| Section | 0 | Medical and Surgical |
| Body System | C | Mouth and Throat |
| Operation | X | Transfer: Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part |
| Body Part 0 Upper Lip 1 Lower Lip 3 Soft Palate 4 Buccal Mucosa 5 Upper Gingiva 6 Lower Gingiva 7 Tongue |
Approach 0 Open X External |
Device Z No Device |
Qualifier Z No Qualifier |