0U824ZZ
Division Ovaries, Bilateral to No Qualifier with No Device, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | 8 Division |
| Body Part | 2 Ovaries, Bilateral |
| Approach | 4 Percutaneous Endoscopic |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Cutting into a body part, without draining fluids and/or gases from the body part, in order to separate or transect a body part
Procedure Overview
Division procedures cut into a body part of the female reproductive system to separate or transect it, without draining any fluid or gas and without removing tissue from the body. Within this body system, division is most often applied to fibrous bands, septa, or connective structures that need to be severed so that two areas can move or function independently, rather than to organs themselves.
An example is division of a uterine septum, a congenital band of tissue splitting the uterine cavity that can contribute to infertility or recurrent miscarriage; cutting through the septum with a hysteroscopic scissor, laser, or resectoscope loop separates the two sides of the cavity into one functional space. Because nothing is removed and no fluid is drained, division differs from many other cutting procedures in this body system, and the physician's goal is purely mechanical separation of tissue that should not be fused together.
Anatomy & Axis Detail
Ovaries, Bilateral
When both ovaries are addressed together, division refers to cutting adhesive bands or ligamentous attachments affecting each gonad without excising ovarian tissue, coded once to capture the bilateral nature of the procedure. This situation arises when adhesions from chronic pelvic inflammatory disease, endometriosis, or prior bilateral surgery tether both ovaries to adjacent pelvic structures, restricting mobility or causing pain, and freeing them requires working in two separate but symmetric surgical fields. Coders should confirm that the documentation supports action on both ovaries rather than one, since a unilateral procedure would be reported differently, and that the intervention truly involves cutting rather than any removal, which would instead fall under release, excision, or resection depending on what was actually accomplished.
Approach: Percutaneous Endoscopic
Percutaneous Endoscopic combines a puncture through skin or mucous membrane with insertion of an endoscope to visualize the procedure internally, as in laparoscopic cholecystectomy. It is distinguished from plain Percutaneous by the presence of scope-guided visualization, and from Via Natural or Artificial Opening Endoscopic by its route being a new puncture rather than an existing orifice or stoma.
Coding & Documentation
Coders should confirm the operative note describes cutting to separate or free a structure, such as a septum or adhesion band, with no mention of tissue removal or specimen collection and no fluid drainage as part of the same act. Hysteroscopic septum resection notes need particular attention, since some surgeons describe the procedure loosely as 'resection' even when the technique is purely transection of a septum without taking a specimen - in that case Division is the correct root operation despite the wording used by the surgeon. A common error is applying Division when the documentation actually shows fluid being released as part of the same cut, which would instead point to Drainage, or when tissue is excised for pathology, which would point to Excision.