ICD-10-PCS code structure

Section:
  0 = Medical and Surgical

Body System:
  L = Tendons

Root Operation:
  R = Replacement

Body Part:

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See Terms used in Medical and Surgical

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

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• 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