| Section | 0 | Medical and Surgical |
| Body System | 8 | Eye |
| Operation | 5 | Destruction: Physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent |
| Body Part 0 Eye, Right 1 Eye, Left 6 Sclera, Right 7 Sclera, Left 8 Cornea, Right 9 Cornea, Left S Conjunctiva, Right T Conjunctiva, Left |
Approach X External |
Device Z No Device |
Qualifier Z No Qualifier |
| Body Part 2 Anterior Chamber, Right 3 Anterior Chamber, Left 4 Vitreous, Right 5 Vitreous, Left C Iris, Right D Iris, Left E Retina, Right F Retina, Left G Retinal Vessel, Right H Retinal Vessel, Left J Lens, Right K Lens, Left |
Approach 3 Percutaneous |
Device Z No Device |
Qualifier Z No Qualifier |
| Body Part A Choroid, Right B Choroid, Left L Extraocular Muscle, Right M Extraocular Muscle, Left V Lacrimal Gland, Right W Lacrimal Gland, Left |
Approach 0 Open 3 Percutaneous |
Device Z No Device |
Qualifier Z No Qualifier |
| 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 Z No Device |
Qualifier Z No Qualifier |
| Body Part X Lacrimal Duct, Right Y Lacrimal Duct, Left |
Approach 0 Open 3 Percutaneous 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic |
Device Z No Device |
Qualifier Z No Qualifier |