0UL53DZ
Occlusion Fallopian Tube, Right to No Qualifier with Intraluminal Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | L Occlusion |
| Body Part | 5 Fallopian Tube, Right |
| Approach | 3 Percutaneous |
| Device | D Intraluminal 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, Right
The right fallopian tube carries the oocyte from the right ovary toward the uterine cavity, and occluding it is the anatomic basis for permanent contraception performed on that side alone, whether by clip, ring, band, or coagulation of the tubal segment. Because the tube is thin and mobile within the mesosalpinx, laparoscopic occlusion requires grasping and stabilizing the correct segment before applying the device or energy source. Documenting laterality matters clinically, since a right-sided procedure may be performed alone if the left tube was previously removed or is being addressed separately, or as one half of a bilateral sterilization performed in the same operative session. Confirmation of correct tube identification, distinguishing it from the round ligament, is a key procedural step.
Approach: Percutaneous
Percutaneous describes entry by needle or instrument puncture through the skin or mucous membrane to reach the site of the procedure, without cutting the tissue open or using a visualizing scope. It differs from Open in that the site itself is never exposed, and from Percutaneous Endoscopic in that no endoscope is used to see internal structures. Common examples include needle biopsies and injections.
Device: Intraluminal Device
Intraluminal Device denotes a single device, such as a stent or occlusion device, positioned within the lumen of a tubular body part like a vessel, duct, or airway to maintain patency or occlude flow. It carries no drug coating or radioactivity, distinguishing it from the drug-eluting, radioactive, and bioactive intraluminal device values, and from Extraluminal Device, which sits outside rather than inside the lumen.
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.