| Section | 0 | Medical and Surgical |
| Body System | X | Anatomical Regions, Upper Extremities |
| Operation | 0 | Alteration: Modifying the anatomic structure of a body part without affecting the function of the body part |
| Body Part 2 Shoulder Region, Right 3 Shoulder Region, Left 4 Axilla, Right 5 Axilla, Left 6 Upper Extremity, Right 7 Upper Extremity, Left 8 Upper Arm, Right 9 Upper Arm, Left B Elbow Region, Right C Elbow Region, Left D Lower Arm, Right F Lower Arm, Left G Wrist Region, Right H Wrist Region, Left |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute Z No Device |
Qualifier Z No Qualifier |