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Procedure Codes
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ICD-10-PCS
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Medical and Surgical
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Tendons
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Supplement
0LU
Supplement
Back
0LU007Z
Supplement Head and Neck Tendon with Autologous Tissue Substitute, Open Approach
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0LU00JZ
Supplement Head and Neck Tendon with Synthetic Substitute, Open Approach
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0LU00KZ
Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU047Z
Supplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU04JZ
Supplement Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU04KZ
Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU107Z
Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach
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0LU10JZ
Supplement Right Shoulder Tendon with Synthetic Substitute, Open Approach
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0LU10KZ
Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU147Z
Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU14JZ
Supplement Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU14KZ
Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU207Z
Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach
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0LU20JZ
Supplement Left Shoulder Tendon with Synthetic Substitute, Open Approach
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0LU20KZ
Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU247Z
Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU24JZ
Supplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU24KZ
Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU307Z
Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
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0LU30JZ
Supplement Right Upper Arm Tendon with Synthetic Substitute, Open Approach
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0LU30KZ
Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU347Z
Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU34JZ
Supplement Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU34KZ
Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU407Z
Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
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0LU40JZ
Supplement Left Upper Arm Tendon with Synthetic Substitute, Open Approach
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0LU40KZ
Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU447Z
Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU44JZ
Supplement Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU44KZ
Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU507Z
Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
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0LU50JZ
Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
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0LU50KZ
Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU547Z
Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU54JZ
Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU54KZ
Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU607Z
Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
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0LU60JZ
Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
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0LU60KZ
Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU647Z
Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU64JZ
Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU64KZ
Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU707Z
Supplement Right Hand Tendon with Autologous Tissue Substitute, Open Approach
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0LU70JZ
Supplement Right Hand Tendon with Synthetic Substitute, Open Approach
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0LU70KZ
Supplement Right Hand Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU747Z
Supplement Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU74JZ
Supplement Right Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU74KZ
Supplement Right Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU807Z
Supplement Left Hand Tendon with Autologous Tissue Substitute, Open Approach
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0LU80JZ
Supplement Left Hand Tendon with Synthetic Substitute, Open Approach
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0LU80KZ
Supplement Left Hand Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU847Z
Supplement Left Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU84JZ
Supplement Left Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU84KZ
Supplement Left Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU907Z
Supplement Right Trunk Tendon with Autologous Tissue Substitute, Open Approach
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0LU90JZ
Supplement Right Trunk Tendon with Synthetic Substitute, Open Approach
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0LU90KZ
Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
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0LU947Z
Supplement Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LU94JZ
Supplement Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LU94KZ
Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUB07Z
Supplement Left Trunk Tendon with Autologous Tissue Substitute, Open Approach
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0LUB0JZ
Supplement Left Trunk Tendon with Synthetic Substitute, Open Approach
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0LUB0KZ
Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUB47Z
Supplement Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUB4JZ
Supplement Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUB4KZ
Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUC07Z
Supplement Right Thorax Tendon with Autologous Tissue Substitute, Open Approach
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0LUC0JZ
Supplement Right Thorax Tendon with Synthetic Substitute, Open Approach
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0LUC0KZ
Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUC47Z
Supplement Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUC4JZ
Supplement Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUC4KZ
Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUD07Z
Supplement Left Thorax Tendon with Autologous Tissue Substitute, Open Approach
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0LUD0JZ
Supplement Left Thorax Tendon with Synthetic Substitute, Open Approach
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0LUD0KZ
Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUD47Z
Supplement Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUD4JZ
Supplement Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUD4KZ
Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUF07Z
Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach
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0LUF0JZ
Supplement Right Abdomen Tendon with Synthetic Substitute, Open Approach
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0LUF0KZ
Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUF47Z
Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUF4JZ
Supplement Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUF4KZ
Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUG07Z
Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach
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0LUG0JZ
Supplement Left Abdomen Tendon with Synthetic Substitute, Open Approach
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0LUG0KZ
Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUG47Z
Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUG4JZ
Supplement Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUG4KZ
Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUH07Z
Supplement Perineum Tendon with Autologous Tissue Substitute, Open Approach
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0LUH0JZ
Supplement Perineum Tendon with Synthetic Substitute, Open Approach
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0LUH0KZ
Supplement Perineum Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUH47Z
Supplement Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUH4JZ
Supplement Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUH4KZ
Supplement Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUJ07Z
Supplement Right Hip Tendon with Autologous Tissue Substitute, Open Approach
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0LUJ0JZ
Supplement Right Hip Tendon with Synthetic Substitute, Open Approach
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0LUJ0KZ
Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUJ47Z
Supplement Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUJ4JZ
Supplement Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUJ4KZ
Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUK07Z
Supplement Left Hip Tendon with Autologous Tissue Substitute, Open Approach
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0LUK0JZ
Supplement Left Hip Tendon with Synthetic Substitute, Open Approach
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0LUK0KZ
Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUK47Z
Supplement Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUK4JZ
Supplement Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUK4KZ
Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUL07Z
Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
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0LUL0JZ
Supplement Right Upper Leg Tendon with Synthetic Substitute, Open Approach
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0LUL0KZ
Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUL47Z
Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUL4JZ
Supplement Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUL4KZ
Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUM07Z
Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
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0LUM0JZ
Supplement Left Upper Leg Tendon with Synthetic Substitute, Open Approach
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0LUM0KZ
Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUM47Z
Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUM4JZ
Supplement Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUM4KZ
Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUN07Z
Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
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0LUN0JZ
Supplement Right Lower Leg Tendon with Synthetic Substitute, Open Approach
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0LUN0KZ
Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUN47Z
Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUN4JZ
Supplement Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUN4KZ
Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUP07Z
Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
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0LUP0JZ
Supplement Left Lower Leg Tendon with Synthetic Substitute, Open Approach
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0LUP0KZ
Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUP47Z
Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUP4JZ
Supplement Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUP4KZ
Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUQ07Z
Supplement Right Knee Tendon with Autologous Tissue Substitute, Open Approach
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0LUQ0JZ
Supplement Right Knee Tendon with Synthetic Substitute, Open Approach
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0LUQ0KZ
Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUQ47Z
Supplement Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUQ4JZ
Supplement Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUQ4KZ
Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUR07Z
Supplement Left Knee Tendon with Autologous Tissue Substitute, Open Approach
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0LUR0JZ
Supplement Left Knee Tendon with Synthetic Substitute, Open Approach
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0LUR0KZ
Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUR47Z
Supplement Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUR4JZ
Supplement Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUR4KZ
Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUS07Z
Supplement Right Ankle Tendon with Autologous Tissue Substitute, Open Approach
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0LUS0JZ
Supplement Right Ankle Tendon with Synthetic Substitute, Open Approach
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0LUS0KZ
Supplement Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUS47Z
Supplement Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUS4JZ
Supplement Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUS4KZ
Supplement Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUT07Z
Supplement Left Ankle Tendon with Autologous Tissue Substitute, Open Approach
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0LUT0JZ
Supplement Left Ankle Tendon with Synthetic Substitute, Open Approach
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0LUT0KZ
Supplement Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUT47Z
Supplement Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUT4JZ
Supplement Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUT4KZ
Supplement Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUV07Z
Supplement Right Foot Tendon with Autologous Tissue Substitute, Open Approach
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0LUV0JZ
Supplement Right Foot Tendon with Synthetic Substitute, Open Approach
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0LUV0KZ
Supplement Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUV47Z
Supplement Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUV4JZ
Supplement Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUV4KZ
Supplement Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUW07Z
Supplement Left Foot Tendon with Autologous Tissue Substitute, Open Approach
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0LUW0JZ
Supplement Left Foot Tendon with Synthetic Substitute, Open Approach
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0LUW0KZ
Supplement Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach
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0LUW47Z
Supplement Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
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0LUW4JZ
Supplement Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
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0LUW4KZ
Supplement Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
→