomen Tendon, Percutaneous Approach
0LBG4ZZExcision of Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LBH0ZZExcision of Perineum Tendon, Open Approach
0LBH3ZZExcision of Perineum Tendon, Percutaneous Approach
0LBH4ZZExcision of Perineum Tendon, Percutaneous Endoscopic Approach
0LBJ0ZZExcision of Right Hip Tendon, Open Approach
0LBJ3ZZExcision of Right Hip Tendon, Percutaneous Approach
0LBJ4ZZExcision of Right Hip Tendon, Percutaneous Endoscopic Approach
0LBK0ZZExcision of Left Hip Tendon, Open Approach
0LBK3ZZExcision of Left Hip Tendon, Percutaneous Approach
0LBK4ZZExcision of Left Hip Tendon, Percutaneous Endoscopic Approach
0LBL0ZZExcision of Right Upper Leg Tendon, Open Approach
0LBL3ZZExcision of Right Upper Leg Tendon, Percutaneous Approach
0LBL4ZZExcision of Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LBM0ZZExcision of Left Upper Leg Tendon, Open Approach
0LBM3ZZExcision of Left Upper Leg Tendon, Percutaneous Approach
0LBM4ZZExcision of Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LBN0ZZExcision of Right Lower Leg Tendon, Open Approach
0LBN3ZZExcision of Right Lower Leg Tendon, Percutaneous Approach
0LBN4ZZExcision of Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LBP0ZZExcision of Left Lower Leg Tendon, Open Approach
0LBP3ZZExcision of Left Lower Leg Tendon, Percutaneous Approach
0LBP4ZZExcision of Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LBQ0ZZExcision of Right Knee Tendon, Open Approach
0LBQ3ZZExcision of Right Knee Tendon, Percutaneous Approach
0LBQ4ZZExcision of Right Knee Tendon, Percutaneous Endoscopic Approach
0LBR0ZZExcision of Left Knee Tendon, Open Approach
0LBR3ZZExcision of Left Knee Tendon, Percutaneous Approach
0LBR4ZZExcision of Left Knee Tendon, Percutaneous Endoscopic Approach
0LBS0ZZExcision of Right Ankle Tendon, Open Approach
0LBS3ZZExcision of Right Ankle Tendon, Percutaneous Approach
0LBS4ZZExcision of Right Ankle Tendon, Percutaneous Endoscopic Approach
0LBT0ZZExcision of Left Ankle Tendon, Open Approach
0LBT3ZZExcision of Left Ankle Tendon, Percutaneous Approach
0LBT4ZZExcision of Left Ankle Tendon, Percutaneous Endoscopic Approach
0LBV0ZZExcision of Right Foot Tendon, Open Approach
0LBV3ZZExcision of Right Foot Tendon, Percutaneous Approach
0LBV4ZZExcision of Right Foot Tendon, Percutaneous Endoscopic Approach
0LBW0ZZExcision of Left Foot Tendon, Open Approach
0LBW3ZZExcision of Left Foot Tendon, Percutaneous Approach
0LBW4ZZExcision of Left Foot Tendon, Percutaneous Endoscopic Approach
0LC00ZZExtirpation of Matter from Head and Neck Tendon, Open Approach
0LC03ZZExtirpation of Matter from Head and Neck Tendon, Percutaneous Approach
0LC04ZZExtirpation of Matter from Head and Neck Tendon, Percutaneous Endoscopic Approach
0LC10ZZExtirpation of Matter from Right Shoulder Tendon, Open Approach
0LC13ZZExtirpation of Matter from Right Shoulder Tendon, Percutaneous Approach
0LC14ZZExtirpation of Matter from Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LC20ZZExtirpation of Matter from Left Shoulder Tendon, Open Approach
0LC23ZZExtirpation of Matter from Left Shoulder Tendon, Percutaneous Approach
0LC24ZZExtirpation of Matter from Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LC30ZZExtirpation of Matter from Right Upper Arm Tendon, Open Approach
0LC33ZZExtirpation of Matter from Right Upper Arm Tendon, Percutaneous Approach
0LC34ZZExtirpation of Matter from Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LC40ZZExtirpation of Matter from Left Upper Arm Tendon, Open Approach
0LC43ZZExtirpation of Matter from Left Upper Arm Tendon, Percutaneous Approach
0LC44ZZExtirpation of Matter from Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LC50ZZExtirpation of Matter from Right Lower Arm and Wrist Tendon, Open Approach
0LC53ZZExtirpation of Matter from Right Lower Arm and Wrist Tendon, Percutaneous Approach
0LC54ZZExtirpation of Matter from Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LC60ZZExtirpation of Matter from Left Lower Arm and Wrist Tendon, Open Approach
0LC63ZZExtirpation of Matter from Left Lower Arm and Wrist Tendon, Percutaneous Approach
0LC64ZZExtirpation of Matter from Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LC90ZZExtirpation of Matter from Right Trunk Tendon, Open Approach
0LC93ZZExtirpation of Matter from Right Trunk Tendon, Percutaneous Approach
0LC94ZZExtirpation of Matter from Right Trunk Tendon, Percutaneous Endoscopic Approach
0LCB0ZZExtirpation of Matter from Left Trunk Tendon, Open Approach
0LCB3ZZExtirpation of Matter from Left Trunk Tendon, Percutaneous Approach
0LCB4ZZExtirpation of Matter from Left Trunk Tendon, Percutaneous Endoscopic Approach
0LCC0ZZExtirpation of Matter from Right Thorax Tendon, Open Approach
0LCC3ZZExtirpation of Matter from Right Thorax Tendon, Percutaneous Approach
0LCC4ZZExtirpation of Matter from Right Thorax Tendon, Percutaneous Endoscopic Approach
0LCD0ZZExtirpation of Matter from Left Thorax Tendon, Open Approach
0LCD3ZZExtirpation of Matter from Left Thorax Tendon, Percutaneous Approach
0LCD4ZZExtirpation of Matter from Left Thorax Tendon, Percutaneous Endoscopic Approach
0LCF0ZZExtirpation of Matter from Right Abdomen Tendon, Open Approach
0LCF3ZZExtirpation of Matter from Right Abdomen Tendon, Percutaneous Approach
0LCF4ZZExtirpation of Matter from Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LCG0ZZExtirpation of Matter from Left Abdomen Tendon, Open Approach
0LCG3ZZExtirpation of Matter from Left Abdomen Tendon, Percutaneous Approach
0LCG4ZZExtirpation of Matter from Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LCH0ZZExtirpation of Matter from Perineum Tendon, Open Approach
0LCH3ZZExtirpation of Matter from Perineum Tendon, Percutaneous Approach
0LCH4ZZExtirpation of Matter from Perineum Tendon, Percutaneous Endoscopic Approach
0LCJ0ZZExtirpation of Matter from Right Hip Tendon, Open Approach
0LCJ3ZZExtirpation of Matter from Right Hip Tendon, Percutaneous Approach
0LCJ4ZZExtirpation of Matter from Right Hip Tendon, Percutaneous Endoscopic Approach
0LCK0ZZExtirpation of Matter from Left Hip Tendon, Open Approach
0LCK3ZZExtirpation of Matter from Left Hip Tendon, Percutaneous Approach
0LCK4ZZExtirpation of Matter from Left Hip Tendon, Percutaneous Endoscopic Approach
0LCL0ZZExtirpation of Matter from Right Upper Leg Tendon, Open Approach
0LCL3ZZExtirpation of Matter from Right Upper Leg Tendon, Percutaneous Approach
0LCL4ZZExtirpation of Matter from Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LCM0ZZExtirpation of Matter from Left Upper Leg Tendon, Open Approach
0LCM3ZZExtirpation of Matter from Left Upper Leg Tendon, Percutaneous Approach
0LCM4ZZExtirpation of Matter from Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LCN0ZZExtirpation of Matter from Right Lower Leg Tendon, Open Approach
0LCN3ZZExtirpation of Matter from Right Lower Leg Tendon, Percutaneous Approach
0LCN4ZZExtirpation of Matter from Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LCP0ZZExtirpation of Matter from Left Lower Leg Tendon, Open Approach
0LCP3ZZExtirpation of Matter from Left Lower Leg Tendon, Percutaneous Approach
0LCP4ZZExtirpation of Matter from Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LCQ0ZZExtirpation of Matter from Right Knee Tendon, Open Approach
0LCQ3ZZExtirpation of Matter from Right Knee Tendon, Percutaneous Approach
0LCQ4ZZExtirpation of Matter from Right Knee Tendon, Percutaneous Endoscopic Approach
0LCR0ZZExtirpation of Matter from Left Knee Tendon, Open Approach
0LCR3ZZExtirpation of Matter from Left Knee Tendon, Percutaneous Approach
0LCR4ZZExtirpation of Matter from Left Knee Tendon, Percutaneous Endoscopic Approach
0LCS0ZZExtirpation of Matter from Right Ankle Tendon, Open Approach
0LCS3ZZExtirpation of Matter from Right Ankle Tendon, Percutaneous Approach
0LCS4ZZExtirpation of Matter from Right Ankle Tendon, Percutaneous Endoscopic Approach
0LCT0ZZExtirpation of Matter from Left Ankle Tendon, Open Approach
0LCT3ZZExtirpation of Matter from Left Ankle Tendon, Percutaneous Approach
0LCT4ZZExtirpation of Matter from Left Ankle Tendon, Percutaneous Endoscopic Approach
0LCV0ZZExtirpation of Matter from Right Foot Tendon, Open Approach
0LCV3ZZExtirpation of Matter from Right Foot Tendon, Percutaneous Approach
0LCV4ZZExtirpation of Matter from Right Foot Tendon, Percutaneous Endoscopic Approach
0LCW0ZZExtirpation of Matter from Left Foot Tendon, Open Approach
0LCW3ZZExtirpation of Matter from Left Foot Tendon, Percutaneous Approach
0LCW4ZZExtirpation of Matter from Left Foot Tendon, Percutaneous Endoscopic Approach
0LD00ZZExtraction of Head and Neck Tendon, Open Approach
0LD10ZZExtraction of Right Shoulder Tendon, Open Approach
0LD20ZZExtraction of Left Shoulder Tendon, Open Approach
0LD30ZZExtraction of Right Upper Arm Tendon, Open Approach
0LD40ZZExtraction of Left Upper Arm Tendon, Open Approach
0LD50ZZExtraction of Right Lower Arm and Wrist Tendon, Open Approach
0LD60ZZExtraction of Left Lower Arm and Wrist Tendon, Open Approach
0LD90ZZExtraction of Right Trunk Tendon, Open Approach
0LDB0ZZExtraction of Left Trunk Tendon, Open Approach
0LDC0ZZExtraction of Right Thorax Tendon, Open Approach
0LDD0ZZExtraction of Left Thorax Tendon, Open Approach
0LDF0ZZExtraction of Right Abdomen Tendon, Open Approach
0LDG0ZZExtraction of Left Abdomen Tendon, Open Approach
0LDH0ZZExtraction of Perineum Tendon, Open Approach
0LDJ0ZZExtraction of Right Hip Tendon, Open Approach
0LDK0ZZExtraction of Left Hip Tendon, Open Approach
0LDL0ZZExtraction of Right Upper Leg Tendon, Open Approach
0LDM0ZZExtraction of Left Upper Leg Tendon, Open Approach
0LDN0ZZExtraction of Right Lower Leg Tendon, Open Approach
0LDP0ZZExtraction of Left Lower Leg Tendon, Open Approach
0LDQ0ZZExtraction of Right Knee Tendon, Open Approach
0LDR0ZZExtraction of Left Knee Tendon, Open Approach
0LDS0ZZExtraction of Right Ankle Tendon, Open Approach
0LDT0ZZExtraction of Left Ankle Tendon, Open Approach
0LDV0ZZExtraction of Right Foot Tendon, Open Approach
0LDW0ZZExtraction of Left Foot Tendon, Open Approach
0LHX0YZInsertion of Other Device into Upper Tendon, Open Approach
0LHY0YZInsertion of Other Device into Lower Tendon, Open Approach
0LM00ZZReattachment of Head and Neck Tendon, Open Approach
0LM04ZZReattachment of Head and Neck Tendon, Percutaneous Endoscopic Approach
0LM10ZZReattachment of Right Shoulder Tendon, Open Approach
0LM14ZZReattachment of Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LM20ZZReattachment of Left Shoulder Tendon, Open Approach
0LM24ZZReattachment of Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LM30ZZReattachment of Right Upper Arm Tendon, Open Approach
0LM34ZZReattachment of Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LM40ZZReattachment of Left Upper Arm Tendon, Open Approach
0LM44ZZReattachment of Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LM50ZZReattachment of Right Lower Arm and Wrist Tendon, Open Approach
0LM54ZZReattachment of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LM60ZZReattachment of Left Lower Arm and Wrist Tendon, Open Approach
0LM64ZZReattachment of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LM90ZZReattachment of Right Trunk Tendon, Open Approach
0LM94ZZReattachment of Right Trunk Tendon, Percutaneous Endoscopic Approach
0LMB0ZZReattachment of Left Trunk Tendon, Open Approach
0LMB4ZZReattachment of Left Trunk Tendon, Percutaneous Endoscopic Approach
0LMC0ZZReattachment of Right Thorax Tendon, Open Approach
0LMC4ZZReattachment of Right Thorax Tendon, Percutaneous Endoscopic Approach
0LMD0ZZReattachment of Left Thorax Tendon, Open Approach
0LMD4ZZReattachment of Left Thorax Tendon, Percutaneous Endoscopic Approach
0LMF0ZZReattachment of Right Abdomen Tendon, Open Approach
0LMF4ZZReattachment of Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LMG0ZZReattachment of Left Abdomen Tendon, Open Approach
0LMG4ZZReattachment of Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LMH0ZZReattachment of Perineum Tendon, Open Approach
0LMH4ZZReattachment of Perineum Tendon, Percutaneous Endoscopic Approach
0LMJ0ZZReattachment of Right Hip Tendon, Open Approach
0LMJ4ZZReattachment of Right Hip Tendon, Percutaneous Endoscopic Approach
0LMK0ZZReattachment of Left Hip Tendon, Open Approach
0LMK4ZZReattachment of Left Hip Tendon, Percutaneous Endoscopic Approach
0LML0ZZReattachment of Right Upper Leg Tendon, Open Approach
0LML4ZZReattachment of Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LMM0ZZReattachment of Left Upper Leg Tendon, Open Approach
0LMM4ZZReattachment of Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LMN0ZZReattachment of Right Lower Leg Tendon, Open Approach
0LMN4ZZReattachment of Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LMP0ZZReattachment of Left Lower Leg Tendon, Open Approach
0LMP4ZZReattachment of Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LMQ0ZZReattachment of Right Knee Tendon, Open Approach
0LMQ4ZZReattachment of Right Knee Tendon, Percutaneous Endoscopic Approach
0LMR0ZZReattachment of Left Knee Tendon, Open Approach
0LMR4ZZReattachment of Left Knee Tendon, Percutaneous Endoscopic Approach
0LMS0ZZReattachment of Right Ankle Tendon, Open Approach
0LMS4ZZReattachment of Right Ankle Tendon, Percutaneous Endoscopic Approach
0LMT0ZZReattachment of Left Ankle Tendon, Open Approach
0LMT4ZZReattachment of Left Ankle Tendon, Percutaneous Endoscopic Approach
0LMV0ZZReattachment of Right Foot Tendon, Open Approach
0LMV4ZZReattachment of Right Foot Tendon, Percutaneous Endoscopic Approach
0LMW0ZZReattachment of Left Foot Tendon, Open Approach
0LMW4ZZReattachment of Left Foot Tendon, Percutaneous Endoscopic Approach
0LPX00ZRemoval of Drainage Device from Upper Tendon, Open Approach
0LPX07ZRemoval of Autologous Tissue Substitute from Upper Tendon, Open Approach
0LPX0JZRemoval of Synthetic Substitute from Upper Tendon, Open Approach
0LPX0KZRemoval of Nonautologous Tissue Substitute from Upper Tendon, Open Approach
0LPX0YZRemoval of Other Device from Upper Tendon, Open Approach
0LPX37ZRemoval of Autologous Tissue Substitute from Upper Tendon, Percutaneous Approach
0LPX3JZRemoval of Synthetic Substitute from Upper Tendon, Percutaneous Approach
0LPX3KZRemoval of Nonautologous Tissue Substitute from Upper Tendon, Percutaneous Approach
0LPX40ZRemoval of Drainage Device from Upper Tendon, Percutaneous Endoscopic Approach
0LPX47ZRemoval of Autologous Tissue Substitute from Upper Tendon, Percutaneous Endoscopic Approach
0LPX4JZRemoval of Synthetic Substitute from Upper Tendon, Percutaneous Endoscopic Approach
0LPX4KZRemoval of Nonautologous Tissue Substitute from Upper Tendon, Percutaneous Endoscopic Approach
0LPY00ZRemoval of Drainage Device from Lower Tendon, Open Approach
0LPY07ZRemoval of Autologous Tissue Substitute from Lower Tendon, Open Approach
0LPY0JZRemoval of Synthetic Substitute from Lower Tendon, Open Approach
0LPY0KZRemoval of Nonautologous Tissue Substitute from Lower Tendon, Open Approach
0LPY0YZRemoval of Other Device from Lower Tendon, Open Approach
0LPY37ZRemoval of Autologous Tissue Substitute from Lower Tendon, Percutaneous Approach
0LPY3JZRemoval of Synthetic Substitute from Lower Tendon, Percutaneous Approach
0LPY3KZRemoval of Nonautologous Tissue Substitute from Lower Tendon, Percutaneous Approach
0LPY40ZRemoval of Drainage Device from Lower Tendon, Percutaneous Endoscopic Approach
0LPY47ZRemoval of Autologous Tissue Substitute from Lower Tendon, Percutaneous Endoscopic Approach
0LPY4JZRemoval of Synthetic Substitute from Lower Tendon, Percutaneous Endoscopic Approach
0LPY4KZRemoval of Nonautologous Tissue Substitute from Lower Tendon, Percutaneous Endoscopic Approach
0LQ00ZZRepair Head and Neck Tendon, Open Approach
0LQ03ZZRepair Head and Neck Tendon, Percutaneous Approach
0LQ04ZZRepair Head and Neck Tendon, Percutaneous Endoscopic Approach
0LQ10ZZRepair Right Shoulder Tendon, Open Approach
0LQ13ZZRepair Right Shoulder Tendon, Percutaneous Approach
0LQ14ZZRepair Right Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ20ZZRepair Left Shoulder Tendon, Open Approach
0LQ23ZZRepair Left Shoulder Tendon, Percutaneous Approach
0LQ24ZZRepair Left Shoulder Tendon, Percutaneous Endoscopic Approach
0LQ30ZZRepair Right Upper Arm Tendon, Open Approach
0LQ33ZZRepair Right Upper Arm Tendon, Percutaneous Approach
0LQ34ZZRepair Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0LQ40ZZRepair Left Upper Arm Tendon, Open Approach
0LQ43ZZRepair Left Upper Arm Tendon, Percutaneous Approach
0LQ44ZZRepair Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0LQ50ZZRepair Right Lower Arm and Wrist Tendon, Open Approach
0LQ53ZZRepair Right Lower Arm and Wrist Tendon, Percutaneous Approach
0LQ54ZZRepair Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LQ60ZZRepair Left Lower Arm and Wrist Tendon, Open Approach
0LQ63ZZRepair Left Lower Arm and Wrist Tendon, Percutaneous Approach
0LQ64ZZRepair Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0LQ90ZZRepair Right Trunk Tendon, Open Approach
0LQ93ZZRepair Right Trunk Tendon, Percutaneous Approach
0LQ94ZZRepair Right Trunk Tendon, Percutaneous Endoscopic Approach
0LQB0ZZRepair Left Trunk Tendon, Open Approach
0LQB3ZZRepair Left Trunk Tendon, Percutaneous Approach
0LQB4ZZRepair Left Trunk Tendon, Percutaneous Endoscopic Approach
0LQC0ZZRepair Right Thorax Tendon, Open Approach
0LQC3ZZRepair Right Thorax Tendon, Percutaneous Approach
0LQC4ZZRepair Right Thorax Tendon, Percutaneous Endoscopic Approach
0LQD0ZZRepair Left Thorax Tendon, Open Approach
0LQD3ZZRepair Left Thorax Tendon, Percutaneous Approach
0LQD4ZZRepair Left Thorax Tendon, Percutaneous Endoscopic Approach
0LQF0ZZRepair Right Abdomen Tendon, Open Approach
0LQF3ZZRepair Right Abdomen Tendon, Percutaneous Approach
0LQF4ZZRepair Right Abdomen Tendon, Percutaneous Endoscopic Approach
0LQG0ZZRepair Left Abdomen Tendon, Open Approach
0LQG3ZZRepair Left Abdomen Tendon, Percutaneous Approach
0LQG4ZZRepair Left Abdomen Tendon, Percutaneous Endoscopic Approach
0LQH0ZZRepair Perineum Tendon, Open Approach
0LQH3ZZRepair Perineum Tendon, Percutaneous Approach
0LQH4ZZRepair Perineum Tendon, Percutaneous Endoscopic Approach
0LQJ0ZZRepair Right Hip Tendon, Open Approach
0LQJ3ZZRepair Right Hip Tendon, Percutaneous Approach
0LQJ4ZZRepair Right Hip Tendon, Percutaneous Endoscopic Approach
0LQK0ZZRepair Left Hip Tendon, Open Approach
0LQK3ZZRepair Left Hip Tendon, Percutaneous Approach
0LQK4ZZRepair Left Hip Tendon, Percutaneous Endoscopic Approach
0LQL0ZZRepair Right Upper Leg Tendon, Open Approach
0LQL3ZZRepair Right Upper Leg Tendon, Percutaneous Approach
0LQL4ZZRepair Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0LQM0ZZRepair Left Upper Leg Tendon, Open Approach
0LQM3ZZRepair Left Upper Leg Tendon, Percutaneous Approach
0LQM4ZZRepair Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0LQN0ZZRepair Right Lower Leg Tendon, Open Approach
0LQN3ZZRepair Right Lower Leg Tendon, Percutaneous Approach
0LQN4ZZRepair Right Lower Leg Tendon, Percutaneous Endoscopic Approach
0LQP0ZZRepair Left Lower Leg Tendon, Open Approach
0LQP3ZZRepair Left Lower Leg Tendon, Percutaneous Approach
0LQP4ZZRepair Left Lower Leg Tendon, Percutaneous Endoscopic Approach
0LQQ0ZZRepair Right Knee Tendon, Open Approach
0LQQ3ZZRepair Right Knee Tendon, Percutaneous Approach
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
0LQV0ZZRepair Right Foot Tendon, Open Approach
0LQV3ZZRepair Right Foot Tendon, Percutaneous Approach
0LQV4ZZRepair Right Foot Tendon, Percutaneous Endoscopic Approach
0LQW0ZZRepair Left Foot Tendon, Open Approach
0LQW3ZZRepair Left Foot Tendon, Percutaneous Approach
0LQW4ZZRepair Left Foot Tendon, Percutaneous Endoscopic Approach
0LR007ZReplacement of Head and Neck Tendon with Autologous Tissue Substitute, Open Approach
0LR00JZReplacement of Head and Neck Tendon with Synthetic Substitute, Open Approach
0LR00KZReplacement of Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach
0LR047ZReplacement of Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR04JZReplacement of Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR04KZReplacement of Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR107ZReplacement of Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LR10JZReplacement of Right Shoulder Tendon with Synthetic Substitute, Open Approach
0LR10KZReplacement of Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LR147ZReplacement of Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR14JZReplacement of Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR14KZReplacement of Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR207ZReplacement of Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LR20JZReplacement of Left Shoulder Tendon with Synthetic Substitute, Open Approach
0LR20KZReplacement of Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LR247ZReplacement of Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR24JZReplacement of Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR24KZReplacement of Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR307ZReplacement of Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LR30JZReplacement of Right Upper Arm Tendon with Synthetic Substitute, Open Approach
0LR30KZReplacement of Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LR347ZReplacement of Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR34JZReplacement of Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR34KZReplacement of Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR407ZReplacement of Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LR40JZReplacement of Left Upper Arm Tendon with Synthetic Substitute, Open Approach
0LR40KZReplacement of Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LR447ZReplacement of Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR44JZReplacement of Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR44KZReplacement of Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR507ZReplacement of Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LR50JZReplacement of Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LR50KZReplacement of Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LR547ZReplacement of Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR54JZReplacement of Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR54KZReplacement of Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR607ZReplacement of Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LR60JZReplacement of Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LR60KZReplacement of Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LR647ZReplacement of Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR64JZReplacement of Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR64KZReplacement of Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR907ZReplacement of Right Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LR90JZReplacement of Right Trunk Tendon with Synthetic Substitute, Open Approach
0LR90KZReplacement of Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LR947ZReplacement of Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR94JZReplacement of Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR94KZReplacement of Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRB07ZReplacement of Left Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LRB0JZReplacement of Left Trunk Tendon with Synthetic Substitute, Open Approach
0LRB0KZReplacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LRB47ZReplacement of Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
14 Apr 2020 14:43:32
CMS, code-revision=250, description-revision=1275