| Section | 0 | Medical and Surgical |
| Body System | W | Anatomical Regions, General |
| Operation | W | Revision: Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device |
| Body Part 0 Head 2 Face 4 Upper Jaw 5 Lower Jaw 6 Neck 8 Chest Wall C Mediastinum F Abdominal Wall K Upper Back L Lower Back M Perineum, Male N Perineum, Female |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 1 Radioactive Element 3 Infusion Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Y Other Device |
Qualifier Z No Qualifier |
| Body Part 1 Cranial Cavity 9 Pleural Cavity, Right B Pleural Cavity, Left G Peritoneal Cavity J Pelvic Cavity |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 1 Radioactive Element 3 Infusion Device J Synthetic Substitute Y Other Device |
Qualifier Z No Qualifier |
| Body Part D Pericardial Cavity H Retroperitoneum |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic X External |
Device 0 Drainage Device 1 Radioactive Element 3 Infusion Device Y Other Device |
Qualifier Z No Qualifier |
| Body Part P Gastrointestinal Tract Q Respiratory Tract R Genitourinary Tract |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic 7 Via Natural or Artificial Opening 8 Via Natural or Artificial Opening Endoscopic X External |
Device 1 Radioactive Element 3 Infusion Device Y Other Device |
Qualifier Z No Qualifier |