ICD-10-PCS Book 2025 Edition

Sections / 0 Medical and Surgical / 0L Tendons / 0LR Replacement
PCS Table 0LR
Section0Medical and Surgical
Body SystemLTendons
OperationRReplacement
Body PartApproachDeviceQualifier
0Head and Neck Tendon
1Shoulder Tendon, Right
2Shoulder Tendon, Left
3Upper Arm Tendon, Right
4Upper Arm Tendon, Left
5Lower Arm and Wrist Tendon, Right
6Lower Arm and Wrist Tendon, Left
7Hand Tendon, Right
8Hand Tendon, Left
9Trunk Tendon, Right
BTrunk Tendon, Left
CThorax Tendon, Right
DThorax Tendon, Left
FAbdomen Tendon, Right
GAbdomen Tendon, Left
HPerineum Tendon
JHip Tendon, Right
KHip Tendon, Left
LUpper Leg Tendon, Right
MUpper Leg Tendon, Left
NLower Leg Tendon, Right
PLower Leg Tendon, Left
QKnee Tendon, Right
RKnee Tendon, Left
SAnkle Tendon, Right
TAnkle Tendon, Left
VFoot Tendon, Right
WFoot Tendon, Left
0Open
4Percutaneous Endoscopic
7Autologous Tissue Substitute
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Qualifier

0LR prefixed ICD-10-PCS codes
0LR007Z Replacement of Head and Neck Tendon with Autologous Tissue Substitute, Open Approach
0LR00JZ Replacement of Head and Neck Tendon with Synthetic Substitute, Open Approach
0LR00KZ Replacement of Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach
0LR047Z Replacement of Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR04JZ Replacement of Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR04KZ Replacement of Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR107Z Replacement of Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LR10JZ Replacement of Right Shoulder Tendon with Synthetic Substitute, Open Approach
0LR10KZ Replacement of Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LR147Z Replacement of Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR14JZ Replacement of Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR14KZ Replacement of Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR207Z Replacement of Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LR20JZ Replacement of Left Shoulder Tendon with Synthetic Substitute, Open Approach
0LR20KZ Replacement of Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LR247Z Replacement of Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR24JZ Replacement of Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR24KZ Replacement of Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR307Z Replacement of Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LR30JZ Replacement of Right Upper Arm Tendon with Synthetic Substitute, Open Approach
0LR30KZ Replacement of Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LR347Z Replacement of Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR34JZ Replacement of Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR34KZ Replacement of Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR407Z Replacement of Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LR40JZ Replacement of Left Upper Arm Tendon with Synthetic Substitute, Open Approach
0LR40KZ Replacement of Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LR447Z Replacement of Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR44JZ Replacement of Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR44KZ Replacement of Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR507Z Replacement of Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LR50JZ Replacement of Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LR50KZ Replacement of Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LR547Z Replacement of Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR54JZ Replacement of Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR54KZ Replacement of Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR607Z Replacement of Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LR60JZ Replacement of Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LR60KZ Replacement of Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LR647Z Replacement of Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR64JZ Replacement of Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR64KZ Replacement of Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR707Z Replacement of Right Hand Tendon with Autologous Tissue Substitute, Open Approach
0LR70JZ Replacement of Right Hand Tendon with Synthetic Substitute, Open Approach
0LR70KZ Replacement of Right Hand Tendon with Nonautologous Tissue Substitute, Open Approach
0LR747Z Replacement of Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR74JZ Replacement of Right Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR74KZ Replacement of Right Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR807Z Replacement of Left Hand Tendon with Autologous Tissue Substitute, Open Approach
0LR80JZ Replacement of Left Hand Tendon with Synthetic Substitute, Open Approach
0LR80KZ Replacement of Left Hand Tendon with Nonautologous Tissue Substitute, Open Approach
0LR847Z Replacement of Left Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR84JZ Replacement of Left Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR84KZ Replacement of Left Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR907Z Replacement of Right Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LR90JZ Replacement of Right Trunk Tendon with Synthetic Substitute, Open Approach
0LR90KZ Replacement of Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LR947Z Replacement of Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR94JZ Replacement of Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR94KZ Replacement of Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRB07Z Replacement of Left Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LRB0JZ Replacement of Left Trunk Tendon with Synthetic Substitute, Open Approach
0LRB0KZ Replacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LRB47Z Replacement of Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRB4JZ Replacement of Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRB4KZ Replacement of Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRC07Z Replacement of Right Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LRC0JZ Replacement of Right Thorax Tendon with Synthetic Substitute, Open Approach
0LRC0KZ Replacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LRC47Z Replacement of Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRC4JZ Replacement of Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRC4KZ Replacement of Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRD07Z Replacement of Left Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LRD0JZ Replacement of Left Thorax Tendon with Synthetic Substitute, Open Approach
0LRD0KZ Replacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LRD47Z Replacement of Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRD4JZ Replacement of Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRD4KZ Replacement of Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRF07Z Replacement of Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LRF0JZ Replacement of Right Abdomen Tendon with Synthetic Substitute, Open Approach
0LRF0KZ Replacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LRF47Z Replacement of Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRF4JZ Replacement of Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRF4KZ Replacement of Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRG07Z Replacement of Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LRG0JZ Replacement of Left Abdomen Tendon with Synthetic Substitute, Open Approach
0LRG0KZ Replacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LRG47Z Replacement of Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRG4JZ Replacement of Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRG4KZ Replacement of Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRH07Z Replacement of Perineum Tendon with Autologous Tissue Substitute, Open Approach
0LRH0JZ Replacement of Perineum Tendon with Synthetic Substitute, Open Approach
0LRH0KZ Replacement of Perineum Tendon with Nonautologous Tissue Substitute, Open Approach
0LRH47Z Replacement of Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRH4JZ Replacement of Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRH4KZ Replacement of Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRJ07Z Replacement of Right Hip Tendon with Autologous Tissue Substitute, Open Approach
0LRJ0JZ Replacement of Right Hip Tendon with Synthetic Substitute, Open Approach
0LRJ0KZ Replacement of Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LRJ47Z Replacement of Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRJ4JZ Replacement of Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRJ4KZ Replacement of Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRK07Z Replacement of Left Hip Tendon with Autologous Tissue Substitute, Open Approach
0LRK0JZ Replacement of Left Hip Tendon with Synthetic Substitute, Open Approach
0LRK0KZ Replacement of Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LRK47Z Replacement of Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRK4JZ Replacement of Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRK4KZ Replacement of Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRL07Z Replacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRL0JZ Replacement of Right Upper Leg Tendon with Synthetic Substitute, Open Approach
0LRL0KZ Replacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRL47Z Replacement of Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRL4JZ Replacement of Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRL4KZ Replacement of Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRM07Z Replacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRM0JZ Replacement of Left Upper Leg Tendon with Synthetic Substitute, Open Approach
0LRM0KZ Replacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRM47Z Replacement of Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRM4JZ Replacement of Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRM4KZ Replacement of Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRN07Z Replacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRN0JZ Replacement of Right Lower Leg Tendon with Synthetic Substitute, Open Approach
0LRN0KZ Replacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRN47Z Replacement of Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRN4JZ Replacement of Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRN4KZ Replacement of Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRP07Z Replacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LRP0JZ Replacement of Left Lower Leg Tendon with Synthetic Substitute, Open Approach
0LRP0KZ Replacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LRP47Z Replacement of Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRP4JZ Replacement of Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRP4KZ Replacement of Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRQ07Z Replacement of Right Knee Tendon with Autologous Tissue Substitute, Open Approach
0LRQ0JZ Replacement of Right Knee Tendon with Synthetic Substitute, Open Approach
0LRQ0KZ Replacement of Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LRQ47Z Replacement of Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRQ4JZ Replacement of Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRQ4KZ Replacement of Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRR07Z Replacement of Left Knee Tendon with Autologous Tissue Substitute, Open Approach
0LRR0JZ Replacement of Left Knee Tendon with Synthetic Substitute, Open Approach
0LRR0KZ Replacement of Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LRR47Z Replacement of Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRR4JZ Replacement of Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRR4KZ Replacement of Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRS07Z Replacement of Right Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LRS0JZ Replacement of Right Ankle Tendon with Synthetic Substitute, Open Approach
0LRS0KZ Replacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LRS47Z Replacement of Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRS4JZ Replacement of Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRS4KZ Replacement of Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRT07Z Replacement of Left Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LRT0JZ Replacement of Left Ankle Tendon with Synthetic Substitute, Open Approach
0LRT0KZ Replacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LRT47Z Replacement of Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRT4JZ Replacement of Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRT4KZ Replacement of Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRV07Z Replacement of Right Foot Tendon with Autologous Tissue Substitute, Open Approach
0LRV0JZ Replacement of Right Foot Tendon with Synthetic Substitute, Open Approach
0LRV0KZ Replacement of Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LRV47Z Replacement of Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRV4JZ Replacement of Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRV4KZ Replacement of Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRW07Z Replacement of Left Foot Tendon with Autologous Tissue Substitute, Open Approach
0LRW0JZ Replacement of Left Foot Tendon with Synthetic Substitute, Open Approach
0LRW0KZ Replacement of Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LRW47Z Replacement of Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LRW4JZ Replacement of Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LRW4KZ Replacement of Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach