0LU247Z ICD-10-PCS Code: Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
Supplement L Shoulder Tendon w Autol Sub, Perc Endo
Axis Breakdown
Every ICD-10-PCS code is exactly seven characters, one per axis. Each character's meaning is defined by its position in the code.
| Position | Value | Meaning |
|---|---|---|
| 1 | Section0 | Medical and Surgical |
| 2 | Body SystemL | Tendons |
| 3 | Root OperationU | Supplement Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part |
| 4 | Body Part2 | Shoulder Tendon, Left |
| 5 | Approach4 | Percutaneous Endoscopic |
| 6 | Device7 | Autologous Tissue Substitute |
| 7 | QualifierZ | No Qualifier |
MS-DRG Grouper Relationships (FY2026)
Potential MS-DRG participation — not a DRG assignment.
The MS-DRG grouper treats this as an operating room procedure. It appears in the surgical logic of 6 MS-DRGs:
- MDC 08 — Soft Tissue Procedures: DRG 500, DRG 501, DRG 502
- MDC 21 — Other O.R. Procedures for Injuries: DRG 907, DRG 908, DRG 909
From the CMS MS-DRG Definitions Manual, Appendix E. Actual DRG assignment depends on the complete claim.
Related Codes
Same operation — other Body Part
Same table and root operation, differing only in the body part character.
0LU047Z — Supplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU147Z — Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU347Z — Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU447Z — Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU547Z — Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU647Z — Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU747Z — Supplement Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, 0LU847Z — Supplement Left Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach, +19 more
Same operation — other Approach
Same table and root operation, differing only in the approach character.
0LU207Z — Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach
Same operation — other Device
Same table and root operation, differing only in the device character.
0LU24JZ — Supplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach, 0LU24KZ — Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Same procedure category (CCSR), other tables
AHRQ's Clinical Classifications Software Refined groups these ICD-10-PCS procedures with this one under Tendon, muscle, bursa, and ligament repair (excluding perineal) (Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures); listed here are the members in other PCS tables. Source: Clinical Classifications Software Refined (CCSR), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality, November 2025.
0LQS4ZZ — Repair Right Ankle Tendon, Percutaneous Endoscopic Approach, 0LQT0ZZ — Repair Left Ankle Tendon, Open Approach, 0LQT3ZZ — Repair Left Ankle Tendon, Percutaneous Approach, 0LQT4ZZ — Repair Left Ankle Tendon, Percutaneous Endoscopic Approach, 0LQV0ZZ — Repair Right Foot Tendon, Open Approach, 0LQV3ZZ — Repair Right Foot Tendon, Percutaneous Approach, 0LQV4ZZ — Repair Right Foot Tendon, Percutaneous Endoscopic Approach, 0LQW0ZZ — Repair Left Foot Tendon, Open Approach, 0LQW3ZZ — Repair Left Foot Tendon, Percutaneous Approach, 0LQW4ZZ — Repair Left Foot Tendon, Percutaneous Endoscopic Approach, 0MQ00ZZ — Repair Head and Neck Bursa and Ligament, Open Approach, 0MQ03ZZ — Repair Head and Neck Bursa and Ligament, Percutaneous Approach, 0MQ04ZZ — Repair Head and Neck Bursa and Ligament, Percutaneous Endoscopic Approach, 0MQ10ZZ — Repair Right Shoulder Bursa and Ligament, Open Approach, 0MQ13ZZ — Repair Right Shoulder Bursa and Ligament, Percutaneous Approach, 0MQ14ZZ — Repair Right Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach, 0MQ20ZZ — Repair Left Shoulder Bursa and Ligament, Open Approach, 0MQ23ZZ — Repair Left Shoulder Bursa and Ligament, Percutaneous Approach, 0MQ24ZZ — Repair Left Shoulder Bursa and Ligament, Percutaneous Endoscopic Approach, 0MQ30ZZ — Repair Right Elbow Bursa and Ligament, Open Approach, +540 more
Contextual Map
Every relationship of 0LU247Z in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run 0LU247Z with these 5 related codes in Claim Check
PCS table
- 0LU[PCS table]— CMS ICD-10-PCS tables
- Medical and Surgical — Section: Medical and Surgical[Section]: “Medical and Surgical”— CMS ICD-10-PCS tables
- Tendons — Body System: Tendons[Body System]: “Tendons”— CMS ICD-10-PCS tables
- Supplement — Operation: Supplement[Operation]: “Supplement”— CMS ICD-10-PCS tables
MS-DRG participation
- DRG 500 — SOFT TISSUE PROCEDURES WITH MCC[MS-DRG]: “SOFT TISSUE PROCEDURES WITH MCC — Soft Tissue Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 501 — SOFT TISSUE PROCEDURES WITH CC[MS-DRG]: “SOFT TISSUE PROCEDURES WITH CC — Soft Tissue Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 502 — SOFT TISSUE PROCEDURES WITHOUT CC/MCC[MS-DRG]: “SOFT TISSUE PROCEDURES WITHOUT CC/MCC — Soft Tissue Procedures (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 907 — OTHER O.R. PROCEDURES FOR INJURIES WITH MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 908 — OTHER O.R. PROCEDURES FOR INJURIES WITH CC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITH CC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
- DRG 909 — OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC[MS-DRG]: “OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC — Other O.R. Procedures for Injuries (MDC 21)”— CMS MS-DRG Definitions Manual (Appendix E) · FY2026
Clinical classification (CCSR)
- MST022 — Tendon, muscle, bursa, and ligament repair (excluding perineal)[CCSR category]: “Tendon, muscle, bursa, and ligament repair (excluding perineal) — Musculoskeletal, Subcutaneous Tissue, and Fascia Procedures”— AHRQ CCSR for ICD-10-PCS Procedures (HCUP) · v2026.1
MDC crossing · diagnoses (31735)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs[MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026
- A02.23 — Salmonella arthritis[Same-MDC diagnosis]: “Salmonella arthritis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A02.24 — Salmonella osteomyelitis[Same-MDC diagnosis]: “Salmonella osteomyelitis — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.01 — Tuberculosis of spine[Same-MDC diagnosis]: “Tuberculosis of spine — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.02 — Tuberculous arthritis of other joints[Same-MDC diagnosis]: “Tuberculous arthritis of other joints — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- A18.03 — Tuberculosis of other bones[Same-MDC diagnosis]: “Tuberculosis of other bones — grouped in MDC 08, the diagnosis side of this code's crossing.”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026
- and 31730 more
Nearest codes
- 0LU047Z — Supplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU147Z — Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU207Z — Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU24JZ — Supplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU24KZ — Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU347Z — Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU447Z — Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
- 0LU547Z — Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach[One axis away]— CMS ICD-10-PCS tables
Change history
No changes recorded for this code. This ledger tracks additions, deletions and description changes from FY2026 (April) onward. Note changes are not tracked.
Read from: CMS ICD-10-PCS code tables, index and definitions — FY2026 (April); CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43; AHRQ HCUP Clinical Classifications Software Refined for ICD-10-PCS Procedures (hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR_v2026-1.zip) — v2026.1. All data sources · How to read the labels