| Section | 0 | Medical and Surgical |
| Body System | R | Upper Joints |
| Operation | W | Revision: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| Body Part 0 Occipital-cervical Joint 1 Cervical Vertebral Joint 4 Cervicothoracic Vertebral Joint 6 Thoracic Vertebral Joint A Thoracolumbar Vertebral Joint |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 3 Infusion Device 4 Internal Fixation Device 7 Autologous Tissue Substitute 8 Spacer A Interbody Fusion Device J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part 3 Cervical Vertebral Disc 5 Cervicothoracic Vertebral Disc 9 Thoracic Vertebral Disc B Thoracolumbar Vertebral Disc |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 3 Infusion Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part C Temporomandibular Joint, Right D Temporomandibular Joint, Left E Sternoclavicular Joint, Right F Sternoclavicular Joint, Left G Acromioclavicular Joint, Right H Acromioclavicular Joint, Left J Shoulder Joint, Right K Shoulder Joint, Left |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 3 Infusion Device 4 Internal Fixation Device 7 Autologous Tissue Substitute 8 Spacer J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part L Elbow Joint, Right M Elbow Joint, Left N Wrist Joint, Right P Wrist Joint, Left Q Carpal Joint, Right R Carpal Joint, Left S Metacarpocarpal Joint, Right T Metacarpocarpal Joint, Left U Metacarpophalangeal Joint, Right V Metacarpophalangeal Joint, Left W Finger Phalangeal Joint, Right X Finger Phalangeal Joint, Left |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 3 Infusion Device 4 Internal Fixation Device 5 External Fixation Device 7 Autologous Tissue Substitute 8 Spacer J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |