0U800ZZ
Division Ovary, Right to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | 8 Division |
| Body Part | 0 Ovary, Right |
| Approach | 0 Open |
| 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
Ovary, Right
The right ovary produces oocytes and sex hormones, and division of ovarian tissue refers to cutting into or through the structure without taking any part of it out of the body, a technique used, for example, to release adhesions binding the ovary to adjacent pelvic structures or to detorse and free an ovary twisted on its vascular pedicle. Unlike excision or resection, no ovarian tissue is removed as a specimen in this procedure, so it is distinct from cystectomy or oophorectomy performed for the same underlying condition. Because ovarian tissue is delicate and its blood supply runs through the mesovarium, care during any cutting maneuver is taken to preserve viable follicular tissue and vascular integrity. Laterality must be specified, since the right ovary is coded separately from the left.
Approach: Open
Open approach means the surgeon cuts through skin, mucous membrane, or other tissue layers to physically expose the target site to view before performing the procedure. It gives direct visualization and hands-on access, distinguishing it from Percutaneous approaches where instruments pass through a small puncture without exposing the site. Open is typical for procedures needing wide access, such as most laparotomies.
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.