ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| MDC 08 Diseases and disorders of the musculoskeletal system and connective tissue |
| Soft tissue procedures |
| Page 5 of 11 |
OPERATING ROOM PROCEDURES (continued)
0HDT0ZZ 0JXF3ZZ 0KB63ZZ 0KQ00ZZ 0KUB47Z 0L5V0ZZ 0LBS3ZZ 0LR94JZ 0LX24ZZ 0MDH3ZZ 0MTT4ZZ
| 0KUB47Z | Supplement Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUB4JZ | Supplement Left Lower Arm and Wrist Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUB4KZ | Supplement Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUF07Z | Supplement Right Trunk Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUF0JZ | Supplement Right Trunk Muscle with Synthetic Substitute, Open Approach |
| 0KUF0KZ | Supplement Right Trunk Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUF47Z | Supplement Right Trunk Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUF4JZ | Supplement Right Trunk Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUF4KZ | Supplement Right Trunk Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUG07Z | Supplement Left Trunk Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUG0JZ | Supplement Left Trunk Muscle with Synthetic Substitute, Open Approach |
| 0KUG0KZ | Supplement Left Trunk Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUG47Z | Supplement Left Trunk Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUG4JZ | Supplement Left Trunk Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUG4KZ | Supplement Left Trunk Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUH07Z | Supplement Right Thorax Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUH0JZ | Supplement Right Thorax Muscle with Synthetic Substitute, Open Approach |
| 0KUH0KZ | Supplement Right Thorax Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUH47Z | Supplement Right Thorax Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUH4JZ | Supplement Right Thorax Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUH4KZ | Supplement Right Thorax Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUJ07Z | Supplement Left Thorax Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUJ0JZ | Supplement Left Thorax Muscle with Synthetic Substitute, Open Approach |
| 0KUJ0KZ | Supplement Left Thorax Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUJ47Z | Supplement Left Thorax Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUJ4JZ | Supplement Left Thorax Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUJ4KZ | Supplement Left Thorax Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUK07Z | Supplement Right Abdomen Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUK0JZ | Supplement Right Abdomen Muscle with Synthetic Substitute, Open Approach |
| 0KUK0KZ | Supplement Right Abdomen Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUK47Z | Supplement Right Abdomen Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUK4JZ | Supplement Right Abdomen Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUK4KZ | Supplement Right Abdomen Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUL07Z | Supplement Left Abdomen Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUL0JZ | Supplement Left Abdomen Muscle with Synthetic Substitute, Open Approach |
| 0KUL0KZ | Supplement Left Abdomen Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUL47Z | Supplement Left Abdomen Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUL4JZ | Supplement Left Abdomen Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUL4KZ | Supplement Left Abdomen Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUM07Z | Supplement Perineum Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUM0JZ | Supplement Perineum Muscle with Synthetic Substitute, Open Approach |
| 0KUM0KZ | Supplement Perineum Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUM47Z | Supplement Perineum Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUM4JZ | Supplement Perineum Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUM4KZ | Supplement Perineum Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUN07Z | Supplement Right Hip Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUN0JZ | Supplement Right Hip Muscle with Synthetic Substitute, Open Approach |
| 0KUN0KZ | Supplement Right Hip Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUN47Z | Supplement Right Hip Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUN4JZ | Supplement Right Hip Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUN4KZ | Supplement Right Hip Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUP07Z | Supplement Left Hip Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUP0JZ | Supplement Left Hip Muscle with Synthetic Substitute, Open Approach |
| 0KUP0KZ | Supplement Left Hip Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUP47Z | Supplement Left Hip Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUP4JZ | Supplement Left Hip Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUP4KZ | Supplement Left Hip Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUQ07Z | Supplement Right Upper Leg Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUQ0JZ | Supplement Right Upper Leg Muscle with Synthetic Substitute, Open Approach |
| 0KUQ0KZ | Supplement Right Upper Leg Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUQ47Z | Supplement Right Upper Leg Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUQ4JZ | Supplement Right Upper Leg Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUQ4KZ | Supplement Right Upper Leg Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUR07Z | Supplement Left Upper Leg Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUR0JZ | Supplement Left Upper Leg Muscle with Synthetic Substitute, Open Approach |
| 0KUR0KZ | Supplement Left Upper Leg Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUR47Z | Supplement Left Upper Leg Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUR4JZ | Supplement Left Upper Leg Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUR4KZ | Supplement Left Upper Leg Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUS07Z | Supplement Right Lower Leg Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUS0JZ | Supplement Right Lower Leg Muscle with Synthetic Substitute, Open Approach |
| 0KUS0KZ | Supplement Right Lower Leg Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUS47Z | Supplement Right Lower Leg Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUS4JZ | Supplement Right Lower Leg Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUS4KZ | Supplement Right Lower Leg Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUT07Z | Supplement Left Lower Leg Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUT0JZ | Supplement Left Lower Leg Muscle with Synthetic Substitute, Open Approach |
| 0KUT0KZ | Supplement Left Lower Leg Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUT47Z | Supplement Left Lower Leg Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUT4JZ | Supplement Left Lower Leg Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUT4KZ | Supplement Left Lower Leg Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUV07Z | Supplement Right Foot Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUV0JZ | Supplement Right Foot Muscle with Synthetic Substitute, Open Approach |
| 0KUV0KZ | Supplement Right Foot Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUV47Z | Supplement Right Foot Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUV4JZ | Supplement Right Foot Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUV4KZ | Supplement Right Foot Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUW07Z | Supplement Left Foot Muscle with Autologous Tissue Substitute, Open Approach |
| 0KUW0JZ | Supplement Left Foot Muscle with Synthetic Substitute, Open Approach |
| 0KUW0KZ | Supplement Left Foot Muscle with Nonautologous Tissue Substitute, Open Approach |
| 0KUW47Z | Supplement Left Foot Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KUW4JZ | Supplement Left Foot Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0KUW4KZ | Supplement Left Foot Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0KWX00Z | Revision of Drainage Device in Upper Muscle, Open Approach |
| 0KWX07Z | Revision of Autologous Tissue Substitute in Upper Muscle, Open Approach |
| 0KWX0JZ | Revision of Synthetic Substitute in Upper Muscle, Open Approach |
| 0KWX0KZ | Revision of Nonautologous Tissue Substitute in Upper Muscle, Open Approach |
| 0KWX0MZ | Revision of Stimulator Lead in Upper Muscle, Open Approach |
| 0KWX0YZ | Revision of Other Device in Upper Muscle, Open Approach |
| 0KWX30Z | Revision of Drainage Device in Upper Muscle, Percutaneous Approach |
| 0KWX37Z | Revision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Approach |
| 0KWX3JZ | Revision of Synthetic Substitute in Upper Muscle, Percutaneous Approach |
| 0KWX3KZ | Revision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Approach |
| 0KWX3MZ | Revision of Stimulator Lead in Upper Muscle, Percutaneous Approach |
| 0KWX40Z | Revision of Drainage Device in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX47Z | Revision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX4JZ | Revision of Synthetic Substitute in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX4KZ | Revision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWX4MZ | Revision of Stimulator Lead in Upper Muscle, Percutaneous Endoscopic Approach |
| 0KWY00Z | Revision of Drainage Device in Lower Muscle, Open Approach |
| 0KWY07Z | Revision of Autologous Tissue Substitute in Lower Muscle, Open Approach |
| 0KWY0JZ | Revision of Synthetic Substitute in Lower Muscle, Open Approach |
| 0KWY0KZ | Revision of Nonautologous Tissue Substitute in Lower Muscle, Open Approach |
| 0KWY0MZ | Revision of Stimulator Lead in Lower Muscle, Open Approach |
| 0KWY0YZ | Revision of Other Device in Lower Muscle, Open Approach |
| 0KWY30Z | Revision of Drainage Device in Lower Muscle, Percutaneous Approach |
| 0KWY37Z | Revision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Approach |
| 0KWY3JZ | Revision of Synthetic Substitute in Lower Muscle, Percutaneous Approach |
| 0KWY3KZ | Revision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Approach |
| 0KWY3MZ | Revision of Stimulator Lead in Lower Muscle, Percutaneous Approach |
| 0KWY40Z | Revision of Drainage Device in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY47Z | Revision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY4JZ | Revision of Synthetic Substitute in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY4KZ | Revision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KWY4MZ | Revision of Stimulator Lead in Lower Muscle, Percutaneous Endoscopic Approach |
| 0KX00Z0 | Transfer Head Muscle with Skin, Open Approach |
| 0KX00Z1 | Transfer Head Muscle with Subcutaneous Tissue, Open Approach |
| 0KX00Z2 | Transfer Head Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX00ZZ | Transfer Head Muscle, Open Approach |
| 0KX04Z0 | Transfer Head Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX04Z1 | Transfer Head Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX04Z2 | Transfer Head Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX04ZZ | Transfer Head Muscle, Percutaneous Endoscopic Approach |
| 0KX10Z0 | Transfer Facial Muscle with Skin, Open Approach |
| 0KX10Z1 | Transfer Facial Muscle with Subcutaneous Tissue, Open Approach |
| 0KX10Z2 | Transfer Facial Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX10ZZ | Transfer Facial Muscle, Open Approach |
| 0KX14Z0 | Transfer Facial Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX14Z1 | Transfer Facial Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX14Z2 | Transfer Facial Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX14ZZ | Transfer Facial Muscle, Percutaneous Endoscopic Approach |
| 0KX20Z0 | Transfer Right Neck Muscle with Skin, Open Approach |
| 0KX20Z1 | Transfer Right Neck Muscle with Subcutaneous Tissue, Open Approach |
| 0KX20Z2 | Transfer Right Neck Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX20ZZ | Transfer Right Neck Muscle, Open Approach |
| 0KX24Z0 | Transfer Right Neck Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX24Z1 | Transfer Right Neck Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX24Z2 | Transfer Right Neck Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX24ZZ | Transfer Right Neck Muscle, Percutaneous Endoscopic Approach |
| 0KX30Z0 | Transfer Left Neck Muscle with Skin, Open Approach |
| 0KX30Z1 | Transfer Left Neck Muscle with Subcutaneous Tissue, Open Approach |
| 0KX30Z2 | Transfer Left Neck Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX30ZZ | Transfer Left Neck Muscle, Open Approach |
| 0KX34Z0 | Transfer Left Neck Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX34Z1 | Transfer Left Neck Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX34Z2 | Transfer Left Neck Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX34ZZ | Transfer Left Neck Muscle, Percutaneous Endoscopic Approach |
| 0KX40Z0 | Transfer Tongue, Palate, Pharynx Muscle with Skin, Open Approach |
| 0KX40Z1 | Transfer Tongue, Palate, Pharynx Muscle with Subcutaneous Tissue, Open Approach |
| 0KX40Z2 | Transfer Tongue, Palate, Pharynx Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX40ZZ | Transfer Tongue, Palate, Pharynx Muscle, Open Approach |
| 0KX44Z0 | Transfer Tongue, Palate, Pharynx Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX44Z1 | Transfer Tongue, Palate, Pharynx Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX44Z2 | Transfer Tongue, Palate, Pharynx Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX44ZZ | Transfer Tongue, Palate, Pharynx Muscle, Percutaneous Endoscopic Approach |
| 0KX50Z0 | Transfer Right Shoulder Muscle with Skin, Open Approach |
| 0KX50Z1 | Transfer Right Shoulder Muscle with Subcutaneous Tissue, Open Approach |
| 0KX50Z2 | Transfer Right Shoulder Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX50ZZ | Transfer Right Shoulder Muscle, Open Approach |
| 0KX54Z0 | Transfer Right Shoulder Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX54Z1 | Transfer Right Shoulder Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX54Z2 | Transfer Right Shoulder Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX54ZZ | Transfer Right Shoulder Muscle, Percutaneous Endoscopic Approach |
| 0KX60Z0 | Transfer Left Shoulder Muscle with Skin, Open Approach |
| 0KX60Z1 | Transfer Left Shoulder Muscle with Subcutaneous Tissue, Open Approach |
| 0KX60Z2 | Transfer Left Shoulder Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX60ZZ | Transfer Left Shoulder Muscle, Open Approach |
| 0KX64Z0 | Transfer Left Shoulder Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX64Z1 | Transfer Left Shoulder Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX64Z2 | Transfer Left Shoulder Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX64ZZ | Transfer Left Shoulder Muscle, Percutaneous Endoscopic Approach |
| 0KX70Z0 | Transfer Right Upper Arm Muscle with Skin, Open Approach |
| 0KX70Z1 | Transfer Right Upper Arm Muscle with Subcutaneous Tissue, Open Approach |
| 0KX70Z2 | Transfer Right Upper Arm Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX70ZZ | Transfer Right Upper Arm Muscle, Open Approach |
| 0KX74Z0 | Transfer Right Upper Arm Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX74Z1 | Transfer Right Upper Arm Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX74Z2 | Transfer Right Upper Arm Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX74ZZ | Transfer Right Upper Arm Muscle, Percutaneous Endoscopic Approach |
| 0KX80Z0 | Transfer Left Upper Arm Muscle with Skin, Open Approach |
| 0KX80Z1 | Transfer Left Upper Arm Muscle with Subcutaneous Tissue, Open Approach |
| 0KX80Z2 | Transfer Left Upper Arm Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX80ZZ | Transfer Left Upper Arm Muscle, Open Approach |
| 0KX84Z0 | Transfer Left Upper Arm Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX84Z1 | Transfer Left Upper Arm Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX84Z2 | Transfer Left Upper Arm Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX84ZZ | Transfer Left Upper Arm Muscle, Percutaneous Endoscopic Approach |
| 0KX90Z0 | Transfer Right Lower Arm and Wrist Muscle with Skin, Open Approach |
| 0KX90Z1 | Transfer Right Lower Arm and Wrist Muscle with Subcutaneous Tissue, Open Approach |
| 0KX90Z2 | Transfer Right Lower Arm and Wrist Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KX90ZZ | Transfer Right Lower Arm and Wrist Muscle, Open Approach |
| 0KX94Z0 | Transfer Right Lower Arm and Wrist Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KX94Z1 | Transfer Right Lower Arm and Wrist Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX94Z2 | Transfer Right Lower Arm and Wrist Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KX94ZZ | Transfer Right Lower Arm and Wrist Muscle, Percutaneous Endoscopic Approach |
| 0KXB0Z0 | Transfer Left Lower Arm and Wrist Muscle with Skin, Open Approach |
| 0KXB0Z1 | Transfer Left Lower Arm and Wrist Muscle with Subcutaneous Tissue, Open Approach |
| 0KXB0Z2 | Transfer Left Lower Arm and Wrist Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXB0ZZ | Transfer Left Lower Arm and Wrist Muscle, Open Approach |
| 0KXB4Z0 | Transfer Left Lower Arm and Wrist Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXB4Z1 | Transfer Left Lower Arm and Wrist Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXB4Z2 | Transfer Left Lower Arm and Wrist Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXB4ZZ | Transfer Left Lower Arm and Wrist Muscle, Percutaneous Endoscopic Approach |
| 0KXF0Z0 | Transfer Right Trunk Muscle with Skin, Open Approach |
| 0KXF0Z1 | Transfer Right Trunk Muscle with Subcutaneous Tissue, Open Approach |
| 0KXF0Z2 | Transfer Right Trunk Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXF0ZZ | Transfer Right Trunk Muscle, Open Approach |
| 0KXF4Z0 | Transfer Right Trunk Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXF4Z1 | Transfer Right Trunk Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXF4Z2 | Transfer Right Trunk Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXF4ZZ | Transfer Right Trunk Muscle, Percutaneous Endoscopic Approach |
| 0KXG0Z0 | Transfer Left Trunk Muscle with Skin, Open Approach |
| 0KXG0Z1 | Transfer Left Trunk Muscle with Subcutaneous Tissue, Open Approach |
| 0KXG0Z2 | Transfer Left Trunk Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXG0ZZ | Transfer Left Trunk Muscle, Open Approach |
| 0KXG4Z0 | Transfer Left Trunk Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXG4Z1 | Transfer Left Trunk Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXG4Z2 | Transfer Left Trunk Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXG4ZZ | Transfer Left Trunk Muscle, Percutaneous Endoscopic Approach |
| 0KXH0Z0 | Transfer Right Thorax Muscle with Skin, Open Approach |
| 0KXH0Z1 | Transfer Right Thorax Muscle with Subcutaneous Tissue, Open Approach |
| 0KXH0Z2 | Transfer Right Thorax Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXH4Z0 | Transfer Right Thorax Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXH4Z1 | Transfer Right Thorax Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXH4Z2 | Transfer Right Thorax Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXJ0Z0 | Transfer Left Thorax Muscle with Skin, Open Approach |
| 0KXJ0Z1 | Transfer Left Thorax Muscle with Subcutaneous Tissue, Open Approach |
| 0KXJ0Z2 | Transfer Left Thorax Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXJ4Z0 | Transfer Left Thorax Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXJ4Z1 | Transfer Left Thorax Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXJ4Z2 | Transfer Left Thorax Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXK0Z0 | Transfer Right Abdomen Muscle with Skin, Open Approach |
| 0KXK0Z1 | Transfer Right Abdomen Muscle with Subcutaneous Tissue, Open Approach |
| 0KXK0Z2 | Transfer Right Abdomen Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXK0ZZ | Transfer Right Abdomen Muscle, Open Approach |
| 0KXK4Z0 | Transfer Right Abdomen Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXK4Z1 | Transfer Right Abdomen Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXK4Z2 | Transfer Right Abdomen Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXK4ZZ | Transfer Right Abdomen Muscle, Percutaneous Endoscopic Approach |
| 0KXL0Z0 | Transfer Left Abdomen Muscle with Skin, Open Approach |
| 0KXL0Z1 | Transfer Left Abdomen Muscle with Subcutaneous Tissue, Open Approach |
| 0KXL0Z2 | Transfer Left Abdomen Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXL0ZZ | Transfer Left Abdomen Muscle, Open Approach |
| 0KXL4Z0 | Transfer Left Abdomen Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXL4Z1 | Transfer Left Abdomen Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXL4Z2 | Transfer Left Abdomen Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXL4ZZ | Transfer Left Abdomen Muscle, Percutaneous Endoscopic Approach |
| 0KXM0Z0 | Transfer Perineum Muscle with Skin, Open Approach |
| 0KXM0Z1 | Transfer Perineum Muscle with Subcutaneous Tissue, Open Approach |
| 0KXM0Z2 | Transfer Perineum Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXM0ZZ | Transfer Perineum Muscle, Open Approach |
| 0KXM4Z0 | Transfer Perineum Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXM4Z1 | Transfer Perineum Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXM4Z2 | Transfer Perineum Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXM4ZZ | Transfer Perineum Muscle, Percutaneous Endoscopic Approach |
| 0KXN0Z0 | Transfer Right Hip Muscle with Skin, Open Approach |
| 0KXN0Z1 | Transfer Right Hip Muscle with Subcutaneous Tissue, Open Approach |
| 0KXN0Z2 | Transfer Right Hip Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXN0ZZ | Transfer Right Hip Muscle, Open Approach |
| 0KXN4Z0 | Transfer Right Hip Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXN4Z1 | Transfer Right Hip Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXN4Z2 | Transfer Right Hip Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXN4ZZ | Transfer Right Hip Muscle, Percutaneous Endoscopic Approach |
| 0KXP0Z0 | Transfer Left Hip Muscle with Skin, Open Approach |
| 0KXP0Z1 | Transfer Left Hip Muscle with Subcutaneous Tissue, Open Approach |
| 0KXP0Z2 | Transfer Left Hip Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXP0ZZ | Transfer Left Hip Muscle, Open Approach |
| 0KXP4Z0 | Transfer Left Hip Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXP4Z1 | Transfer Left Hip Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXP4Z2 | Transfer Left Hip Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXP4ZZ | Transfer Left Hip Muscle, Percutaneous Endoscopic Approach |
| 0KXQ0Z0 | Transfer Right Upper Leg Muscle with Skin, Open Approach |
| 0KXQ0Z1 | Transfer Right Upper Leg Muscle with Subcutaneous Tissue, Open Approach |
| 0KXQ0Z2 | Transfer Right Upper Leg Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXQ0ZZ | Transfer Right Upper Leg Muscle, Open Approach |
| 0KXQ4Z0 | Transfer Right Upper Leg Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXQ4Z1 | Transfer Right Upper Leg Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXQ4Z2 | Transfer Right Upper Leg Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXQ4ZZ | Transfer Right Upper Leg Muscle, Percutaneous Endoscopic Approach |
| 0KXR0Z0 | Transfer Left Upper Leg Muscle with Skin, Open Approach |
| 0KXR0Z1 | Transfer Left Upper Leg Muscle with Subcutaneous Tissue, Open Approach |
| 0KXR0Z2 | Transfer Left Upper Leg Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXR0ZZ | Transfer Left Upper Leg Muscle, Open Approach |
| 0KXR4Z0 | Transfer Left Upper Leg Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXR4Z1 | Transfer Left Upper Leg Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXR4Z2 | Transfer Left Upper Leg Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXR4ZZ | Transfer Left Upper Leg Muscle, Percutaneous Endoscopic Approach |
| 0KXS0Z0 | Transfer Right Lower Leg Muscle with Skin, Open Approach |
| 0KXS0Z1 | Transfer Right Lower Leg Muscle with Subcutaneous Tissue, Open Approach |
| 0KXS0Z2 | Transfer Right Lower Leg Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXS0ZZ | Transfer Right Lower Leg Muscle, Open Approach |
| 0KXS4Z0 | Transfer Right Lower Leg Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXS4Z1 | Transfer Right Lower Leg Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXS4Z2 | Transfer Right Lower Leg Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXS4ZZ | Transfer Right Lower Leg Muscle, Percutaneous Endoscopic Approach |
| 0KXT0Z0 | Transfer Left Lower Leg Muscle with Skin, Open Approach |
| 0KXT0Z1 | Transfer Left Lower Leg Muscle with Subcutaneous Tissue, Open Approach |
| 0KXT0Z2 | Transfer Left Lower Leg Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXT0ZZ | Transfer Left Lower Leg Muscle, Open Approach |
| 0KXT4Z0 | Transfer Left Lower Leg Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXT4Z1 | Transfer Left Lower Leg Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXT4Z2 | Transfer Left Lower Leg Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXT4ZZ | Transfer Left Lower Leg Muscle, Percutaneous Endoscopic Approach |
| 0KXV0Z0 | Transfer Right Foot Muscle with Skin, Open Approach |
| 0KXV0Z1 | Transfer Right Foot Muscle with Subcutaneous Tissue, Open Approach |
| 0KXV0Z2 | Transfer Right Foot Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXV0ZZ | Transfer Right Foot Muscle, Open Approach |
| 0KXV4Z0 | Transfer Right Foot Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXV4Z1 | Transfer Right Foot Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXV4Z2 | Transfer Right Foot Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXV4ZZ | Transfer Right Foot Muscle, Percutaneous Endoscopic Approach |
| 0KXW0Z0 | Transfer Left Foot Muscle with Skin, Open Approach |
| 0KXW0Z1 | Transfer Left Foot Muscle with Subcutaneous Tissue, Open Approach |
| 0KXW0Z2 | Transfer Left Foot Muscle with Skin and Subcutaneous Tissue, Open Approach |
| 0KXW0ZZ | Transfer Left Foot Muscle, Open Approach |
| 0KXW4Z0 | Transfer Left Foot Muscle with Skin, Percutaneous Endoscopic Approach |
| 0KXW4Z1 | Transfer Left Foot Muscle with Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXW4Z2 | Transfer Left Foot Muscle with Skin and Subcutaneous Tissue, Percutaneous Endoscopic Approach |
| 0KXW4ZZ | Transfer Left Foot Muscle, Percutaneous Endoscopic Approach |
| 0L500ZZ | Destruction of Head and Neck Tendon, Open Approach |
| 0L503ZZ | Destruction of Head and Neck Tendon, Percutaneous Approach |
| 0L504ZZ | Destruction of Head and Neck Tendon, Percutaneous Endoscopic Approach |
| 0L510ZZ | Destruction of Right Shoulder Tendon, Open Approach |
| 0L513ZZ | Destruction of Right Shoulder Tendon, Percutaneous Approach |
| 0L514ZZ | Destruction of Right Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0L520ZZ | Destruction of Left Shoulder Tendon, Open Approach |
| 0L523ZZ | Destruction of Left Shoulder Tendon, Percutaneous Approach |
| 0L524ZZ | Destruction of Left Shoulder Tendon, Percutaneous Endoscopic Approach |
| 0L530ZZ | Destruction of Right Upper Arm Tendon, Open Approach |
| 0L533ZZ | Destruction of Right Upper Arm Tendon, Percutaneous Approach |
| 0L534ZZ | Destruction of Right Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0L540ZZ | Destruction of Left Upper Arm Tendon, Open Approach |
| 0L543ZZ | Destruction of Left Upper Arm Tendon, Percutaneous Approach |
| 0L544ZZ | Destruction of Left Upper Arm Tendon, Percutaneous Endoscopic Approach |
| 0L550ZZ | Destruction of Right Lower Arm and Wrist Tendon, Open Approach |
| 0L553ZZ | Destruction of Right Lower Arm and Wrist Tendon, Percutaneous Approach |
| 0L554ZZ | Destruction of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0L560ZZ | Destruction of Left Lower Arm and Wrist Tendon, Open Approach |
| 0L563ZZ | Destruction of Left Lower Arm and Wrist Tendon, Percutaneous Approach |
| 0L564ZZ | Destruction of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach |
| 0L590ZZ | Destruction of Right Trunk Tendon, Open Approach |
| 0L593ZZ | Destruction of Right Trunk Tendon, Percutaneous Approach |
| 0L594ZZ | Destruction of Right Trunk Tendon, Percutaneous Endoscopic Approach |
| 0L5B0ZZ | Destruction of Left Trunk Tendon, Open Approach |
| 0L5B3ZZ | Destruction of Left Trunk Tendon, Percutaneous Approach |
| 0L5B4ZZ | Destruction of Left Trunk Tendon, Percutaneous Endoscopic Approach |
| 0L5C0ZZ | Destruction of Right Thorax Tendon, Open Approach |
| 0L5C3ZZ | Destruction of Right Thorax Tendon, Percutaneous Approach |
| 0L5C4ZZ | Destruction of Right Thorax Tendon, Percutaneous Endoscopic Approach |
| 0L5D0ZZ | Destruction of Left Thorax Tendon, Open Approach |
| 0L5D3ZZ | Destruction of Left Thorax Tendon, Percutaneous Approach |
| 0L5D4ZZ | Destruction of Left Thorax Tendon, Percutaneous Endoscopic Approach |
| 0L5F0ZZ | Destruction of Right Abdomen Tendon, Open Approach |
| 0L5F3ZZ | Destruction of Right Abdomen Tendon, Percutaneous Approach |
| 0L5F4ZZ | Destruction of Right Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0L5G0ZZ | Destruction of Left Abdomen Tendon, Open Approach |
| 0L5G3ZZ | Destruction of Left Abdomen Tendon, Percutaneous Approach |
| 0L5G4ZZ | Destruction of Left Abdomen Tendon, Percutaneous Endoscopic Approach |
| 0L5H0ZZ | Destruction of Perineum Tendon, Open Approach |
| 0L5H3ZZ | Destruction of Perineum Tendon, Percutaneous Approach |
| 0L5H4ZZ | Destruction of Perineum Tendon, Percutaneous Endoscopic Approach |
| 0L5J0ZZ | Destruction of Right Hip Tendon, Open Approach |
| 0L5J3ZZ | Destruction of Right Hip Tendon, Percutaneous Approach |
| 0L5J4ZZ | Destruction of Right Hip Tendon, Percutaneous Endoscopic Approach |
| 0L5K0ZZ | Destruction of Left Hip Tendon, Open Approach |
| 0L5K3ZZ | Destruction of Left Hip Tendon, Percutaneous Approach |
| 0L5K4ZZ | Destruction of Left Hip Tendon, Percutaneous Endoscopic Approach |
| 0L5L0ZZ | Destruction of Right Upper Leg Tendon, Open Approach |
| 0L5L3ZZ | Destruction of Right Upper Leg Tendon, Percutaneous Approach |
| 0L5L4ZZ | Destruction of Right Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0L5M0ZZ | Destruction of Left Upper Leg Tendon, Open Approach |
| 0L5M3ZZ | Destruction of Left Upper Leg Tendon, Percutaneous Approach |
| 0L5M4ZZ | Destruction of Left Upper Leg Tendon, Percutaneous Endoscopic Approach |
| 0L5N0ZZ | Destruction of Right Lower Leg Tendon, Open Approach |
| 0L5N3ZZ | Destruction of Right Lower Leg Tendon, Percutaneous Approach |
| 0L5N4ZZ | Destruction of Right Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0L5P0ZZ | Destruction of Left Lower Leg Tendon, Open Approach |
| 0L5P3ZZ | Destruction of Left Lower Leg Tendon, Percutaneous Approach |
| 0L5P4ZZ | Destruction of Left Lower Leg Tendon, Percutaneous Endoscopic Approach |
| 0L5Q0ZZ | Destruction of Right Knee Tendon, Open Approach |
| 0L5Q3ZZ | Destruction of Right Knee Tendon, Percutaneous Approach |
| 0L5Q4ZZ | Destruction of Right Knee Tendon, Percutaneous Endoscopic Approach |
| 0L5R0ZZ | Destruction of Left Knee Tendon, Open Approach |
| 0L5R3ZZ | Destruction of Left Knee Tendon, Percutaneous Approach |
| 0L5R4ZZ | Destruction of Left Knee Tendon, Percutaneous Endoscopic Approach |
| 0L5S0ZZ | Destruction of Right Ankle Tendon, Open Approach |
| 0L5S3ZZ | Destruction of Right Ankle Tendon, Percutaneous Approach |
| 0L5S4ZZ | Destruction of Right Ankle Tendon, Percutaneous Endoscopic Approach |
| 0L5T0ZZ | Destruction of Left Ankle Tendon, Open Approach |
| 0L5T3ZZ | Destruction of Left Ankle Tendon, Percutaneous Approach |
| 0L5T4ZZ | Destruction of Left Ankle Tendon, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 08 Mar 2021 20:13:49 CMS, code-revision=301, description-revision=1298 |