0QC30ZZ
Extirpation Pelvic Bone, Left to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | Q Lower Bones |
| Operation | C Extirpation |
| Body Part | 3 Pelvic Bone, Left |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Taking or cutting out solid matter from a body part
Procedure Overview
Extirpation of the lower bones is the removal of solid material that doesn't belong there - a loose bone fragment, a piece of dead bone (sequestrum) left behind by infection, or debris lodged in the bone following trauma. Unlike cutting away living bone tissue, this procedure clears out material that is already separated or non-viable, which is why it's often paired with treating osteomyelitis or cleaning up after a fracture.
Patients typically undergo this when imaging or prior surgery has identified fragments that are causing pain, blocking healing, or perpetuating an infection. Removing the material can relieve symptoms and allow the surrounding bone to heal normally.
Anatomy & Axis Detail
Pelvic Bone, Left
The left pelvic bone is one half of the bony pelvic ring, comprising the ilium, ischium, and pubis, and it supports the hip joint while providing attachment for the abdominal wall, gluteal, and thigh musculature. Extirpation here removes solid matter that does not belong, for example a bone sequestrum from a chronic infection, retained hardware fragments, or necrotic tissue following a pelvic fracture that has failed to heal properly, without excising any of the pelvic bone's own structure. Given the bone's complex three-dimensional shape and its relationship to the sciatic notch and obturator foramen, surgeons must take care to protect adjacent neurovascular structures during removal, and the specific subregion involved, iliac, ischial, or pubic, should be captured in the documentation.
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
Look for documentation describing removal of a sequestrum, loose body, necrotic bone fragment, or foreign material from within a lower bone. Sequestrectomy for chronic osteomyelitis is a classic example. The material removed should be distinguishable from the bone itself - it's being taken out of the bone, not cut from it. A frequent coding mistake is defaulting to excision whenever a bone procedure is described, without checking whether the surgeon was actually removing a discrete, already-separated fragment versus cutting living bone; the two require different root operations even when performed through the same incision.