| Section | 0 | Medical and Surgical |
| Body System | C | Mouth and Throat |
| Operation | M | Reattachment: Putting back in or on all or a portion of a separated body part to its normal location or other suitable location |
| Body Part 0 Upper Lip 1 Lower Lip 3 Soft Palate 7 Tongue N Uvula |
Approach 0 Open |
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 |