Position 5-7: Finalization

Upper Tendon

Select the specific approach and device combination to identify the exact billable procedure code.

Approach 0

Open

Device 0

0LWX00Z Revision Upper Tendon to No Qualifier with Drainage Device, Open Approach

Device 7

0LWX07Z Revision Upper Tendon to No Qualifier with Autologous Tissue Substitute, Open Approach

Device J

0LWX0JZ Revision Upper Tendon to No Qualifier with Synthetic Substitute, Open Approach

Device K

0LWX0KZ Revision Upper Tendon to No Qualifier with Nonautologous Tissue Substitute, Open Approach

Device Y

0LWX0YZ Revision Upper Tendon to No Qualifier with Other Device, Open Approach
Approach 3

Percutaneous

Device 0

0LWX30Z Revision Upper Tendon to No Qualifier with Drainage Device, Percutaneous Approach

Device 7

0LWX37Z Revision Upper Tendon to No Qualifier with Autologous Tissue Substitute, Percutaneous Approach

Device J

0LWX3JZ Revision Upper Tendon to No Qualifier with Synthetic Substitute, Percutaneous Approach

Device K

0LWX3KZ Revision Upper Tendon to No Qualifier with Nonautologous Tissue Substitute, Percutaneous Approach

Device Y

0LWX3YZ Revision Upper Tendon to No Qualifier with Other Device, Percutaneous Approach
Approach 4

Percutaneous Endoscopic

Device 0

0LWX40Z Revision Upper Tendon to No Qualifier with Drainage Device, Percutaneous Endoscopic Approach

Device 7

0LWX47Z Revision Upper Tendon to No Qualifier with Autologous Tissue Substitute, Percutaneous Endoscopic Approach

Device J

0LWX4JZ Revision Upper Tendon to No Qualifier with Synthetic Substitute, Percutaneous Endoscopic Approach

Device K

0LWX4KZ Revision Upper Tendon to No Qualifier with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

Device Y

0LWX4YZ Revision Upper Tendon to No Qualifier with Other Device, Percutaneous Endoscopic Approach
Approach X

External

Device 0

0LWXX0Z Revision Upper Tendon to No Qualifier with Drainage Device, External Approach

Device 7

0LWXX7Z Revision Upper Tendon to No Qualifier with Autologous Tissue Substitute, External Approach

Device J

0LWXXJZ Revision Upper Tendon to No Qualifier with Synthetic Substitute, External Approach

Device K

0LWXXKZ Revision Upper Tendon to No Qualifier with Nonautologous Tissue Substitute, External Approach