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Official Description

Incision and drainage, forearm and/or wrist; bursa

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 25031 involves the incision and drainage of an infected bursa located in the forearm and/or wrist. A bursa is a small, fluid-filled sac that serves to reduce friction between tissues, such as bone, muscles, and tendons, particularly in areas that experience repetitive motion or pressure. When a bursa becomes infected, it can lead to significant discomfort and swelling, necessitating surgical intervention. The incision and drainage process entails making a precise incision over the infected bursa to allow for the removal of purulent material or fluid accumulation. This procedure is critical for alleviating pain, reducing inflammation, and preventing further complications associated with untreated infections. The approach taken during the procedure is determined by the specific location of the infected bursa, ensuring that the surgical intervention is both effective and minimally invasive. Following the drainage, the bursal sac may be treated with antibiotics or saline to promote healing and prevent recurrence of the infection.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 25031 is indicated for the following conditions:

  • Infected Bursa The primary indication for this procedure is the presence of an infected bursa in the forearm and/or wrist, which may cause pain, swelling, and limited mobility.
  • Abscess Formation The procedure may also be indicated when there is an accumulation of pus within the bursa, leading to an abscess that requires drainage to alleviate symptoms and prevent further complications.

2. Procedure

The procedure for incision and drainage of an infected bursa involves several critical steps to ensure effective treatment and recovery.

  • Step 1: Preparation The patient is positioned comfortably, and the area around the forearm and/or wrist is cleaned and sterilized to minimize the risk of infection. Local anesthesia may be administered to ensure the patient’s comfort during the procedure.
  • Step 2: Incision A precise incision is made over the site of the infected bursa. The location of the incision is determined based on the bursa's position and the extent of the infection. Care is taken to avoid damaging surrounding structures.
  • Step 3: Drainage Once the incision is made, the surgeon carefully dissects the soft tissues to access the bursal sac. The infected fluid is drained, which may involve probing the area to break down loculations within the abscess to ensure complete drainage.
  • Step 4: Flushing After the fluid has been drained, the bursal sac is flushed with an antibiotic solution and/or normal saline to cleanse the area and reduce the risk of further infection.
  • Step 5: Closure Depending on the extent of the infection and the surgeon's assessment, the incision may be left open to allow for continued drainage, packed with gauze, or closed with sutures. The decision is made to promote optimal healing and prevent recurrence of the infection.

3. Post-Procedure

Post-procedure care is essential for ensuring proper healing and minimizing complications. Patients are typically advised to keep the incision site clean and dry, and to monitor for any signs of infection, such as increased redness, swelling, or discharge. Pain management may be necessary, and patients may be prescribed antibiotics to prevent further infection. Follow-up appointments are important to assess the healing process and to determine if additional interventions are required. The recovery period may vary depending on the individual’s overall health and the extent of the procedure performed.

Short Descr DRAINAGE OF FOREARM BURSA
Medium Descr INCISION & DRAINAGE FOREARM&/WRIST BURSA
Long Descr Incision and drainage, forearm and/or wrist; bursa
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P3D - Major procedure, orthopedic - other
MUE 2
CCS Clinical Classification 160 - Other therapeutic procedures on muscles and tendons

This is a primary code that can be used with these additional add-on codes.

20700 Add-on Code MPFS Status: Active Code APC N ASC N1 Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
GC This service has been performed in part by a resident under the direction of a teaching physician
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
Pre-1990 Added Code added.
Code
Description
M71.131 Other infective bursitis, right wrist
M71.132 Other infective bursitis, left wrist
Code
Description
0M800ZZ Division of Head and Neck Bursa and Ligament, Open Approach
0M803ZZ Division of Head and Neck Bursa and Ligament, Percutaneous Approach
0M804ZZ Division of Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0M810ZZ Division of Right Shoulder Bursa and Ligament, Open Approach
0M813ZZ Division of Right Shoulder Bursa and Ligament, Percutaneous Approach
0M814ZZ Division of Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0M820ZZ Division of Left Shoulder Bursa and Ligament, Open Approach
0M823ZZ Division of Left Shoulder Bursa and Ligament, Percutaneous Approach
0M824ZZ Division of Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0M830ZZ Division of Right Elbow Bursa and Ligament, Open Approach
0M833ZZ Division of Right Elbow Bursa and Ligament, Percutaneous Approach
0M834ZZ Division of Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0M840ZZ Division of Left Elbow Bursa and Ligament, Open Approach
0M843ZZ Division of Left Elbow Bursa and Ligament, Percutaneous Approach
0M844ZZ Division of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0M850ZZ Division of Right Wrist Bursa and Ligament, Open Approach
0M853ZZ Division of Right Wrist Bursa and Ligament, Percutaneous Approach
0M854ZZ Division of Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0M860ZZ Division of Left Wrist Bursa and Ligament, Open Approach
0M863ZZ Division of Left Wrist Bursa and Ligament, Percutaneous Approach
0M864ZZ Division of Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0M890ZZ Division of Right Upper Extremity Bursa and Ligament, Open Approach
0M893ZZ Division of Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0M894ZZ Division of Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8B0ZZ Division of Left Upper Extremity Bursa and Ligament, Open Approach
0M8B3ZZ Division of Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0M8B4ZZ Division of Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8C0ZZ Division of Upper Spine Bursa and Ligament, Open Approach
0M8C3ZZ Division of Upper Spine Bursa and Ligament, Percutaneous Approach
0M8C4ZZ Division of Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0M8D0ZZ Division of Lower Spine Bursa and Ligament, Open Approach
0M8D3ZZ Division of Lower Spine Bursa and Ligament, Percutaneous Approach
0M8D4ZZ Division of Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0M8F0ZZ Division of Sternum Bursa and Ligament, Open Approach
0M8F3ZZ Division of Sternum Bursa and Ligament, Percutaneous Approach
0M8F4ZZ Division of Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0M8G0ZZ Division of Rib(s) Bursa and Ligament, Open Approach
0M8G3ZZ Division of Rib(s) Bursa and Ligament, Percutaneous Approach
0M8G4ZZ Division of Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0M8H0ZZ Division of Right Abdomen Bursa and Ligament, Open Approach
0M8H3ZZ Division of Right Abdomen Bursa and Ligament, Percutaneous Approach
0M8H4ZZ Division of Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0M8J0ZZ Division of Left Abdomen Bursa and Ligament, Open Approach
0M8J3ZZ Division of Left Abdomen Bursa and Ligament, Percutaneous Approach
0M8J4ZZ Division of Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0M8K0ZZ Division of Perineum Bursa and Ligament, Open Approach
0M8K3ZZ Division of Perineum Bursa and Ligament, Percutaneous Approach
0M8K4ZZ Division of Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0M8L0ZZ Division of Right Hip Bursa and Ligament, Open Approach
0M8L3ZZ Division of Right Hip Bursa and Ligament, Percutaneous Approach
0M8L4ZZ Division of Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M8M0ZZ Division of Left Hip Bursa and Ligament, Open Approach
0M8M3ZZ Division of Left Hip Bursa and Ligament, Percutaneous Approach
0M8M4ZZ Division of Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0M8N0ZZ Division of Right Knee Bursa and Ligament, Open Approach
0M8N3ZZ Division of Right Knee Bursa and Ligament, Percutaneous Approach
0M8N4ZZ Division of Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M8P0ZZ Division of Left Knee Bursa and Ligament, Open Approach
0M8P3ZZ Division of Left Knee Bursa and Ligament, Percutaneous Approach
0M8P4ZZ Division of Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0M8Q0ZZ Division of Right Ankle Bursa and Ligament, Open Approach
0M8Q3ZZ Division of Right Ankle Bursa and Ligament, Percutaneous Approach
0M8Q4ZZ Division of Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0M8R0ZZ Division of Left Ankle Bursa and Ligament, Open Approach
0M8R3ZZ Division of Left Ankle Bursa and Ligament, Percutaneous Approach
0M8R4ZZ Division of Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0M8S0ZZ Division of Right Foot Bursa and Ligament, Open Approach
0M8S3ZZ Division of Right Foot Bursa and Ligament, Percutaneous Approach
0M8S4ZZ Division of Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M8T0ZZ Division of Left Foot Bursa and Ligament, Open Approach
0M8T3ZZ Division of Left Foot Bursa and Ligament, Percutaneous Approach
0M8T4ZZ Division of Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0M8V0ZZ Division of Right Lower Extremity Bursa and Ligament, Open Approach
0M8V3ZZ Division of Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0M8V4ZZ Division of Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M8W0ZZ Division of Left Lower Extremity Bursa and Ligament, Open Approach
0M8W3ZZ Division of Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0M8W4ZZ Division of Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0M9000Z Drainage of Head and Neck Bursa and Ligament with Drainage Device, Open Approach
0M900ZZ Drainage of Head and Neck Bursa and Ligament, Open Approach
0M9100Z Drainage of Right Shoulder Bursa and Ligament with Drainage Device, Open Approach
0M910ZZ Drainage of Right Shoulder Bursa and Ligament, Open Approach
0M9200Z Drainage of Left Shoulder Bursa and Ligament with Drainage Device, Open Approach
0M920ZZ Drainage of Left Shoulder Bursa and Ligament, Open Approach
0M9300Z Drainage of Right Elbow Bursa and Ligament with Drainage Device, Open Approach
0M930ZZ Drainage of Right Elbow Bursa and Ligament, Open Approach
0M9400Z Drainage of Left Elbow Bursa and Ligament with Drainage Device, Open Approach
0M940ZZ Drainage of Left Elbow Bursa and Ligament, Open Approach
0M9500Z Drainage of Right Wrist Bursa and Ligament with Drainage Device, Open Approach
0M950ZX Drainage of Right Wrist Bursa and Ligament, Open Approach, Diagnostic
0M950ZZ Drainage of Right Wrist Bursa and Ligament, Open Approach
0M9530Z Drainage of Right Wrist Bursa and Ligament with Drainage Device, Percutaneous Approach
0M953ZZ Drainage of Right Wrist Bursa and Ligament, Percutaneous Approach
0M9600Z Drainage of Left Wrist Bursa and Ligament with Drainage Device, Open Approach
0M960ZX Drainage of Left Wrist Bursa and Ligament, Open Approach, Diagnostic
0M960ZZ Drainage of Left Wrist Bursa and Ligament, Open Approach
0M9630Z Drainage of Left Wrist Bursa and Ligament with Drainage Device, Percutaneous Approach
0M963ZZ Drainage of Left Wrist Bursa and Ligament, Percutaneous Approach
0M9640Z Drainage of Left Wrist Bursa and Ligament with Drainage Device, Percutaneous Endoscopic Approach
0M9900Z Drainage of Right Upper Extremity Bursa and Ligament with Drainage Device, Open Approach
0M990ZZ Drainage of Right Upper Extremity Bursa and Ligament, Open Approach
0M9B00Z Drainage of Left Upper Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9B0ZZ Drainage of Left Upper Extremity Bursa and Ligament, Open Approach
0M9C00Z Drainage of Upper Spine Bursa and Ligament with Drainage Device, Open Approach
0M9C0ZZ Drainage of Upper Spine Bursa and Ligament, Open Approach
0M9D00Z Drainage of Lower Spine Bursa and Ligament with Drainage Device, Open Approach
0M9D0ZZ Drainage of Lower Spine Bursa and Ligament, Open Approach
0M9F00Z Drainage of Sternum Bursa and Ligament with Drainage Device, Open Approach
0M9F0ZZ Drainage of Sternum Bursa and Ligament, Open Approach
0M9G00Z Drainage of Rib(s) Bursa and Ligament with Drainage Device, Open Approach
0M9G0ZZ Drainage of Rib(s) Bursa and Ligament, Open Approach
0M9H00Z Drainage of Right Abdomen Bursa and Ligament with Drainage Device, Open Approach
0M9H0ZZ Drainage of Right Abdomen Bursa and Ligament, Open Approach
0M9J00Z Drainage of Left Abdomen Bursa and Ligament with Drainage Device, Open Approach
0M9J0ZZ Drainage of Left Abdomen Bursa and Ligament, Open Approach
0M9K00Z Drainage of Perineum Bursa and Ligament with Drainage Device, Open Approach
0M9K0ZZ Drainage of Perineum Bursa and Ligament, Open Approach
0M9L00Z Drainage of Right Hip Bursa and Ligament with Drainage Device, Open Approach
0M9L0ZZ Drainage of Right Hip Bursa and Ligament, Open Approach
0M9M00Z Drainage of Left Hip Bursa and Ligament with Drainage Device, Open Approach
0M9M0ZZ Drainage of Left Hip Bursa and Ligament, Open Approach
0M9N00Z Drainage of Right Knee Bursa and Ligament with Drainage Device, Open Approach
0M9N0ZZ Drainage of Right Knee Bursa and Ligament, Open Approach
0M9P00Z Drainage of Left Knee Bursa and Ligament with Drainage Device, Open Approach
0M9P0ZZ Drainage of Left Knee Bursa and Ligament, Open Approach
0M9Q00Z Drainage of Right Ankle Bursa and Ligament with Drainage Device, Open Approach
0M9Q0ZZ Drainage of Right Ankle Bursa and Ligament, Open Approach
0M9R00Z Drainage of Left Ankle Bursa and Ligament with Drainage Device, Open Approach
0M9R0ZZ Drainage of Left Ankle Bursa and Ligament, Open Approach
0M9S00Z Drainage of Right Foot Bursa and Ligament with Drainage Device, Open Approach
0M9S0ZZ Drainage of Right Foot Bursa and Ligament, Open Approach
0M9T00Z Drainage of Left Foot Bursa and Ligament with Drainage Device, Open Approach
0M9T0ZZ Drainage of Left Foot Bursa and Ligament, Open Approach
0M9V00Z Drainage of Right Lower Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9V0ZZ Drainage of Right Lower Extremity Bursa and Ligament, Open Approach
0M9W00Z Drainage of Left Lower Extremity Bursa and Ligament with Drainage Device, Open Approach
0M9W0ZZ Drainage of Left Lower Extremity Bursa and Ligament, Open Approach
0MC00ZZ Extirpation of Matter from Head and Neck Bursa and Ligament, Open Approach
0MC03ZZ Extirpation of Matter from Head and Neck Bursa and Ligament, Percutaneous Approach
0MC04ZZ Extirpation of Matter from Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach
0MC10ZZ Extirpation of Matter from Right Shoulder Bursa and Ligament, Open Approach
0MC13ZZ Extirpation of Matter from Right Shoulder Bursa and Ligament, Percutaneous Approach
0MC14ZZ Extirpation of Matter from Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MC20ZZ Extirpation of Matter from Left Shoulder Bursa and Ligament, Open Approach
0MC23ZZ Extirpation of Matter from Left Shoulder Bursa and Ligament, Percutaneous Approach
0MC24ZZ Extirpation of Matter from Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach
0MC30ZZ Extirpation of Matter from Right Elbow Bursa and Ligament, Open Approach
0MC33ZZ Extirpation of Matter from Right Elbow Bursa and Ligament, Percutaneous Approach
0MC34ZZ Extirpation of Matter from Right Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MC40ZZ Extirpation of Matter from Left Elbow Bursa and Ligament, Open Approach
0MC43ZZ Extirpation of Matter from Left Elbow Bursa and Ligament, Percutaneous Approach
0MC44ZZ Extirpation of Matter from Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach
0MC50ZZ Extirpation of Matter from Right Wrist Bursa and Ligament, Open Approach
0MC53ZZ Extirpation of Matter from Right Wrist Bursa and Ligament, Percutaneous Approach
0MC54ZZ Extirpation of Matter from Right Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MC60ZZ Extirpation of Matter from Left Wrist Bursa and Ligament, Open Approach
0MC63ZZ Extirpation of Matter from Left Wrist Bursa and Ligament, Percutaneous Approach
0MC64ZZ Extirpation of Matter from Left Wrist Bursa and Ligament, Percutaneous Endoscopic Approach
0MC90ZZ Extirpation of Matter from Right Upper Extremity Bursa and Ligament, Open Approach
0MC93ZZ Extirpation of Matter from Right Upper Extremity Bursa and Ligament, Percutaneous Approach
0MC94ZZ Extirpation of Matter from Right Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCB0ZZ Extirpation of Matter from Left Upper Extremity Bursa and Ligament, Open Approach
0MCB3ZZ Extirpation of Matter from Left Upper Extremity Bursa and Ligament, Percutaneous Approach
0MCB4ZZ Extirpation of Matter from Left Upper Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCC0ZZ Extirpation of Matter from Upper Spine Bursa and Ligament, Open Approach
0MCC3ZZ Extirpation of Matter from Upper Spine Bursa and Ligament, Percutaneous Approach
0MCC4ZZ Extirpation of Matter from Upper Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MCD0ZZ Extirpation of Matter from Lower Spine Bursa and Ligament, Open Approach
0MCD3ZZ Extirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Approach
0MCD4ZZ Extirpation of Matter from Lower Spine Bursa and Ligament, Percutaneous Endoscopic Approach
0MCF0ZZ Extirpation of Matter from Sternum Bursa and Ligament, Open Approach
0MCF3ZZ Extirpation of Matter from Sternum Bursa and Ligament, Percutaneous Approach
0MCF4ZZ Extirpation of Matter from Sternum Bursa and Ligament, Percutaneous Endoscopic Approach
0MCG0ZZ Extirpation of Matter from Rib(s) Bursa and Ligament, Open Approach
0MCG3ZZ Extirpation of Matter from Rib(s) Bursa and Ligament, Percutaneous Approach
0MCG4ZZ Extirpation of Matter from Rib(s) Bursa and Ligament, Percutaneous Endoscopic Approach
0MCH0ZZ Extirpation of Matter from Right Abdomen Bursa and Ligament, Open Approach
0MCH3ZZ Extirpation of Matter from Right Abdomen Bursa and Ligament, Percutaneous Approach
0MCH4ZZ Extirpation of Matter from Right Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MCJ0ZZ Extirpation of Matter from Left Abdomen Bursa and Ligament, Open Approach
0MCJ3ZZ Extirpation of Matter from Left Abdomen Bursa and Ligament, Percutaneous Approach
0MCJ4ZZ Extirpation of Matter from Left Abdomen Bursa and Ligament, Percutaneous Endoscopic Approach
0MCK0ZZ Extirpation of Matter from Perineum Bursa and Ligament, Open Approach
0MCK3ZZ Extirpation of Matter from Perineum Bursa and Ligament, Percutaneous Approach
0MCK4ZZ Extirpation of Matter from Perineum Bursa and Ligament, Percutaneous Endoscopic Approach
0MCL0ZZ Extirpation of Matter from Right Hip Bursa and Ligament, Open Approach
0MCL3ZZ Extirpation of Matter from Right Hip Bursa and Ligament, Percutaneous Approach
0MCL4ZZ Extirpation of Matter from Right Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MCM0ZZ Extirpation of Matter from Left Hip Bursa and Ligament, Open Approach
0MCM3ZZ Extirpation of Matter from Left Hip Bursa and Ligament, Percutaneous Approach
0MCM4ZZ Extirpation of Matter from Left Hip Bursa and Ligament, Percutaneous Endoscopic Approach
0MCN0ZZ Extirpation of Matter from Right Knee Bursa and Ligament, Open Approach
0MCN3ZZ Extirpation of Matter from Right Knee Bursa and Ligament, Percutaneous Approach
0MCN4ZZ Extirpation of Matter from Right Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MCP0ZZ Extirpation of Matter from Left Knee Bursa and Ligament, Open Approach
0MCP3ZZ Extirpation of Matter from Left Knee Bursa and Ligament, Percutaneous Approach
0MCP4ZZ Extirpation of Matter from Left Knee Bursa and Ligament, Percutaneous Endoscopic Approach
0MCQ0ZZ Extirpation of Matter from Right Ankle Bursa and Ligament, Open Approach
0MCQ3ZZ Extirpation of Matter from Right Ankle Bursa and Ligament, Percutaneous Approach
0MCQ4ZZ Extirpation of Matter from Right Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MCR0ZZ Extirpation of Matter from Left Ankle Bursa and Ligament, Open Approach
0MCR3ZZ Extirpation of Matter from Left Ankle Bursa and Ligament, Percutaneous Approach
0MCR4ZZ Extirpation of Matter from Left Ankle Bursa and Ligament, Percutaneous Endoscopic Approach
0MCS0ZZ Extirpation of Matter from Right Foot Bursa and Ligament, Open Approach
0MCS3ZZ Extirpation of Matter from Right Foot Bursa and Ligament, Percutaneous Approach
0MCS4ZZ Extirpation of Matter from Right Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MCT0ZZ Extirpation of Matter from Left Foot Bursa and Ligament, Open Approach
0MCT3ZZ Extirpation of Matter from Left Foot Bursa and Ligament, Percutaneous Approach
0MCT4ZZ Extirpation of Matter from Left Foot Bursa and Ligament, Percutaneous Endoscopic Approach
0MCV0ZZ Extirpation of Matter from Right Lower Extremity Bursa and Ligament, Open Approach
0MCV3ZZ Extirpation of Matter from Right Lower Extremity Bursa and Ligament, Percutaneous Approach
0MCV4ZZ Extirpation of Matter from Right Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MCW0ZZ Extirpation of Matter from Left Lower Extremity Bursa and Ligament, Open Approach
0MCW3ZZ Extirpation of Matter from Left Lower Extremity Bursa and Ligament, Percutaneous Approach
0MCW4ZZ Extirpation of Matter from Left Lower Extremity Bursa and Ligament, Percutaneous Endoscopic Approach
0MJX0ZZ Inspection of Upper Bursa and Ligament, Open Approach
0MJY0ZZ Inspection of Lower Bursa and Ligament, Open Approach
0MPX07Z Removal of Autologous Tissue Substitute from Upper Bursa and Ligament, Open Approach
0MPX0KZ Removal of Nonautologous Tissue Substitute from Upper Bursa and Ligament, Open Approach
0MPX37Z Removal of Autologous Tissue Substitute from Upper Bursa and Ligament, Percutaneous Approach
0MPX3KZ Removal of Nonautologous Tissue Substitute from Upper Bursa and Ligament, Percutaneous Approach
0MPX47Z Removal of Autologous Tissue Substitute from Upper Bursa and Ligament, Percutaneous Endoscopic Approach
0MPX4KZ Removal of Nonautologous Tissue Substitute from Upper Bursa and Ligament, Percutaneous Endoscopic Approach
0MPY07Z Removal of Autologous Tissue Substitute from Lower Bursa and Ligament, Open Approach
0MPY0KZ Removal of Nonautologous Tissue Substitute from Lower Bursa and Ligament, Open Approach
0MPY37Z Removal of Autologous Tissue Substitute from Lower Bursa and Ligament, Percutaneous Approach
0MPY3KZ Removal of Nonautologous Tissue Substitute from Lower Bursa and Ligament, Percutaneous Approach
0MPY47Z Removal of Autologous Tissue Substitute from Lower Bursa and Ligament, Percutaneous Endoscopic Approach
0MPY4KZ Removal of Nonautologous Tissue Substitute from Lower Bursa and Ligament, Percutaneous Endoscopic Approach
0MWX00Z Revision of Drainage Device in Upper Bursa and Ligament, Open Approach
0MWX07Z Revision of Autologous Tissue Substitute in Upper Bursa and Ligament, Open Approach
0MWX0JZ Revision of Synthetic Substitute in Upper Bursa and Ligament, Open Approach
0MWX0KZ Revision of Nonautologous Tissue Substitute in Upper Bursa and Ligament, Open Approach
0MWX30Z Revision of Drainage Device in Upper Bursa and Ligament, Percutaneous Approach
0MWX37Z Revision of Autologous Tissue Substitute in Upper Bursa and Ligament, Percutaneous Approach
0MWX3JZ Revision of Synthetic Substitute in Upper Bursa and Ligament, Percutaneous Approach
0MWX3KZ Revision of Nonautologous Tissue Substitute in Upper Bursa and Ligament, Percutaneous Approach
0MWX40Z Revision of Drainage Device in Upper Bursa and Ligament, Percutaneous Endoscopic Approach
0MWX47Z Revision of Autologous Tissue Substitute in Upper Bursa and Ligament, Percutaneous Endoscopic Approach
0MWX4JZ Revision of Synthetic Substitute in Upper Bursa and Ligament, Percutaneous Endoscopic Approach
0MWX4KZ Revision of Nonautologous Tissue Substitute in Upper Bursa and Ligament, Percutaneous Endoscopic Approach
0MWY00Z Revision of Drainage Device in Lower Bursa and Ligament, Open Approach
0MWY07Z Revision of Autologous Tissue Substitute in Lower Bursa and Ligament, Open Approach
0MWY0JZ Revision of Synthetic Substitute in Lower Bursa and Ligament, Open Approach
0MWY0KZ Revision of Nonautologous Tissue Substitute in Lower Bursa and Ligament, Open Approach
0MWY30Z Revision of Drainage Device in Lower Bursa and Ligament, Percutaneous Approach
0MWY37Z Revision of Autologous Tissue Substitute in Lower Bursa and Ligament, Percutaneous Approach
0MWY3JZ Revision of Synthetic Substitute in Lower Bursa and Ligament, Percutaneous Approach
0MWY3KZ Revision of Nonautologous Tissue Substitute in Lower Bursa and Ligament, Percutaneous Approach
0MWY40Z Revision of Drainage Device in Lower Bursa and Ligament, Percutaneous Endoscopic Approach
0MWY47Z Revision of Autologous Tissue Substitute in Lower Bursa and Ligament, Percutaneous Endoscopic Approach
0MWY4JZ Revision of Synthetic Substitute in Lower Bursa and Ligament, Percutaneous Endoscopic Approach
0MWY4KZ Revision of Nonautologous Tissue Substitute in Lower Bursa and Ligament, Percutaneous Endoscopic Approach
Code
Description
58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: It may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. This circumstance may be reported by adding modifier 58 to the staged or related procedure. Note: For treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. Note: Modifier 59 should not be appended to an E/M service. To report a separate and distinct E/M service with a non-E/M service performed on the same date, see modifier 25.
78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period: It may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). When this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (For repeat procedures, see modifier 76.)
79 Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: The individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. This circumstance may be reported by using modifier 79. (For repeat procedures on the same day, see modifier 76.)
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Code
Description
711.03 Pyogenic arthritis, forearm
711.93 Unspecified infective arthritis, forearm
716.93 Arthropathy, unspecified, forearm
726.4 Enthesopathy of wrist and carpus
727.2 Specific bursitides often of occupational origin
727.3 Other bursitis
727.89 Other disorders of synovium, tendon, and bursa
906.3 Late effect of contusion
906.4 Late effect of crushing
998.51 Infected postoperative seroma
998.59 Other postoperative infection