| Section | 0 | Medical and Surgical |
| Body System | X | Anatomical Regions, Upper Extremities |
| Operation | U | Supplement: Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion 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 L Thumb, Right M Thumb, Left N Index Finger, Right P Index Finger, Left Q Middle Finger, Right R Middle Finger, Left S Ring Finger, Right T Ring Finger, Left V Little Finger, Right W Little Finger, Left |
Approach 0 Open 4 Percutaneous Endoscopic |
Device 7 Autologous Tissue Substitute J Synthetic Substitute K Nonautologous Tissue Substitute |
Qualifier Z No Qualifier |