| Section | 0 | Medical and Surgical |
| Body System | X | Anatomical Regions, Upper Extremities |
| Operation | H | Insertion: Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a 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 J Hand, Right K Hand, Left |
Approach 0 Open 3 Percutaneous 4 Percutaneous Endoscopic |
Device 1 Radioactive Element 3 Infusion Device Y Other Device |
Qualifier Z No Qualifier |