ICD-10-PCS Codes

• 1 0XU907Z (SUPPLEMENT LEFT UPPER ARM WITH AUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 2 0XU90JZ (SUPPLEMENT LEFT UPPER ARM WITH SYNTHETIC SUBSTITUTE, OPEN APPROACH)

• 3 0XU90KZ (SUPPLEMENT LEFT UPPER ARM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, OPEN APPROACH)

• 4 0XU947Z (SUPPLEMENT LEFT UPPER ARM WITH AUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 5 0XU94JZ (SUPPLEMENT LEFT UPPER ARM WITH SYNTHETIC SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)

• 6 0XU94KZ (SUPPLEMENT LEFT UPPER ARM WITH NONAUTOLOGOUS TISSUE SUBSTITUTE, PERCUTANEOUS ENDOSCOPIC APPROACH)