ICD-10-PCS Book 2025 Edition

Sections / 0 Medical and Surgical / 0L Tendons / 0LW Revision
PCS Table 0LW
Section0Medical and Surgical
Body SystemLTendons
OperationWRevision
Body PartApproachDeviceQualifier
XUpper Tendon
YLower Tendon
0Open
3Percutaneous
4Percutaneous Endoscopic
0Drainage Device
7Autologous Tissue Substitute
JSynthetic Substitute
KNonautologous Tissue Substitute
YOther Device
ZNo Qualifier
XUpper Tendon
YLower Tendon
XExternal
0Drainage Device
7Autologous Tissue Substitute
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Qualifier

0LW prefixed ICD-10-PCS codes
0LWX00Z Revision of Drainage Device in Upper Tendon, Open Approach
0LWX07Z Revision of Autologous Tissue Substitute in Upper Tendon, Open Approach
0LWX0JZ Revision of Synthetic Substitute in Upper Tendon, Open Approach
0LWX0KZ Revision of Nonautologous Tissue Substitute in Upper Tendon, Open Approach
0LWX0YZ Revision of Other Device in Upper Tendon, Open Approach
0LWX30Z Revision of Drainage Device in Upper Tendon, Percutaneous Approach
0LWX37Z Revision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Approach
0LWX3JZ Revision of Synthetic Substitute in Upper Tendon, Percutaneous Approach
0LWX3KZ Revision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Approach
0LWX3YZ Revision of Other Device in Upper Tendon, Percutaneous Approach
0LWX40Z Revision of Drainage Device in Upper Tendon, Percutaneous Endoscopic Approach
0LWX47Z Revision of Autologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4JZ Revision of Synthetic Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4KZ Revision of Nonautologous Tissue Substitute in Upper Tendon, Percutaneous Endoscopic Approach
0LWX4YZ Revision of Other Device in Upper Tendon, Percutaneous Endoscopic Approach
0LWXX0Z Revision of Drainage Device in Upper Tendon, External Approach
0LWXX7Z Revision of Autologous Tissue Substitute in Upper Tendon, External Approach
0LWXXJZ Revision of Synthetic Substitute in Upper Tendon, External Approach
0LWXXKZ Revision of Nonautologous Tissue Substitute in Upper Tendon, External Approach
0LWY00Z Revision of Drainage Device in Lower Tendon, Open Approach
0LWY07Z Revision of Autologous Tissue Substitute in Lower Tendon, Open Approach
0LWY0JZ Revision of Synthetic Substitute in Lower Tendon, Open Approach
0LWY0KZ Revision of Nonautologous Tissue Substitute in Lower Tendon, Open Approach
0LWY0YZ Revision of Other Device in Lower Tendon, Open Approach
0LWY30Z Revision of Drainage Device in Lower Tendon, Percutaneous Approach
0LWY37Z Revision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Approach
0LWY3JZ Revision of Synthetic Substitute in Lower Tendon, Percutaneous Approach
0LWY3KZ Revision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Approach
0LWY3YZ Revision of Other Device in Lower Tendon, Percutaneous Approach
0LWY40Z Revision of Drainage Device in Lower Tendon, Percutaneous Endoscopic Approach
0LWY47Z Revision of Autologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4JZ Revision of Synthetic Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4KZ Revision of Nonautologous Tissue Substitute in Lower Tendon, Percutaneous Endoscopic Approach
0LWY4YZ Revision of Other Device in Lower Tendon, Percutaneous Endoscopic Approach
0LWYX0Z Revision of Drainage Device in Lower Tendon, External Approach
0LWYX7Z Revision of Autologous Tissue Substitute in Lower Tendon, External Approach
0LWYXJZ Revision of Synthetic Substitute in Lower Tendon, External Approach
0LWYXKZ Revision of Nonautologous Tissue Substitute in Lower Tendon, External Approach