| Section | 0 | Medical and Surgical |
| Body System | 8 | Eye |
| Operation | R | Replacement: Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part |
| Body Part 0 Eye, Right 1 Eye, Left A Choroid, Right B Choroid, Left |
Approach 0 Open 3 Percutaneous |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part 4 Vitreous, Right 5 Vitreous, Left C Iris, Right D Iris, Left G Retinal Vessel, Right H Retinal Vessel, Left |
Approach 3 Percutaneous |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part 6 Sclera, Right 7 Sclera, Left S Conjunctiva, Right T Conjunctiva, Left |
Approach X External |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part 8 Cornea, Right 9 Cornea, Left |
Approach 3 Percutaneous X External |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part J Lens, Right K Lens, Left |
Approach 3 Percutaneous |
Device 0 Synthetic Substitute, Intraocular Telescope 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
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 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
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 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |