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 0LX7 includes procedures performed to transfer tendons in the hand. These ICD-10-PCS codes are used for inpatient documentation when a tendon is moved to take over the function of another tendon or structure in the hand. Accurate coding within the ICD-10-PCS 0LX7 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 Transfer Procedure Overview

This procedure group includes tendon transfer operations that move, without removal, all or part of a tendon in the hand to assume the function of another structure. These procedures target the tendons within the hand and are classified in the Medical and Surgical section under the Tendons body system. Accurate ICD-10-PCS coding for these transfers is important for inpatient reimbursement because it captures the specific operation performed and supports correct assignment of case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
L	Body System	Tendons
X	Operation	Transfer
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 Transfer Procedure Overview

Code Attributes

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

When to Use

Use a code from this group when an operative transfer of a hand tendon is performed to restore or reassign function without removing the tendon. These codes apply only to inpatient procedures where the tendon is repositioned to take over the function of another anatomical structure.

ICD-10-PCS Codes

2 rows

ICD-10-PCS Code	Description
0LX70ZZ	Transfer Right Hand Tendon, Open Approach
0LX74ZZ	Transfer Right Hand Tendon, Percutaneous Endoscopic Approach

DRG Codes

9 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
906	Hand Procedures for Injuries
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A 45-year-old construction worker presents acutely after a crushing right-hand injury with loss of active finger extension due to transferred tendon dysfunction; during the inpatient operative session the surgeon performs an open transfer of a portion of a functioning right hand tendon to restore extensor function. The procedure is done in the operating room under general anesthesia with direct exposure to identify and reroute the donor tendon to the recipient insertion. This inpatient transfer is performed to reassign tendon function without excision of the donor tendon. Typical codes: 0LX70ZZ
A 62-year-old patient with longstanding radial nerve palsy and chronic inability to extend the fingers is admitted for a planned inpatient reconstructive procedure to improve hand function. The surgical plan is to perform a tendon transfer in the right hand, using a donor tendon to assume the lost extensor function; the operation is performed via an open approach to ensure precise tensioning and attachment. This elective inpatient transfer reassigns tendon function without removal of the donor tendon. Typical codes: 0LX70ZZ
A 30-year-old patient who previously underwent a minimally invasive tendon realignment for a right-hand tendon injury now has persistent weakness and triggering; the surgeon performs a percutaneous endoscopic-assisted tendon transfer to reposition a tendon segment and restore function while minimizing soft-tissue disruption. The inpatient procedure uses a percutaneous endoscopic approach to move without excising the donor tendon, addressing the failed prior repair and improving hand biomechanics. Typical codes: 0LX74ZZ

Related Codes

0LX0-HEAD-AND-NECK-TENDON-TRANSFER

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

0LX1-SHOULDER-TENDON-TRANSFER

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

0LX2-SHOULDER-TENDON-TRANSFER

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

0LX3-UPPER-ARM-TENDON-TRANSFER

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

0LX4-LEFT-UPPER-ARM-MOVING-LEFT-UPPER-ARM-TRANSFER

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

0LX5-LOWER-ARM-AND-WRIST-TRANSFER

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

0LX6-LEFT-LOWER-ARM-TRANSFER

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

0LX8-LEFT-HAND-TENDON-TRANSFER

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

0LX9-TRUNK-TENDON-TRANSFER

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

0LXB-TRUNK-TENDON-TRANSFER

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

Showing 1–10 of 26

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

2 rows

ICD-10-PCS Code	Description
0LX70ZZ	Transfer Right Hand Tendon, Open Approach
0LX74ZZ	Transfer Right Hand Tendon, Percutaneous Endoscopic Approach

DRG Codes

9 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
906	Hand Procedures for Injuries
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
958	Other O.R. Procedures for Multiple Significant Trauma with CC
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC

Typical Clinical Scenarios

A 45-year-old construction worker presents acutely after a crushing right-hand injury with loss of active finger extension due to transferred tendon dysfunction; during the inpatient operative session the surgeon performs an open transfer of a portion of a functioning right hand tendon to restore extensor function. The procedure is done in the operating room under general anesthesia with direct exposure to identify and reroute the donor tendon to the recipient insertion. This inpatient transfer is performed to reassign tendon function without excision of the donor tendon. Typical codes: 0LX70ZZ
A 62-year-old patient with longstanding radial nerve palsy and chronic inability to extend the fingers is admitted for a planned inpatient reconstructive procedure to improve hand function. The surgical plan is to perform a tendon transfer in the right hand, using a donor tendon to assume the lost extensor function; the operation is performed via an open approach to ensure precise tensioning and attachment. This elective inpatient transfer reassigns tendon function without removal of the donor tendon. Typical codes: 0LX70ZZ
A 30-year-old patient who previously underwent a minimally invasive tendon realignment for a right-hand tendon injury now has persistent weakness and triggering; the surgeon performs a percutaneous endoscopic-assisted tendon transfer to reposition a tendon segment and restore function while minimizing soft-tissue disruption. The inpatient procedure uses a percutaneous endoscopic approach to move without excising the donor tendon, addressing the failed prior repair and improving hand biomechanics. Typical codes: 0LX74ZZ

Related Codes

0LX0-HEAD-AND-NECK-TENDON-TRANSFER

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

0LX1-SHOULDER-TENDON-TRANSFER

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

0LX2-SHOULDER-TENDON-TRANSFER

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

0LX3-UPPER-ARM-TENDON-TRANSFER

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

0LX4-LEFT-UPPER-ARM-MOVING-LEFT-UPPER-ARM-TRANSFER

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

0LX5-LOWER-ARM-AND-WRIST-TRANSFER

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

0LX6-LEFT-LOWER-ARM-TRANSFER

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

0LX8-LEFT-HAND-TENDON-TRANSFER

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

0LX9-TRUNK-TENDON-TRANSFER

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

0LXB-TRUNK-TENDON-TRANSFER

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

Showing 1–10 of 26

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 Transfer 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 Transfer Procedure Overview

Code Attributes

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers tendon transfer procedures in the right hand?

What specific procedure codes are included in the 0LX7 group?

Under which ICD-10-PCS section and body system are these procedures classified?

Why is accurate coding within the 0LX7 group important for inpatient care?

Which DRG categories may be related to procedures in the 0LX7 code group?

References

When to Use

ICD-10-PCS Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which ICD-10-PCS code group covers tendon transfer procedures in the right hand?

What specific procedure codes are included in the 0LX7 group?

Under which ICD-10-PCS section and body system are these procedures classified?

Why is accurate coding within the 0LX7 group important for inpatient care?

Which DRG categories may be related to procedures in the 0LX7 code group?

References