| Section | 0 | Medical and Surgical |
| Body System | 8 | Eye |
| Operation | 1 | Bypass: Altering the route of passage of the contents of a tubular body part |
| Body Part 2 Anterior Chamber, Right 3 Anterior Chamber, Left |
Approach 3 Percutaneous |
Device J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 4 Sclera |
| Body Part X Lacrimal Duct, Right Y Lacrimal Duct, Left |
Approach 0 Open 3 Percutaneous |
Device J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier 3 Nasal Cavity |