| Section | 0 | Medical and Surgical |
| Body System | H | Skin and Breast |
| 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 Skin, Scalp 1 Skin, Face 2 Skin, Right Ear 3 Skin, Left Ear 4 Skin, Neck 5 Skin, Chest 6 Skin, Back 7 Skin, Abdomen 8 Skin, Buttock 9 Skin, Perineum A Skin, Genitalia B Skin, Right Upper Arm C Skin, Left Upper Arm D Skin, Right Lower Arm E Skin, Left Lower Arm F Skin, Right Hand G Skin, Left Hand H Skin, Right Upper Leg J Skin, Left Upper Leg K Skin, Right Lower Leg L Skin, Left Lower Leg M Skin, Right Foot N Skin, Left Foot |
Approach X External |
Device 7 Autologous Tissue Substitute K Nonautologous Tissue Substitute |
Qualifier 3 Full Thickness 4 Partial Thickness |
| Body Part 0 Skin, Scalp 1 Skin, Face 2 Skin, Right Ear 3 Skin, Left Ear 4 Skin, Neck 5 Skin, Chest 6 Skin, Back 7 Skin, Abdomen 8 Skin, Buttock 9 Skin, Perineum A Skin, Genitalia B Skin, Right Upper Arm C Skin, Left Upper Arm D Skin, Right Lower Arm E Skin, Left Lower Arm F Skin, Right Hand G Skin, Left Hand H Skin, Right Upper Leg J Skin, Left Upper Leg K Skin, Right Lower Leg L Skin, Left Lower Leg M Skin, Right Foot N Skin, Left Foot |
Approach X External |
Device J Synthetic Substitute |
Qualifier 3 Full Thickness 4 Partial Thickness Z No Qualifier |
| Body Part Q Finger Nail R Toe Nail S Hair |
Approach X External |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part T Breast, Right U Breast, Left V Breast, Bilateral |
Approach 0 Open |
Device 7 Autologous Tissue Substitute |
Qualifier 5 Latissimus Dorsi Myocutaneous Flap 6 Transverse Rectus Abdominis Myocutaneous Flap 7 Deep Inferior Epigastric Artery Perforator Flap 8 Superficial Inferior Epigastric Artery Flap 9 Gluteal Artery Perforator Flap Z No Qualifier |
| Body Part T Breast, Right U Breast, Left V Breast, Bilateral |
Approach 0 Open |
Device J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part T Breast, Right U Breast, Left V Breast, Bilateral |
Approach 3 Percutaneous X External |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part W Nipple, Right X Nipple, Left |
Approach 0 Open 3 Percutaneous X External |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |