ICD-10-PCS Codes

• 1 0XU807Z (SUPPLEMENT RIGHT UPPER ARM WITH AUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 2 0XU80JZ (SUPPLEMENT RIGHT UPPER ARM WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 3 0XU80KZ (SUPPLEMENT RIGHT UPPER ARM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 4 0XU847Z (SUPPLEMENT RIGHT UPPER ARM WITH AUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 5 0XU84JZ (SUPPLEMENT RIGHT UPPER ARM WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 6 0XU84KZ (SUPPLEMENT RIGHT UPPER ARM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)