DRAFT

ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

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Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989)
Non-extensive O.R. procedures unrelated to principal diagnosis
Page 12 of 26

ONLY OPERATING ROOM PROCEDURES (continued)

00BF0ZZ 03B43ZX 04LC3ZZ 06DT0ZZ 07PN43Z 08MRXZZ 08U9XJZ 09BV3ZZ 0C5D3ZZ 0D5V0ZZ 0HR3XJZ 0KCF3ZZ 0L8R4ZZ 0M8N4ZZ 0MWY40Z 0PB90ZX 0PPT34Z 0QP337Z 0RBV0ZZ 0SP908Z 0SWQ0KZ 0U9K0ZX 0VCS3ZZ 0WHB01Z 0X6V0Z2 0Y0L4ZZ

0KCF3ZZExtirpation of Matter from Right Trunk Muscle, Percutaneous Approach
0KCF4ZZExtirpation of Matter from Right Trunk Muscle, Percutaneous Endoscopic Approach
0KCG0ZZExtirpation of Matter from Left Trunk Muscle, Open Approach
0KCG3ZZExtirpation of Matter from Left Trunk Muscle, Percutaneous Approach
0KCG4ZZExtirpation of Matter from Left Trunk Muscle, Percutaneous Endoscopic Approach
0KCH0ZZExtirpation of Matter from Right Thorax Muscle, Open Approach
0KCH3ZZExtirpation of Matter from Right Thorax Muscle, Percutaneous Approach
0KCH4ZZExtirpation of Matter from Right Thorax Muscle, Percutaneous Endoscopic Approach
0KCJ0ZZExtirpation of Matter from Left Thorax Muscle, Open Approach
0KCJ3ZZExtirpation of Matter from Left Thorax Muscle, Percutaneous Approach
0KCJ4ZZExtirpation of Matter from Left Thorax Muscle, Percutaneous Endoscopic Approach
0KCK0ZZExtirpation of Matter from Right Abdomen Muscle, Open Approach
0KCK3ZZExtirpation of Matter from Right Abdomen Muscle, Percutaneous Approach
0KCK4ZZExtirpation of Matter from Right Abdomen Muscle, Percutaneous Endoscopic Approach
0KCL0ZZExtirpation of Matter from Left Abdomen Muscle, Open Approach
0KCL3ZZExtirpation of Matter from Left Abdomen Muscle, Percutaneous Approach
0KCL4ZZExtirpation of Matter from Left Abdomen Muscle, Percutaneous Endoscopic Approach
0KCM0ZZExtirpation of Matter from Perineum Muscle, Open Approach
0KCM3ZZExtirpation of Matter from Perineum Muscle, Percutaneous Approach
0KCM4ZZExtirpation of Matter from Perineum Muscle, Percutaneous Endoscopic Approach
0KCN0ZZExtirpation of Matter from Right Hip Muscle, Open Approach
0KCN3ZZExtirpation of Matter from Right Hip Muscle, Percutaneous Approach
0KCN4ZZExtirpation of Matter from Right Hip Muscle, Percutaneous Endoscopic Approach
0KCP0ZZExtirpation of Matter from Left Hip Muscle, Open Approach
0KCP3ZZExtirpation of Matter from Left Hip Muscle, Percutaneous Approach
0KCP4ZZExtirpation of Matter from Left Hip Muscle, Percutaneous Endoscopic Approach
0KCQ0ZZExtirpation of Matter from Right Upper Leg Muscle, Open Approach
0KCQ3ZZExtirpation of Matter from Right Upper Leg Muscle, Percutaneous Approach
0KCQ4ZZExtirpation of Matter from Right Upper Leg Muscle, Percutaneous Endoscopic Approach
0KCR0ZZExtirpation of Matter from Left Upper Leg Muscle, Open Approach
0KCR3ZZExtirpation of Matter from Left Upper Leg Muscle, Percutaneous Approach
0KCR4ZZExtirpation of Matter from Left Upper Leg Muscle, Percutaneous Endoscopic Approach
0KCS0ZZExtirpation of Matter from Right Lower Leg Muscle, Open Approach
0KCS3ZZExtirpation of Matter from Right Lower Leg Muscle, Percutaneous Approach
0KCS4ZZExtirpation of Matter from Right Lower Leg Muscle, Percutaneous Endoscopic Approach
0KCT0ZZExtirpation of Matter from Left Lower Leg Muscle, Open Approach
0KCT3ZZExtirpation of Matter from Left Lower Leg Muscle, Percutaneous Approach
0KCT4ZZExtirpation of Matter from Left Lower Leg Muscle, Percutaneous Endoscopic Approach
0KCV0ZZExtirpation of Matter from Right Foot Muscle, Open Approach
0KCV3ZZExtirpation of Matter from Right Foot Muscle, Percutaneous Approach
0KCV4ZZExtirpation of Matter from Right Foot Muscle, Percutaneous Endoscopic Approach
0KCW0ZZExtirpation of Matter from Left Foot Muscle, Open Approach
0KCW3ZZExtirpation of Matter from Left Foot Muscle, Percutaneous Approach
0KCW4ZZExtirpation of Matter from Left Foot Muscle, Percutaneous Endoscopic Approach
0KPX00ZRemoval of Drainage Device from Upper Muscle, Open Approach
0KPX07ZRemoval of Autologous Tissue Substitute from Upper Muscle, Open Approach
0KPX0JZRemoval of Synthetic Substitute from Upper Muscle, Open Approach
0KPX0KZRemoval of Nonautologous Tissue Substitute from Upper Muscle, Open Approach
0KPX0YZRemoval of Other Device from Upper Muscle, Open Approach
0KPX30ZRemoval of Drainage Device from Upper Muscle, Percutaneous Approach
0KPX37ZRemoval of Autologous Tissue Substitute from Upper Muscle, Percutaneous Approach
0KPX3JZRemoval of Synthetic Substitute from Upper Muscle, Percutaneous Approach
0KPX3KZRemoval of Nonautologous Tissue Substitute from Upper Muscle, Percutaneous Approach
0KPX40ZRemoval of Drainage Device from Upper Muscle, Percutaneous Endoscopic Approach
0KPX47ZRemoval of Autologous Tissue Substitute from Upper Muscle, Percutaneous Endoscopic Approach
0KPX4JZRemoval of Synthetic Substitute from Upper Muscle, Percutaneous Endoscopic Approach
0KPX4KZRemoval of Nonautologous Tissue Substitute from Upper Muscle, Percutaneous Endoscopic Approach
0KPY00ZRemoval of Drainage Device from Lower Muscle, Open Approach
0KPY07ZRemoval of Autologous Tissue Substitute from Lower Muscle, Open Approach
0KPY0JZRemoval of Synthetic Substitute from Lower Muscle, Open Approach
0KPY0KZRemoval of Nonautologous Tissue Substitute from Lower Muscle, Open Approach
0KPY0YZRemoval of Other Device from Lower Muscle, Open Approach
0KPY30ZRemoval of Drainage Device from Lower Muscle, Percutaneous Approach
0KPY37ZRemoval of Autologous Tissue Substitute from Lower Muscle, Percutaneous Approach
0KPY3JZRemoval of Synthetic Substitute from Lower Muscle, Percutaneous Approach
0KPY3KZRemoval of Nonautologous Tissue Substitute from Lower Muscle, Percutaneous Approach
0KPY40ZRemoval of Drainage Device from Lower Muscle, Percutaneous Endoscopic Approach
0KPY47ZRemoval of Autologous Tissue Substitute from Lower Muscle, Percutaneous Endoscopic Approach
0KPY4JZRemoval of Synthetic Substitute from Lower Muscle, Percutaneous Endoscopic Approach
0KPY4KZRemoval of Nonautologous Tissue Substitute from Lower Muscle, Percutaneous Endoscopic Approach
0KQ00ZZRepair Head Muscle, Open Approach
0KQ03ZZRepair Head Muscle, Percutaneous Approach
0KQ04ZZRepair Head Muscle, Percutaneous Endoscopic Approach
0KQ10ZZRepair Facial Muscle, Open Approach
0KQ13ZZRepair Facial Muscle, Percutaneous Approach
0KQ14ZZRepair Facial Muscle, Percutaneous Endoscopic Approach
0KQ20ZZRepair Right Neck Muscle, Open Approach
0KQ23ZZRepair Right Neck Muscle, Percutaneous Approach
0KQ24ZZRepair Right Neck Muscle, Percutaneous Endoscopic Approach
0KQ30ZZRepair Left Neck Muscle, Open Approach
0KQ33ZZRepair Left Neck Muscle, Percutaneous Approach
0KQ34ZZRepair Left Neck Muscle, Percutaneous Endoscopic Approach
0KQ40ZZRepair Tongue, Palate, Pharynx Muscle, Open Approach
0KQ43ZZRepair Tongue, Palate, Pharynx Muscle, Percutaneous Approach
0KQ44ZZRepair Tongue, Palate, Pharynx Muscle, Percutaneous Endoscopic Approach
0KQ50ZZRepair Right Shoulder Muscle, Open Approach
0KQ53ZZRepair Right Shoulder Muscle, Percutaneous Approach
0KQ54ZZRepair Right Shoulder Muscle, Percutaneous Endoscopic Approach
0KQ60ZZRepair Left Shoulder Muscle, Open Approach
0KQ63ZZRepair Left Shoulder Muscle, Percutaneous Approach
0KQ64ZZRepair Left Shoulder Muscle, Percutaneous Endoscopic Approach
0KQ70ZZRepair Right Upper Arm Muscle, Open Approach
0KQ73ZZRepair Right Upper Arm Muscle, Percutaneous Approach
0KQ74ZZRepair Right Upper Arm Muscle, Percutaneous Endoscopic Approach
0KQ80ZZRepair Left Upper Arm Muscle, Open Approach
0KQ83ZZRepair Left Upper Arm Muscle, Percutaneous Approach
0KQ84ZZRepair Left Upper Arm Muscle, Percutaneous Endoscopic Approach
0KQ90ZZRepair Right Lower Arm and Wrist Muscle, Open Approach
0KQ93ZZRepair Right Lower Arm and Wrist Muscle, Percutaneous Approach
0KQ94ZZRepair Right Lower Arm and Wrist Muscle, Percutaneous Endoscopic Approach
0KQB0ZZRepair Left Lower Arm and Wrist Muscle, Open Approach
0KQB3ZZRepair Left Lower Arm and Wrist Muscle, Percutaneous Approach
0KQB4ZZRepair Left Lower Arm and Wrist Muscle, Percutaneous Endoscopic Approach
0KQC0ZZRepair Right Hand Muscle, Open Approach
0KQC3ZZRepair Right Hand Muscle, Percutaneous Approach
0KQC4ZZRepair Right Hand Muscle, Percutaneous Endoscopic Approach
0KQD0ZZRepair Left Hand Muscle, Open Approach
0KQD3ZZRepair Left Hand Muscle, Percutaneous Approach
0KQD4ZZRepair Left Hand Muscle, Percutaneous Endoscopic Approach
0KQF0ZZRepair Right Trunk Muscle, Open Approach
0KQF3ZZRepair Right Trunk Muscle, Percutaneous Approach
0KQF4ZZRepair Right Trunk Muscle, Percutaneous Endoscopic Approach
0KQG0ZZRepair Left Trunk Muscle, Open Approach
0KQG3ZZRepair Left Trunk Muscle, Percutaneous Approach
0KQG4ZZRepair Left Trunk Muscle, Percutaneous Endoscopic Approach
0KQH0ZZRepair Right Thorax Muscle, Open Approach
0KQH3ZZRepair Right Thorax Muscle, Percutaneous Approach
0KQH4ZZRepair Right Thorax Muscle, Percutaneous Endoscopic Approach
0KQJ0ZZRepair Left Thorax Muscle, Open Approach
0KQJ3ZZRepair Left Thorax Muscle, Percutaneous Approach
0KQJ4ZZRepair Left Thorax Muscle, Percutaneous Endoscopic Approach
0KQK0ZZRepair Right Abdomen Muscle, Open Approach
0KQK3ZZRepair Right Abdomen Muscle, Percutaneous Approach
0KQK4ZZRepair Right Abdomen Muscle, Percutaneous Endoscopic Approach
0KQL0ZZRepair Left Abdomen Muscle, Open Approach
0KQL3ZZRepair Left Abdomen Muscle, Percutaneous Approach
0KQL4ZZRepair Left Abdomen Muscle, Percutaneous Endoscopic Approach
0KQM0ZZRepair Perineum Muscle, Open Approach
0KQM3ZZRepair Perineum Muscle, Percutaneous Approach
0KQM4ZZRepair Perineum Muscle, Percutaneous Endoscopic Approach
0KQN0ZZRepair Right Hip Muscle, Open Approach
0KQN3ZZRepair Right Hip Muscle, Percutaneous Approach
0KQN4ZZRepair Right Hip Muscle, Percutaneous Endoscopic Approach
0KQP0ZZRepair Left Hip Muscle, Open Approach
0KQP3ZZRepair Left Hip Muscle, Percutaneous Approach
0KQP4ZZRepair Left Hip Muscle, Percutaneous Endoscopic Approach
0KQS0ZZRepair Right Lower Leg Muscle, Open Approach
0KQS3ZZRepair Right Lower Leg Muscle, Percutaneous Approach
0KQS4ZZRepair Right Lower Leg Muscle, Percutaneous Endoscopic Approach
0KQT0ZZRepair Left Lower Leg Muscle, Open Approach
0KQT3ZZRepair Left Lower Leg Muscle, Percutaneous Approach
0KQT4ZZRepair Left Lower Leg Muscle, Percutaneous Endoscopic Approach
0KQV0ZZRepair Right Foot Muscle, Open Approach
0KQV3ZZRepair Right Foot Muscle, Percutaneous Approach
0KQV4ZZRepair Right Foot Muscle, Percutaneous Endoscopic Approach
0KQW0ZZRepair Left Foot Muscle, Open Approach
0KQW3ZZRepair Left Foot Muscle, Percutaneous Approach
0KQW4ZZRepair Left Foot Muscle, Percutaneous Endoscopic Approach
0KR007ZReplacement of Head Muscle with Autologous Tissue Substitute, Open Approach
0KR00JZReplacement of Head Muscle with Synthetic Substitute, Open Approach
0KR00KZReplacement of Head Muscle with Nonautologous Tissue Substitute, Open Approach
0KR047ZReplacement of Head Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR04JZReplacement of Head Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR04KZReplacement of Head Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR107ZReplacement of Facial Muscle with Autologous Tissue Substitute, Open Approach
0KR10JZReplacement of Facial Muscle with Synthetic Substitute, Open Approach
0KR10KZReplacement of Facial Muscle with Nonautologous Tissue Substitute, Open Approach
0KR147ZReplacement of Facial Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR14JZReplacement of Facial Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR14KZReplacement of Facial Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR207ZReplacement of Right Neck Muscle with Autologous Tissue Substitute, Open Approach
0KR20JZReplacement of Right Neck Muscle with Synthetic Substitute, Open Approach
0KR20KZReplacement of Right Neck Muscle with Nonautologous Tissue Substitute, Open Approach
0KR247ZReplacement of Right Neck Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR24JZReplacement of Right Neck Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR24KZReplacement of Right Neck Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR307ZReplacement of Left Neck Muscle with Autologous Tissue Substitute, Open Approach
0KR30JZReplacement of Left Neck Muscle with Synthetic Substitute, Open Approach
0KR30KZReplacement of Left Neck Muscle with Nonautologous Tissue Substitute, Open Approach
0KR347ZReplacement of Left Neck Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR34JZReplacement of Left Neck Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR34KZReplacement of Left Neck Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR407ZReplacement of Tongue, Palate, Pharynx Muscle with Autologous Tissue Substitute, Open Approach
0KR40JZReplacement of Tongue, Palate, Pharynx Muscle with Synthetic Substitute, Open Approach
0KR40KZReplacement of Tongue, Palate, Pharynx Muscle with Nonautologous Tissue Substitute, Open Approach
0KR447ZReplacement of Tongue, Palate, Pharynx Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR44JZReplacement of Tongue, Palate, Pharynx Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR44KZReplacement of Tongue, Palate, Pharynx Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR507ZReplacement of Right Shoulder Muscle with Autologous Tissue Substitute, Open Approach
0KR50JZReplacement of Right Shoulder Muscle with Synthetic Substitute, Open Approach
0KR50KZReplacement of Right Shoulder Muscle with Nonautologous Tissue Substitute, Open Approach
0KR547ZReplacement of Right Shoulder Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR54JZReplacement of Right Shoulder Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR54KZReplacement of Right Shoulder Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR607ZReplacement of Left Shoulder Muscle with Autologous Tissue Substitute, Open Approach
0KR60JZReplacement of Left Shoulder Muscle with Synthetic Substitute, Open Approach
0KR60KZReplacement of Left Shoulder Muscle with Nonautologous Tissue Substitute, Open Approach
0KR647ZReplacement of Left Shoulder Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR64JZReplacement of Left Shoulder Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR64KZReplacement of Left Shoulder Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR707ZReplacement of Right Upper Arm Muscle with Autologous Tissue Substitute, Open Approach
0KR70JZReplacement of Right Upper Arm Muscle with Synthetic Substitute, Open Approach
0KR70KZReplacement of Right Upper Arm Muscle with Nonautologous Tissue Substitute, Open Approach
0KR747ZReplacement of Right Upper Arm Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR74JZReplacement of Right Upper Arm Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR74KZReplacement of Right Upper Arm Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR807ZReplacement of Left Upper Arm Muscle with Autologous Tissue Substitute, Open Approach
0KR80JZReplacement of Left Upper Arm Muscle with Synthetic Substitute, Open Approach
0KR80KZReplacement of Left Upper Arm Muscle with Nonautologous Tissue Substitute, Open Approach
0KR847ZReplacement of Left Upper Arm Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR84JZReplacement of Left Upper Arm Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR84KZReplacement of Left Upper Arm Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR907ZReplacement of Right Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Open Approach
0KR90JZReplacement of Right Lower Arm and Wrist Muscle with Synthetic Substitute, Open Approach
0KR90KZReplacement of Right Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Open Approach
0KR947ZReplacement of Right Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KR94JZReplacement of Right Lower Arm and Wrist Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KR94KZReplacement of Right Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRB07ZReplacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Open Approach
0KRB0JZReplacement of Left Lower Arm and Wrist Muscle with Synthetic Substitute, Open Approach
0KRB0KZReplacement of Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Open Approach
0KRB47ZReplacement of Left Lower Arm and Wrist Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRB4JZReplacement of Left Lower Arm and Wrist Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRB4KZReplacement of Left Lower Arm and Wrist Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRC07ZReplacement of Right Hand Muscle with Autologous Tissue Substitute, Open Approach
0KRC0JZReplacement of Right Hand Muscle with Synthetic Substitute, Open Approach
0KRC0KZReplacement of Right Hand Muscle with Nonautologous Tissue Substitute, Open Approach
0KRC47ZReplacement of Right Hand Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRC4JZReplacement of Right Hand Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRC4KZReplacement of Right Hand Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRD07ZReplacement of Left Hand Muscle with Autologous Tissue Substitute, Open Approach
0KRD0JZReplacement of Left Hand Muscle with Synthetic Substitute, Open Approach
0KRD0KZReplacement of Left Hand Muscle with Nonautologous Tissue Substitute, Open Approach
0KRD47ZReplacement of Left Hand Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRD4JZReplacement of Left Hand Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRD4KZReplacement of Left Hand Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRF07ZReplacement of Right Trunk Muscle with Autologous Tissue Substitute, Open Approach
0KRF0JZReplacement of Right Trunk Muscle with Synthetic Substitute, Open Approach
0KRF0KZReplacement of Right Trunk Muscle with Nonautologous Tissue Substitute, Open Approach
0KRF47ZReplacement of Right Trunk Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRF4JZReplacement of Right Trunk Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRF4KZReplacement of Right Trunk Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRG07ZReplacement of Left Trunk Muscle with Autologous Tissue Substitute, Open Approach
0KRG0JZReplacement of Left Trunk Muscle with Synthetic Substitute, Open Approach
0KRG0KZReplacement of Left Trunk Muscle with Nonautologous Tissue Substitute, Open Approach
0KRG47ZReplacement of Left Trunk Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRG4JZReplacement of Left Trunk Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRG4KZReplacement of Left Trunk Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRH07ZReplacement of Right Thorax Muscle with Autologous Tissue Substitute, Open Approach
0KRH0JZReplacement of Right Thorax Muscle with Synthetic Substitute, Open Approach
0KRH0KZReplacement of Right Thorax Muscle with Nonautologous Tissue Substitute, Open Approach
0KRH47ZReplacement of Right Thorax Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRH4JZReplacement of Right Thorax Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRH4KZReplacement of Right Thorax Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRJ07ZReplacement of Left Thorax Muscle with Autologous Tissue Substitute, Open Approach
0KRJ0JZReplacement of Left Thorax Muscle with Synthetic Substitute, Open Approach
0KRJ0KZReplacement of Left Thorax Muscle with Nonautologous Tissue Substitute, Open Approach
0KRJ47ZReplacement of Left Thorax Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRJ4JZReplacement of Left Thorax Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRJ4KZReplacement of Left Thorax Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRK07ZReplacement of Right Abdomen Muscle with Autologous Tissue Substitute, Open Approach
0KRK0JZReplacement of Right Abdomen Muscle with Synthetic Substitute, Open Approach
0KRK0KZReplacement of Right Abdomen Muscle with Nonautologous Tissue Substitute, Open Approach
0KRK47ZReplacement of Right Abdomen Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRK4JZReplacement of Right Abdomen Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRK4KZReplacement of Right Abdomen Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRL07ZReplacement of Left Abdomen Muscle with Autologous Tissue Substitute, Open Approach
0KRL0JZReplacement of Left Abdomen Muscle with Synthetic Substitute, Open Approach
0KRL0KZReplacement of Left Abdomen Muscle with Nonautologous Tissue Substitute, Open Approach
0KRL47ZReplacement of Left Abdomen Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRL4JZReplacement of Left Abdomen Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRL4KZReplacement of Left Abdomen Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRM07ZReplacement of Perineum Muscle with Autologous Tissue Substitute, Open Approach
0KRM0JZReplacement of Perineum Muscle with Synthetic Substitute, Open Approach
0KRM0KZReplacement of Perineum Muscle with Nonautologous Tissue Substitute, Open Approach
0KRM47ZReplacement of Perineum Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRM4JZReplacement of Perineum Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRM4KZReplacement of Perineum Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRN07ZReplacement of Right Hip Muscle with Autologous Tissue Substitute, Open Approach
0KRN0JZReplacement of Right Hip Muscle with Synthetic Substitute, Open Approach
0KRN0KZReplacement of Right Hip Muscle with Nonautologous Tissue Substitute, Open Approach
0KRN47ZReplacement of Right Hip Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRN4JZReplacement of Right Hip Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRN4KZReplacement of Right Hip Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRP07ZReplacement of Left Hip Muscle with Autologous Tissue Substitute, Open Approach
0KRP0JZReplacement of Left Hip Muscle with Synthetic Substitute, Open Approach
0KRP0KZReplacement of Left Hip Muscle with Nonautologous Tissue Substitute, Open Approach
0KRP47ZReplacement of Left Hip Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRP4JZReplacement of Left Hip Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRP4KZReplacement of Left Hip Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRS07ZReplacement of Right Lower Leg Muscle with Autologous Tissue Substitute, Open Approach
0KRS0JZReplacement of Right Lower Leg Muscle with Synthetic Substitute, Open Approach
0KRS0KZReplacement of Right Lower Leg Muscle with Nonautologous Tissue Substitute, Open Approach
0KRS47ZReplacement of Right Lower Leg Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRS4JZReplacement of Right Lower Leg Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRS4KZReplacement of Right Lower Leg Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRT07ZReplacement of Left Lower Leg Muscle with Autologous Tissue Substitute, Open Approach
0KRT0JZReplacement of Left Lower Leg Muscle with Synthetic Substitute, Open Approach
0KRT0KZReplacement of Left Lower Leg Muscle with Nonautologous Tissue Substitute, Open Approach
0KRT47ZReplacement of Left Lower Leg Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRT4JZReplacement of Left Lower Leg Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRT4KZReplacement of Left Lower Leg Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRV07ZReplacement of Right Foot Muscle with Autologous Tissue Substitute, Open Approach
0KRV0JZReplacement of Right Foot Muscle with Synthetic Substitute, Open Approach
0KRV0KZReplacement of Right Foot Muscle with Nonautologous Tissue Substitute, Open Approach
0KRV47ZReplacement of Right Foot Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRV4JZReplacement of Right Foot Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRV4KZReplacement of Right Foot Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRW07ZReplacement of Left Foot Muscle with Autologous Tissue Substitute, Open Approach
0KRW0JZReplacement of Left Foot Muscle with Synthetic Substitute, Open Approach
0KRW0KZReplacement of Left Foot Muscle with Nonautologous Tissue Substitute, Open Approach
0KRW47ZReplacement of Left Foot Muscle with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0KRW4JZReplacement of Left Foot Muscle with Synthetic Substitute, Percutaneous Endoscopic Approach
0KRW4KZReplacement of Left Foot Muscle with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0KWX00ZRevision of Drainage Device in Upper Muscle, Open Approach
0KWX07ZRevision of Autologous Tissue Substitute in Upper Muscle, Open Approach
0KWX0JZRevision of Synthetic Substitute in Upper Muscle, Open Approach
0KWX0KZRevision of Nonautologous Tissue Substitute in Upper Muscle, Open Approach
0KWX0MZRevision of Stimulator Lead in Upper Muscle, Open Approach
0KWX0YZRevision of Other Device in Upper Muscle, Open Approach
0KWX30ZRevision of Drainage Device in Upper Muscle, Percutaneous Approach
0KWX37ZRevision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Approach
0KWX3JZRevision of Synthetic Substitute in Upper Muscle, Percutaneous Approach
0KWX3KZRevision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Approach
0KWX3MZRevision of Stimulator Lead in Upper Muscle, Percutaneous Approach
0KWX40ZRevision of Drainage Device in Upper Muscle, Percutaneous Endoscopic Approach
0KWX47ZRevision of Autologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach
0KWX4JZRevision of Synthetic Substitute in Upper Muscle, Percutaneous Endoscopic Approach
0KWX4KZRevision of Nonautologous Tissue Substitute in Upper Muscle, Percutaneous Endoscopic Approach
0KWX4MZRevision of Stimulator Lead in Upper Muscle, Percutaneous Endoscopic Approach
0KWY00ZRevision of Drainage Device in Lower Muscle, Open Approach
0KWY07ZRevision of Autologous Tissue Substitute in Lower Muscle, Open Approach
0KWY0JZRevision of Synthetic Substitute in Lower Muscle, Open Approach
0KWY0KZRevision of Nonautologous Tissue Substitute in Lower Muscle, Open Approach
0KWY0MZRevision of Stimulator Lead in Lower Muscle, Open Approach
0KWY0YZRevision of Other Device in Lower Muscle, Open Approach
0KWY30ZRevision of Drainage Device in Lower Muscle, Percutaneous Approach
0KWY37ZRevision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Approach
0KWY3JZRevision of Synthetic Substitute in Lower Muscle, Percutaneous Approach
0KWY3KZRevision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Approach
0KWY3MZRevision of Stimulator Lead in Lower Muscle, Percutaneous Approach
0KWY40ZRevision of Drainage Device in Lower Muscle, Percutaneous Endoscopic Approach
0KWY47ZRevision of Autologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach
0KWY4JZRevision of Synthetic Substitute in Lower Muscle, Percutaneous Endoscopic Approach
0KWY4KZRevision of Nonautologous Tissue Substitute in Lower Muscle, Percutaneous Endoscopic Approach
0KWY4MZRevision of Stimulator Lead in Lower Muscle, Percutaneous Endoscopic Approach
0L570ZZDestruction of Right Hand Tendon, Open Approach
0L573ZZDestruction of Right Hand Tendon, Percutaneous Approach
0L574ZZDestruction of Right Hand Tendon, Percutaneous Endoscopic Approach
0L580ZZDestruction of Left Hand Tendon, Open Approach
0L583ZZDestruction of Left Hand Tendon, Percutaneous Approach
0L584ZZDestruction of Left Hand Tendon, Percutaneous Endoscopic Approach
0L800ZZDivision of Head and Neck Tendon, Open Approach
0L803ZZDivision of Head and Neck Tendon, Percutaneous Approach
0L804ZZDivision of Head and Neck Tendon, Percutaneous Endoscopic Approach
0L810ZZDivision of Right Shoulder Tendon, Open Approach
0L813ZZDivision of Right Shoulder Tendon, Percutaneous Approach
0L814ZZDivision of Right Shoulder Tendon, Percutaneous Endoscopic Approach
0L820ZZDivision of Left Shoulder Tendon, Open Approach
0L823ZZDivision of Left Shoulder Tendon, Percutaneous Approach
0L824ZZDivision of Left Shoulder Tendon, Percutaneous Endoscopic Approach
0L830ZZDivision of Right Upper Arm Tendon, Open Approach
0L833ZZDivision of Right Upper Arm Tendon, Percutaneous Approach
0L834ZZDivision of Right Upper Arm Tendon, Percutaneous Endoscopic Approach
0L840ZZDivision of Left Upper Arm Tendon, Open Approach
0L843ZZDivision of Left Upper Arm Tendon, Percutaneous Approach
0L844ZZDivision of Left Upper Arm Tendon, Percutaneous Endoscopic Approach
0L850ZZDivision of Right Lower Arm and Wrist Tendon, Open Approach
0L853ZZDivision of Right Lower Arm and Wrist Tendon, Percutaneous Approach
0L854ZZDivision of Right Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0L860ZZDivision of Left Lower Arm and Wrist Tendon, Open Approach
0L863ZZDivision of Left Lower Arm and Wrist Tendon, Percutaneous Approach
0L864ZZDivision of Left Lower Arm and Wrist Tendon, Percutaneous Endoscopic Approach
0L870ZZDivision of Right Hand Tendon, Open Approach
0L873ZZDivision of Right Hand Tendon, Percutaneous Approach
0L874ZZDivision of Right Hand Tendon, Percutaneous Endoscopic Approach
0L880ZZDivision of Left Hand Tendon, Open Approach
0L883ZZDivision of Left Hand Tendon, Percutaneous Approach
0L884ZZDivision of Left Hand Tendon, Percutaneous Endoscopic Approach
0L890ZZDivision of Right Trunk Tendon, Open Approach
0L893ZZDivision of Right Trunk Tendon, Percutaneous Approach
0L894ZZDivision of Right Trunk Tendon, Percutaneous Endoscopic Approach
0L8B0ZZDivision of Left Trunk Tendon, Open Approach
0L8B3ZZDivision of Left Trunk Tendon, Percutaneous Approach
0L8B4ZZDivision of Left Trunk Tendon, Percutaneous Endoscopic Approach
0L8C0ZZDivision of Right Thorax Tendon, Open Approach
0L8C3ZZDivision of Right Thorax Tendon, Percutaneous Approach
0L8C4ZZDivision of Right Thorax Tendon, Percutaneous Endoscopic Approach
0L8D0ZZDivision of Left Thorax Tendon, Open Approach
0L8D3ZZDivision of Left Thorax Tendon, Percutaneous Approach
0L8D4ZZDivision of Left Thorax Tendon, Percutaneous Endoscopic Approach
0L8F0ZZDivision of Right Abdomen Tendon, Open Approach
0L8F3ZZDivision of Right Abdomen Tendon, Percutaneous Approach
0L8F4ZZDivision of Right Abdomen Tendon, Percutaneous Endoscopic Approach
0L8G0ZZDivision of Left Abdomen Tendon, Open Approach
0L8G3ZZDivision of Left Abdomen Tendon, Percutaneous Approach
0L8G4ZZDivision of Left Abdomen Tendon, Percutaneous Endoscopic Approach
0L8H0ZZDivision of Perineum Tendon, Open Approach
0L8H3ZZDivision of Perineum Tendon, Percutaneous Approach
0L8H4ZZDivision of Perineum Tendon, Percutaneous Endoscopic Approach
0L8L0ZZDivision of Right Upper Leg Tendon, Open Approach
0L8L3ZZDivision of Right Upper Leg Tendon, Percutaneous Approach
0L8L4ZZDivision of Right Upper Leg Tendon, Percutaneous Endoscopic Approach
0L8M0ZZDivision of Left Upper Leg Tendon, Open Approach
0L8M3ZZDivision of Left Upper Leg Tendon, Percutaneous Approach
0L8M4ZZDivision of Left Upper Leg Tendon, Percutaneous Endoscopic Approach
0L8Q0ZZDivision of Right Knee Tendon, Open Approach
0L8Q3ZZDivision of Right Knee Tendon, Percutaneous Approach
0L8Q4ZZDivision of Right Knee Tendon, Percutaneous Endoscopic Approach
0L8R0ZZDivision of Left Knee Tendon, Open Approach
0L8R3ZZDivision of Left Knee Tendon, Percutaneous Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
CMS, code-revision=333, description-revision=1331