| Section | 0 | Medical and Surgical |
| Body System | 8 | Eye |
| Operation | 0 | Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part |
| Body Part N Upper Eyelid, Right P Upper Eyelid, Left Q Lower Eyelid, Right R Lower Eyelid, Left |
Approach 0 Open 3 Percutaneous X External |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier Z No Qualifier |