| Section | 0 | Medical and Surgical |
| Body System | S | Lower 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 Lumbar Vertebral Joint 3 Lumbosacral 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 2 Lumbar Vertebral Disc 4 Lumbosacral 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 5 Sacrococcygeal Joint 6 Coccygeal Joint 7 Sacroiliac Joint, Right 8 Sacroiliac 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 9 Hip Joint, Right B Hip Joint, Left |
Approach 0 Open |
Device 0 Drainage Device 3 Infusion Device 4 Internal Fixation Device 5 External Fixation Device 7 Autologous Tissue Substitute 8 Spacer 9 Liner B Resurfacing Device J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part 9 Hip Joint, Right B Hip Joint, Left |
Approach 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 |
| Body Part C Knee Joint, Right D Knee Joint, Left |
Approach 0 Open |
Device 0 Drainage Device 3 Infusion Device 4 Internal Fixation Device 5 External Fixation Device 7 Autologous Tissue Substitute 8 Spacer 9 Liner J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |
| Body Part C Knee Joint, Right D Knee Joint, Left |
Approach 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 |
| Body Part F Ankle Joint, Right G Ankle 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 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 |