0UL64ZZ
Occlusion Fallopian Tube, Left 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 | L Occlusion |
| Body Part | 6 Fallopian Tube, Left |
| Approach | 4 Percutaneous Endoscopic |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Completely closing an orifice or the lumen of a tubular body part
Procedure Overview
Occlusion procedures close off a female reproductive structure completely, most often the fallopian tubes for permanent sterilization. A surgeon may apply clips or rings, place a band, tie and cut the tube, or use energy to seal it shut, all with the goal of preventing an egg and sperm from meeting. The same root operation also covers occluding other structures, such as blocking abnormal blood vessels feeding fibroids or sealing off a vaginal segment for specific reconstructive reasons.
Most people encounter this family of procedures as tubal ligation, a decision usually made after childbearing is complete or when pregnancy would pose a health risk. It can be performed on its own through small laparoscopic incisions, immediately after a vaginal delivery, or alongside a cesarean section while the abdomen is already open. Because the tubes are fully closed rather than partially altered, the procedure is intended to be permanent, though reversal is sometimes attempted later with variable success.
Anatomy & Axis Detail
Fallopian Tube, Left
The left fallopian tube is the mirror structure to its right-sided counterpart, and occlusion performed on this side alone follows the same technical principles, whether accomplished through mechanical clips, bands, rings, or thermal coagulation of the tubal segment. Surgeons must carefully identify the left tube and trace it to its fimbriated end before occlusion, since mistaking the round ligament for the tube is a recognized technical error. Left-sided occlusion may be performed in isolation when the right tube has already been removed or ligated in a prior procedure, or it may represent one component of a same-session bilateral sterilization. As with the right side, correct laterality documentation is essential for accurate procedural and billing records.
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 assign an Occlusion code when documentation confirms the target lumen or orifice was closed in its entirety, not merely narrowed or reduced. The operative report should name the device used - clips, rings, bands, or ligature - and the specific tube or vessel addressed, since this drives both the approach and device value in the code. A frequent mix-up is choosing Occlusion when the physician actually removed a segment of tube along with tying off the ends; if a portion of the structure is taken out, Excision or Resection better reflects the work performed, and the coder should look for wording like "segment removed" versus "tube ligated and left in place." Bilateral procedures also require attention, since both tubes typically need to be reflected in the code selection.
Commonly Confused With
This family is easily confused with Excision when a tubal segment is cut out as part of the sterilization technique, and with Restriction, which narrows rather than fully closes a lumen. Occlusion for sterilization can also be confused with Occlusion of a fibroid's blood supply during uterine artery embolization; the body part value distinguishes a reproductive tube from a vessel, so the coder must confirm exactly what structure was closed. Reviewing whether the procedure was meant to be permanent and complete, versus partial or temporary, helps separate Occlusion from these neighboring root operations.