| Section | 0 | Medical and Surgical |
| Body System | S | Lower Joints |
| 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 Lumbar Vertebral Joint 2 Lumbar Vertebral Disc 3 Lumbosacral Joint 4 Lumbosacral Disc 5 Sacrococcygeal Joint 6 Coccygeal Joint 7 Sacroiliac Joint, Right 8 Sacroiliac Joint, Left H Tarsal Joint, Right J Tarsal Joint, Left K Metatarsal-Tarsal Joint, Right L Metatarsal-Tarsal Joint, Left M Metatarsal-Phalangeal Joint, Right N Metatarsal-Phalangeal Joint, Left P Toe Phalangeal Joint, Right Q Toe Phalangeal Joint, Left |
Approach 0 Open |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part 9 Hip Joint, Right B Hip Joint, Left |
Approach 0 Open |
Device 1 Synthetic Substitute, Metal 2 Synthetic Substitute, Metal on Polyethylene 3 Synthetic Substitute, Ceramic 4 Synthetic Substitute, Ceramic on Polyethylene J Synthetic Substitute |
Qualifier 9 Cemented A Uncemented Z No Qualifier |
| Body Part 9 Hip Joint, Right B Hip Joint, Left |
Approach 0 Open |
Device 7 Autologous Tissue Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part A Hip Joint, Acetabular Surface, Right E Hip Joint, Acetabular Surface, Left |
Approach 0 Open |
Device 0 Synthetic Substitute, Polyethylene 1 Synthetic Substitute, Metal 3 Synthetic Substitute, Ceramic J Synthetic Substitute |
Qualifier 9 Cemented A Uncemented Z No Qualifier |
| Body Part A Hip Joint, Acetabular Surface, Right E Hip Joint, Acetabular Surface, Left |
Approach 0 Open |
Device 7 Autologous Tissue Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part C Knee Joint, Right D Knee Joint, Left F Ankle Joint, Right G Ankle Joint, Left T Knee Joint, Femoral Surface, Right U Knee Joint, Femoral Surface, Left V Knee Joint, Tibial Surface, Right W Knee Joint, Tibial Surface, Left |
Approach 0 Open |
Device 7 Autologous Tissue Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part C Knee Joint, Right D Knee Joint, Left F Ankle Joint, Right G Ankle Joint, Left T Knee Joint, Femoral Surface, Right U Knee Joint, Femoral Surface, Left V Knee Joint, Tibial Surface, Right W Knee Joint, Tibial Surface, Left |
Approach 0 Open |
Device J Synthetic Substitute |
Qualifier 9 Cemented A Uncemented Z No Qualifier |
| Body Part R Hip Joint, Femoral Surface, Right S Hip Joint, Femoral Surface, Left |
Approach 0 Open |
Device 1 Synthetic Substitute, Metal 3 Synthetic Substitute, Ceramic J Synthetic Substitute |
Qualifier 9 Cemented A Uncemented Z No Qualifier |
| Body Part R Hip Joint, Femoral Surface, Right S Hip Joint, Femoral Surface, Left |
Approach 0 Open |
Device 7 Autologous Tissue Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |