ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual

Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989)

Non-extensive Procedure Unrelated to Principal Diagnosis

Page 24 of 26

ONLY OPERATING ROOM PROCEDURES (continued)

00BF0ZZ 03B70ZX 04LE3CZ 06HY02Z 085C3ZZ 08NX3ZZ 08UM0KZ 09N13ZZ 0C9B0ZX 0DBC3ZZ 0J0N3ZZ 0KPY0JZ 0L9940Z 0M9N00Z 0N9C3ZX 0PP04KZ 0PSK46Z 0QP904Z 0S5D4ZZ 0SRL0JZ 0TPD30Z 0UPH7KZ 0W063ZZ 0WWN40Z 0XUL07Z 0YUC07Z

0WWN40Z	Revision of Drainage Device in Female Perineum, Percutaneous Endoscopic Approach
0WWN41Z	Revision of Radioactive Element in Female Perineum, Percutaneous Endoscopic Approach
0WWN43Z	Revision of Infusion Device in Female Perineum, Percutaneous Endoscopic Approach
0WWN47Z	Revision of Autologous Tissue Substitute in Female Perineum, Percutaneous Endoscopic Approach
0WWN4JZ	Revision of Synthetic Substitute in Female Perineum, Percutaneous Endoscopic Approach
0WWN4KZ	Revision of Nonautologous Tissue Substitute in Female Perineum, Percutaneous Endoscopic Approach
0WWN4YZ	Revision of Other Device in Female Perineum, Percutaneous Endoscopic Approach
0WY20Z0	Transplantation of Face, Allogeneic, Open Approach
0WY20Z1	Transplantation of Face, Syngeneic, Open Approach
0X0207Z	Alteration of Right Shoulder Region with Autologous Tissue Substitute, Open Approach
0X020JZ	Alteration of Right Shoulder Region with Synthetic Substitute, Open Approach
0X020KZ	Alteration of Right Shoulder Region with Nonautologous Tissue Substitute, Open Approach
0X020ZZ	Alteration of Right Shoulder Region, Open Approach
0X0237Z	Alteration of Right Shoulder Region with Autologous Tissue Substitute, Percutaneous Approach
0X023JZ	Alteration of Right Shoulder Region with Synthetic Substitute, Percutaneous Approach
0X023KZ	Alteration of Right Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Approach
0X023ZZ	Alteration of Right Shoulder Region, Percutaneous Approach
0X0247Z	Alteration of Right Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X024JZ	Alteration of Right Shoulder Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0X024KZ	Alteration of Right Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0X024ZZ	Alteration of Right Shoulder Region, Percutaneous Endoscopic Approach
0X0307Z	Alteration of Left Shoulder Region with Autologous Tissue Substitute, Open Approach
0X030JZ	Alteration of Left Shoulder Region with Synthetic Substitute, Open Approach
0X030KZ	Alteration of Left Shoulder Region with Nonautologous Tissue Substitute, Open Approach
0X030ZZ	Alteration of Left Shoulder Region, Open Approach
0X0337Z	Alteration of Left Shoulder Region with Autologous Tissue Substitute, Percutaneous Approach
0X033JZ	Alteration of Left Shoulder Region with Synthetic Substitute, Percutaneous Approach
0X033KZ	Alteration of Left Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Approach
0X033ZZ	Alteration of Left Shoulder Region, Percutaneous Approach
0X0347Z	Alteration of Left Shoulder Region with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X034JZ	Alteration of Left Shoulder Region with Synthetic Substitute, Percutaneous Endoscopic Approach
0X034KZ	Alteration of Left Shoulder Region with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0X034ZZ	Alteration of Left Shoulder Region, Percutaneous Endoscopic Approach
0X0407Z	Alteration of Right Axilla with Autologous Tissue Substitute, Open Approach
0X040JZ	Alteration of Right Axilla with Synthetic Substitute, Open Approach
0X040KZ	Alteration of Right Axilla with Nonautologous Tissue Substitute, Open Approach
0X040ZZ	Alteration of Right Axilla, Open Approach
0X0437Z	Alteration of Right Axilla with Autologous Tissue Substitute, Percutaneous Approach
0X043JZ	Alteration of Right Axilla with Synthetic Substitute, Percutaneous Approach
0X043KZ	Alteration of Right Axilla with Nonautologous Tissue Substitute, Percutaneous Approach
0X043ZZ	Alteration of Right Axilla, Percutaneous Approach
0X0447Z	Alteration of Right Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X044JZ	Alteration of Right Axilla with Synthetic Substitute, Percutaneous Endoscopic Approach
0X044KZ	Alteration of Right Axilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0X044ZZ	Alteration of Right Axilla, Percutaneous Endoscopic Approach
0X0507Z	Alteration of Left Axilla with Autologous Tissue Substitute, Open Approach
0X050JZ	Alteration of Left Axilla with Synthetic Substitute, Open Approach
0X050KZ	Alteration of Left Axilla with Nonautologous Tissue Substitute, Open Approach
0X050ZZ	Alteration of Left Axilla, Open Approach
0X0537Z	Alteration of Left Axilla with Autologous Tissue Substitute, Percutaneous Approach
0X053JZ	Alteration of Left Axilla with Synthetic Substitute, Percutaneous Approach
0X053KZ	Alteration of Left Axilla with Nonautologous Tissue Substitute, Percutaneous Approach
0X053ZZ	Alteration of Left Axilla, Percutaneous Approach
0X0547Z	Alteration of Left Axilla with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X054JZ	Alteration of Left Axilla with Synthetic Substitute, Percutaneous Endoscopic Approach
0X054KZ	Alteration of Left Axilla with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0X054ZZ	Alteration of Left Axilla, Percutaneous Endoscopic Approach
0X0607Z	Alteration of Right Upper Extremity with Autologous Tissue Substitute, Open Approach
0X060JZ	Alteration of Right Upper Extremity with Synthetic Substitute, Open Approach
0X060KZ	Alteration of Right Upper Extremity with Nonautologous Tissue Substitute, Open Approach
0X060ZZ	Alteration of Right Upper Extremity, Open Approach
0X0637Z	Alteration of Right Upper Extremity with Autologous Tissue Substitute, Percutaneous Approach
0X063JZ	Alteration of Right Upper Extremity with Synthetic Substitute, Percutaneous Approach
0X063KZ	Alteration of Right Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Approach
0X063ZZ	Alteration of Right Upper Extremity, Percutaneous Approach
0X0647Z	Alteration of Right Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X064JZ	Alteration of Right Upper Extremity with Synthetic Substitute, Percutaneous Endoscopic Approach
0X064KZ	Alteration of Right Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0X064ZZ	Alteration of Right Upper Extremity, Percutaneous Endoscopic Approach
0X0707Z	Alteration of Left Upper Extremity with Autologous Tissue Substitute, Open Approach
0X070JZ	Alteration of Left Upper Extremity with Synthetic Substitute, Open Approach
0X070KZ	Alteration of Left Upper Extremity with Nonautologous Tissue Substitute, Open Approach
0X070ZZ	Alteration of Left Upper Extremity, Open Approach
0X0737Z	Alteration of Left Upper Extremity with Autologous Tissue Substitute, Percutaneous Approach
0X073JZ	Alteration of Left Upper Extremity with Synthetic Substitute, Percutaneous Approach
0X073KZ	Alteration of Left Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Approach
0X073ZZ	Alteration of Left Upper Extremity, Percutaneous Approach
0X0747Z	Alteration of Left Upper Extremity with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X074JZ	Alteration of Left Upper Extremity with Synthetic Substitute, Percutaneous Endoscopic Approach
0X074KZ	Alteration of Left Upper Extremity with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0X074ZZ	Alteration of Left Upper Extremity, Percutaneous Endoscopic Approach
0X0807Z	Alteration of Right Upper Arm with Autologous Tissue Substitute, Open Approach
0X080JZ	Alteration of Right Upper Arm with Synthetic Substitute, Open Approach
0X080KZ	Alteration of Right Upper Arm with Nonautologous Tissue Substitute, Open Approach
0X080ZZ	Alteration of Right Upper Arm, Open Approach
0X0837Z	Alteration of Right Upper Arm with Autologous Tissue Substitute, Percutaneous Approach
0X083JZ	Alteration of Right Upper Arm with Synthetic Substitute, Percutaneous Approach
0X083KZ	Alteration of Right Upper Arm with Nonautologous Tissue Substitute, Percutaneous Approach
0X083ZZ	Alteration of Right Upper Arm, Percutaneous Approach
0X0847Z	Alteration of Right Upper Arm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0X084JZ	Alteration of Right Upper Arm with Synthetic Substitute, Percutaneous Endoscopic Approach
0X084KZ	Alteration of Right Upper Arm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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

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