| Section | 0 | Medical and Surgical |
| Body System | C | Mouth and Throat |
| 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 Upper Lip 1 Lower Lip 2 Hard Palate 3 Soft Palate 4 Buccal Mucosa 5 Upper Gingiva 6 Lower Gingiva 7 Tongue N Uvula P Tonsils Q Adenoids |
Approach 0 Open 3 Percutaneous X External |
Device Z No Device |
Qualifier Z No Qualifier |
| Body Part 8 Parotid Gland, Right 9 Parotid Gland, Left B Parotid Duct, Right C Parotid Duct, Left D Sublingual Gland, Right F Sublingual Gland, Left G Submaxillary Gland, Right H Submaxillary Gland, Left J Minor Salivary Gland |
Approach 0 Open 3 Percutaneous |
Device Z No Device |
Qualifier Z No Qualifier |
| Body Part M Pharynx R Epiglottis S Larynx T Vocal Cord, Right V Vocal Cord, Left |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic |
Device Z No Device |
Qualifier Z No Qualifier |
| Body Part W Upper Tooth X Lower Tooth |
Approach 0 Open X External |
Device Z No Device |
Qualifier 0 Single 1 Multiple 2 All |