ICD-10-PCS Code For Elbow Bursa And Ligament Left: Procedure Code Group Overview

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) code group 0MD4 includes procedures performed to extract tissue by pulling or stripping from the bursae and ligaments of the left elbow. These ICD-10-PCS codes are used for inpatient documentation when a clinician removes all or a portion of an elbow bursa or ligament by the use of force. Accurate coding within the ICD-10-PCS 0MD4 group is essential for proper inpatient reimbursement, as it captures the specific extraction procedure performed and supports clinical documentation accuracy.

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Elbow Bursa And Ligament Extraction Procedure Overview

Procedures in this group involve the extraction of all or a portion of elbow bursae and ligaments by the use of force. These procedures target the bursae and ligaments of the left elbow and remove tissue or foreign material using pulling or stripping techniques. Accurate coding of these extraction procedures is important for inpatient reimbursement because it documents the specific operation and anatomic site treated, which affects case mix and payment.

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
M	Body System	Bursae and Ligaments
D	Operation	Extraction
4	Body Part	Elbow Bursa and Ligament, Left

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ICD-10-PCS Code For Elbow Bursa And Ligament Left: Procedure Code Group Overview

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Elbow Bursa And Ligament Extraction Procedure Overview

Code Attributes

Character	ICD-10-PCS Category	Code Group Details
0	Section	Medical and Surgical
M	Body System	Bursae and Ligaments
D	Operation	Extraction
4	Body Part	Elbow Bursa and Ligament, Left

When to Use

Use a code from this group when the operative report documents removal of all or part of an elbow bursa or ligament on the left side performed by pulling or stripping techniques. Do not use these codes for resections, repairs, or removals performed by methods other than extraction by force.

ICD-10-PCS Codes

3 rows

ICD-10-PCS Code	Description
0MD40ZZ	Extraction of Left Elbow Bursa and Ligament, Open Approach
0MD43ZZ	Extraction of Left Elbow Bursa and Ligament, Percutaneous Approach
0MD44ZZ	Extraction of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
500	Soft Tissue Procedures with MCC
501	Soft Tissue Procedures with CC
502	Soft Tissue Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A 68-year-old man with a history of rheumatoid arthritis presents with a chronically swollen, painful left olecranon bursa refractory to repeated aspiration and conservative therapy. During an inpatient admission for management of persistent inflammation and to obtain definitive source control, the surgical team removes the diseased portion of the left elbow bursa using an open extraction technique to excise inflamed tissue that cannot be managed percutaneously. The operation is performed because pulling/stripping out the bursal tissue is required to relieve symptoms and prevent ongoing infection or inflammation. Typical codes: 0MD40ZZ
A 45-year-old construction worker presents emergently after a high-velocity forearm injury with a deep laceration over the left elbow and suspected entrapment of torn ligamentous tissue within the wound causing joint instability. Inpatient surgical exploration is undertaken where devitalized ligament fibers and foreign material are pulled and stripped out of the left elbow to restore tissue planes and permit definitive repair or staged management. Because extraction of ligament tissue is performed through a percutaneous approach to remove obstructing fragments, an extraction code reflecting a non-open approach is used. Typical codes: 0MD43ZZ
A 52-year-old woman returns to the hospital with persistent drainage and pain after a prior minimally invasive elbow procedure; imaging suggests retained torn ligament fragments and granulation tissue within the left elbow joint. During an inpatient secondary procedure, the surgeon uses endoscopic visualization to identify and strip out residual ligament and bursal tissue that impede healing and are the likely source of ongoing inflammation. The extraction is performed through a percutaneous endoscopic approach to remove the residual tissue while minimizing additional soft-tissue disruption. Typical codes: 0MD44ZZ

Related Codes

0MD0-HEAD-AND-NECK-EXTRACTION

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

0MD1-SHOULDER-BURSA-EXTRACTION

ICD-10-PCS Code For Shoulder Bursa And Ligament: Procedure Code Group Overview

0MD2-LEFT-SHOULDER-EXTRACTION

ICD-10-PCS Code For Left Shoulder Bursa And Ligament: Procedure Code Group Overview

0MD3-ELBOW-BURSA-AND-LIGAMENT-EXTRACTION

ICD-10-PCS Code For Elbow Bursa And Ligament: Procedure Code Group Overview

0MD5-WRIST-BURSA-AND-LIGAMENT-EXTRACTION

ICD-10-PCS Code For Wrist Bursa And Ligament: Procedure Code Group Overview

0MD6-LEFT-WRIST-EXTRACTION

ICD-10-PCS Code For Left Wrist: Procedure Code Group Overview

0MD7-RIGHT-HAND-PULLING-OR-STRIPPING-HAND-BURSA-AND-LIGAMENT

ICD-10-PCS Code For Hand Bursa And Ligament Right: Procedure Code Group Overview

0MD8-LEFT-HAND-EXTRACTION

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

0MD9-UPPER-EXTREMITY-BURSA-EXTRACTION

ICD-10-PCS Code For Upper Extremity Bursa And Ligament, Right: Procedure Code Group Overview

0MDB-LEFT-UPPER-EXTREMITY-EXTRACTION

ICD-10-PCS Code For Left Upper Extremity: 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

3 rows

ICD-10-PCS Code	Description
0MD40ZZ	Extraction of Left Elbow Bursa and Ligament, Open Approach
0MD43ZZ	Extraction of Left Elbow Bursa and Ligament, Percutaneous Approach
0MD44ZZ	Extraction of Left Elbow Bursa and Ligament, Percutaneous Endoscopic Approach

DRG Codes

9 rows

DRG Code	Description
500	Soft Tissue Procedures with MCC
501	Soft Tissue Procedures with CC
502	Soft Tissue Procedures without CC/MCC
907	Other O.R. Procedures for Injuries with MCC
908	Other O.R. Procedures for Injuries with CC
909	Other O.R. Procedures for Injuries without CC/MCC
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC

Typical Clinical Scenarios

A 68-year-old man with a history of rheumatoid arthritis presents with a chronically swollen, painful left olecranon bursa refractory to repeated aspiration and conservative therapy. During an inpatient admission for management of persistent inflammation and to obtain definitive source control, the surgical team removes the diseased portion of the left elbow bursa using an open extraction technique to excise inflamed tissue that cannot be managed percutaneously. The operation is performed because pulling/stripping out the bursal tissue is required to relieve symptoms and prevent ongoing infection or inflammation. Typical codes: 0MD40ZZ
A 45-year-old construction worker presents emergently after a high-velocity forearm injury with a deep laceration over the left elbow and suspected entrapment of torn ligamentous tissue within the wound causing joint instability. Inpatient surgical exploration is undertaken where devitalized ligament fibers and foreign material are pulled and stripped out of the left elbow to restore tissue planes and permit definitive repair or staged management. Because extraction of ligament tissue is performed through a percutaneous approach to remove obstructing fragments, an extraction code reflecting a non-open approach is used. Typical codes: 0MD43ZZ
A 52-year-old woman returns to the hospital with persistent drainage and pain after a prior minimally invasive elbow procedure; imaging suggests retained torn ligament fragments and granulation tissue within the left elbow joint. During an inpatient secondary procedure, the surgeon uses endoscopic visualization to identify and strip out residual ligament and bursal tissue that impede healing and are the likely source of ongoing inflammation. The extraction is performed through a percutaneous endoscopic approach to remove the residual tissue while minimizing additional soft-tissue disruption. Typical codes: 0MD44ZZ

Related Codes

0MD0-HEAD-AND-NECK-EXTRACTION

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

0MD1-SHOULDER-BURSA-EXTRACTION

ICD-10-PCS Code For Shoulder Bursa And Ligament: Procedure Code Group Overview

0MD2-LEFT-SHOULDER-EXTRACTION

ICD-10-PCS Code For Left Shoulder Bursa And Ligament: Procedure Code Group Overview

0MD3-ELBOW-BURSA-AND-LIGAMENT-EXTRACTION

ICD-10-PCS Code For Elbow Bursa And Ligament: Procedure Code Group Overview

0MD5-WRIST-BURSA-AND-LIGAMENT-EXTRACTION

ICD-10-PCS Code For Wrist Bursa And Ligament: Procedure Code Group Overview

0MD6-LEFT-WRIST-EXTRACTION

ICD-10-PCS Code For Left Wrist: Procedure Code Group Overview

0MD7-RIGHT-HAND-PULLING-OR-STRIPPING-HAND-BURSA-AND-LIGAMENT

ICD-10-PCS Code For Hand Bursa And Ligament Right: Procedure Code Group Overview

0MD8-LEFT-HAND-EXTRACTION

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

0MD9-UPPER-EXTREMITY-BURSA-EXTRACTION

ICD-10-PCS Code For Upper Extremity Bursa And Ligament, Right: Procedure Code Group Overview

0MDB-LEFT-UPPER-EXTREMITY-EXTRACTION

ICD-10-PCS Code For Left Upper Extremity: 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 Elbow Bursa And Ligament Left: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Elbow Bursa And Ligament Left: Procedure Code Group Overview policy alerts

Elbow Bursa And Ligament Extraction Procedure Overview

Code Attributes

ICD-10-PCS Code For Elbow Bursa And Ligament Left: Procedure Code Group Overview

Sign up for ICD-10-PCS Code For Elbow Bursa And Ligament Left: Procedure Code Group Overview policy alerts

Elbow Bursa And Ligament Extraction 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 0MD4?

What is the clinical focus of procedures in the Elbow Bursa and Ligament, Left group?

What ICD-10-PCS section and operation type apply to 0MD4 codes?

How do codes in this group affect inpatient documentation and reimbursement?

Which DRGs may be related when coding procedures from the 0MD4 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 0MD4?

What is the clinical focus of procedures in the Elbow Bursa and Ligament, Left group?

What ICD-10-PCS section and operation type apply to 0MD4 codes?

How do codes in this group affect inpatient documentation and reimbursement?

Which DRGs may be related when coding procedures from the 0MD4 group?

References