2021 ICD-10-PCS Procedure Code 0LUM0KZ

Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach

Version 2021
Billable Code

Valid for Submission

ICD-10-PCS:0LUM0KZ
Short Description:Supplement L Up Leg Tendon with Nonaut Sub, Open Approach
Long Description:Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach

0LUM0KZ is a billable procedure code used to specify the performance of supplement left upper leg tendon with nonautologous tissue substitute, open approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.

The procedure code 0LUM0KZ is in the medical and surgical section and is part of the tendons body system, classified under the supplement operation. The applicable bodypart is upper leg tendon, left.

ICD-10-PCS Details

Position Designation Character Label Notes
1 Section 0 Medical and Surgical
2 Body System L Tendons
3 Operation U Supplement

Involves:
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

Explanation:
The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Involves:
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part

Explanation:
The biological material is non-living, or is living and from the same individual. The body part may have been previously replaced, and the Supplement procedure is performed to physically reinforce and/or augment the function of the replaced body part

Includes:
  • Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
  • Herniorrhaphy using mesh, mitral valve ring annuloplasty, put a new acetabular liner in a previous hip replacement
4 BodyPart M Upper Leg Tendon, Left
5 Approach 0 Open

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

Involves:
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6 Device K Nonautologous Tissue Substitute Includes:
  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Tissue bank graft
  • Acellular Hydrated Dermis
  • Bone bank bone graft
  • Cook Biodesign(R) Fistula Plug(s)
  • Cook Biodesign(R) Hernia Graft(s)
  • Cook Biodesign(R) Layered Graft(s)
  • Cook Zenapro(tm) Layered Graft(s)
  • Tissue bank graft
7 Qualifier Z No Qualifier

Explanation:
The value Z is used for the seventh character to indicate that a specific qualifier does not apply to the procedure.

Diagnostic Related Groups - MS-DRG Mapping

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The procedure code 0LUM0KZ is grouped in the following groups for version MS-DRG V38.0 applicable from 10/01/2020 through 09/30/2021.

MS-DRG MS-DRG Title MCD Relative Weight
500SOFT TISSUE PROCEDURES WITH MCC083.1539
501SOFT TISSUE PROCEDURES WITH CC081.745
502SOFT TISSUE PROCEDURES WITHOUT CC/MCC081.3308
907OTHER O.R. PROCEDURES FOR INJURIES WITH MCC213.9571
908OTHER O.R. PROCEDURES FOR INJURIES WITH CC212.0404
909OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC211.3746

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert 0LUM0KZ to ICD-9-PCS

The following crosswalk between ICD-10-PCS to ICD-9-PCS is based based on the General Equivalence Mappings (GEMS) information:

What is ICD-10-PCS?

The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.

Each ICD-10-PCS code has a structure of seven alphanumeric characters and contains no decimals. The first character defines the major "section". Depending on the "section" the second through seventh characters mean different things.