0M540ZZDestruction of Left Elbow Bursa and Ligament, Open Approach

0M540ZZ is the ICD-10-PCS code for a destruction procedure on the left elbow bursa and ligament using an open approach. In ICD-10-PCS, destruction means physical eradication of all or a portion of a body part by the direct use of energy, force, or a destructive agent.

In plain terms, this corresponds to other local excision or destruction of lesion of joint, unspecified site and other local excision or destruction of lesion of joint, elbow, the ICD-9-CM procedure titles it maps to (80.80 and 80.82).

For a different body part, codes include 0M500ZZ (head and neck bursa and ligament), 0M510ZZ (right shoulder bursa and ligament), 0M520ZZ (left shoulder bursa and ligament), 0M530ZZ (right elbow bursa and ligament), 0M550ZZ (right wrist bursa and ligament), 0M560ZZ (left wrist bursa and ligament) and 21 more.

The same procedure with a different approach is coded 0M543ZZ (percutaneous) and 0M544ZZ (percutaneous endoscopic).

It is an operating-room procedure in the MS-DRG logic for DRG 495 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC), DRG 496 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC), DRG 497 (Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC), DRG 628 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler), DRG 629 (Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC) and DRG 630 (Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC), under the surgical categories “Local Excision and Removal of Internal Fixation Devices Except Hip and Femur”, “Other Endocrine, Nutritional and Metabolic O.R. Procedures”, “Other O.R. Procedures for Injuries” and 1 more.

It has been valid since ICD-10-PCS took effect on October 1, 2015.