ICD-10-PCS Code For Hand Tendon: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0LR7 includes procedures performed to replace tendons in the hand. These ICD-10-PCS codes are used for inpatient documentation when a portion or all of a hand tendon is surgically replaced with biological or synthetic material. Accurate coding within the ICD-10-PCS 0LR7 group is essential for proper inpatient reimbursement, as it captures the procedure performed and determines appropriate case mix and payment.

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Hand Tendon Replacement Procedure Overview

Procedures in this group involve replacement of hand tendons and target the tendons body system in the right hand. These operations physically take the place and function of all or part of a hand tendon using biological or synthetic material. Accurate ICD-10-PCS coding is important for inpatient reimbursement because it documents the specific replacement procedure performed and supports correct case mix assignment and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
L	Body System	Tendons
R	Operation	Replacement
7	Body Part	Hand Tendon, Right

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ICD-10-PCS Code For Hand Tendon: Procedure Code Group Overview

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Hand Tendon Replacement Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
L	Body System	Tendons
R	Operation	Replacement
7	Body Part	Hand Tendon, Right

When to Use

Use a code from this group when the operative report documents replacement of a right hand tendon with a biological graft or synthetic implant. Do not use these codes for simple repairs, transfers, or procedures that do not replace all or part of the tendon.

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0LR707Z	Replacement of Right Hand Tendon with Autologous Tissue Substitute, Open Approach
0LR70JZ	Replacement of Right Hand Tendon with Synthetic Substitute, Open Approach
0LR70KZ	Replacement of Right Hand Tendon with Nonautologous Tissue Substitute, Open Approach
0LR747Z	Replacement of Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR74JZ	Replacement of Right Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR74KZ	Replacement of Right Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
513	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC
514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
906	Hand Procedures for Injuries
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A middle-aged manual laborer presents after a workplace accident with a near-complete avulsion of the flexor tendon in the right index finger resulting in loss of active flexion. The operative team performs surgical replacement of the damaged portion of the right hand tendon using the patient’s own tendon tissue harvested from a donor site to restore continuity and function. The procedure is done via an open approach during the inpatient admission because of associated soft-tissue injury and need for close postoperative monitoring. Typical codes: 0LR707Z
An elderly patient with chronic degenerative rupture of a right hand extensor tendon causing persistent functional impairment is admitted electively for reconstruction. The surgeon replaces the nonfunctional tendon segment with a synthetic tendon substitute to reestablish extension of the involved digit, performing the procedure through an open approach under planned inpatient postoperative rehabilitation. Typical codes: 0LR70JZ
A patient with a previously reconstructed right hand tendon develops graft failure and adherent scarring with recurrent loss of motion. During a revision admission, the surgeon excises the failed graft and replaces the damaged segment with a nonautologous (cadaveric) tissue graft using a percutaneous endoscopic approach to minimize additional donor-site morbidity and improve tendon gliding. Typical codes: 0LR74KZ

Related Codes

0LR0-HEAD-AND-NECK-TENDON-REPLACEMENT

ICD-10-PCS Code For Head And Neck Tendon: Procedure Code Group Overview

0LR1-SHOULDER-TENDON-REPLACEMENT

ICD-10-PCS Code For Shoulder Tendon: Procedure Code Group Overview

0LR2-LEFT-SHOULDER-TENDON-REPLACEMENT

ICD-10-PCS Code For Shoulder Tendon Left: Procedure Code Group Overview

0LR3-UPPER-ARM-TENDON-REPLACEMENT

ICD-10-PCS Code For Upper Arm Tendon: Procedure Code Group Overview

0LR4-UPPER-ARM-TENDON-REPLACEMENT

ICD-10-PCS Code For Upper Arm Tendon Left: Procedure Code Group Overview

0LR5-LOWER-ARM-AND-WRIST-REPLACEMENT

ICD-10-PCS Code For Lower Arm And Wrist Tendon: Procedure Code Group Overview

0LR6-LEFT-LOWER-ARM-TENDON-REPLACEMENT

ICD-10-PCS Code For Lower Arm And Wrist Tendon Left: Procedure Code Group Overview

0LR8-LEFT-HAND-TENDON-REPLACEMENT

ICD-10-PCS Code For Hand Tendon, Left: Procedure Code Group Overview

0LR9-TRUNK-TENDON-REPLACEMENT

ICD-10-PCS Code For Trunk Tendon: Procedure Code Group Overview

0LRB-TRUNK-TENDON-REPLACEMENT

ICD-10-PCS Code For Trunk Tendon: Procedure Code Group Overview

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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When to Use

ICD-10-PCS Codes

6 rows

ICD-10-PCS Code	Description
0LR707Z	Replacement of Right Hand Tendon with Autologous Tissue Substitute, Open Approach
0LR70JZ	Replacement of Right Hand Tendon with Synthetic Substitute, Open Approach
0LR70KZ	Replacement of Right Hand Tendon with Nonautologous Tissue Substitute, Open Approach
0LR747Z	Replacement of Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LR74JZ	Replacement of Right Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LR74KZ	Replacement of Right Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

DRG Codes

12 rows

DRG Code	Description
040	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
513	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC
514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
906	Hand Procedures for Injuries
957	Other O.R. Procedures for Multiple Significant Trauma with MCC

Showing 1–10 of 12

Typical Clinical Scenarios

A middle-aged manual laborer presents after a workplace accident with a near-complete avulsion of the flexor tendon in the right index finger resulting in loss of active flexion. The operative team performs surgical replacement of the damaged portion of the right hand tendon using the patient’s own tendon tissue harvested from a donor site to restore continuity and function. The procedure is done via an open approach during the inpatient admission because of associated soft-tissue injury and need for close postoperative monitoring. Typical codes: 0LR707Z
An elderly patient with chronic degenerative rupture of a right hand extensor tendon causing persistent functional impairment is admitted electively for reconstruction. The surgeon replaces the nonfunctional tendon segment with a synthetic tendon substitute to reestablish extension of the involved digit, performing the procedure through an open approach under planned inpatient postoperative rehabilitation. Typical codes: 0LR70JZ
A patient with a previously reconstructed right hand tendon develops graft failure and adherent scarring with recurrent loss of motion. During a revision admission, the surgeon excises the failed graft and replaces the damaged segment with a nonautologous (cadaveric) tissue graft using a percutaneous endoscopic approach to minimize additional donor-site morbidity and improve tendon gliding. Typical codes: 0LR74KZ

Related Codes

0LR0-HEAD-AND-NECK-TENDON-REPLACEMENT

ICD-10-PCS Code For Head And Neck Tendon: Procedure Code Group Overview

0LR1-SHOULDER-TENDON-REPLACEMENT

ICD-10-PCS Code For Shoulder Tendon: Procedure Code Group Overview

0LR2-LEFT-SHOULDER-TENDON-REPLACEMENT

ICD-10-PCS Code For Shoulder Tendon Left: Procedure Code Group Overview

0LR3-UPPER-ARM-TENDON-REPLACEMENT

ICD-10-PCS Code For Upper Arm Tendon: Procedure Code Group Overview

0LR4-UPPER-ARM-TENDON-REPLACEMENT

ICD-10-PCS Code For Upper Arm Tendon Left: Procedure Code Group Overview

0LR5-LOWER-ARM-AND-WRIST-REPLACEMENT

ICD-10-PCS Code For Lower Arm And Wrist Tendon: Procedure Code Group Overview

0LR6-LEFT-LOWER-ARM-TENDON-REPLACEMENT

ICD-10-PCS Code For Lower Arm And Wrist Tendon Left: Procedure Code Group Overview

0LR8-LEFT-HAND-TENDON-REPLACEMENT

ICD-10-PCS Code For Hand Tendon, Left: Procedure Code Group Overview

0LR9-TRUNK-TENDON-REPLACEMENT

ICD-10-PCS Code For Trunk Tendon: Procedure Code Group Overview

0LRB-TRUNK-TENDON-REPLACEMENT

ICD-10-PCS Code For Trunk Tendon: Procedure Code Group Overview

Showing 1–10 of 27

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-PCS Code For Hand Tendon: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Hand Tendon: Procedure Code Group Overview policy alerts

Hand Tendon Replacement Procedure Overview

Code Attributes

ICD-10-PCS Code For Hand Tendon: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Hand Tendon: Procedure Code Group Overview policy alerts

Hand Tendon Replacement Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0LR7 for the right hand?

What is the primary purpose of using ICD-10-PCS codes in the 0LR7 group?

Which ICD-10-PCS codes represent open approach tendon replacements in the right hand?

What codes correspond to percutaneous endoscopic replacement of right hand tendons?

How do related DRGs connect to procedures in the 0LR7 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which procedures are included in ICD-10-PCS code group 0LR7 for the right hand?

What is the primary purpose of using ICD-10-PCS codes in the 0LR7 group?

Which ICD-10-PCS codes represent open approach tendon replacements in the right hand?

What codes correspond to percutaneous endoscopic replacement of right hand tendons?

How do related DRGs connect to procedures in the 0LR7 code group?

References