Select the appropriate procedure code based on the approach & device:

0LR4 - Upper Arm Tendon, Left

  • Open Approach

    Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

    • Autologous Tissue Substitute
      • 0LR407Z - Replacement of L Up Arm Tendon with Autol Sub, Open Approach
    • Synthetic Substitute
      • 0LR40JZ - Replacement of L Up Arm Tendon with Synth Sub, Open Approach
    • Nonautologous Tissue Substitute
      • 0LR40KZ - Replace of L Up Arm Tendon with Nonaut Sub, Open Approach

  • Percutaneous Endoscopic Approach

    Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure

    • Autologous Tissue Substitute
      • 0LR447Z - Replace L Up Arm Tendon w Autol Sub, Perc Endo
    • Synthetic Substitute
      • 0LR44JZ - Replace L Up Arm Tendon w Synth Sub, Perc Endo
    • Nonautologous Tissue Substitute
      • 0LR44KZ - Replace L Up Arm Tendon w Nonaut Sub, Perc Endo