0VLP3CZ
Occlusion Vas Deferens, Left to No Qualifier with Extraluminal Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | V Male Reproductive System |
| Operation | L Occlusion |
| Body Part | P Vas Deferens, Left |
| Approach | 3 Percutaneous |
| Device | C Extraluminal Device |
| Qualifier | Z No Qualifier |
Operation Definition
Completely closing an orifice or the lumen of a tubular body part
Procedure Overview
Occlusion procedures in the male reproductive system close off a tubular structure so that material can no longer pass through it, and the vas deferens is the body part most often involved. The classic example is vasectomy, where each vas deferens is tied, clipped, cauterized, or otherwise sealed to prevent sperm from reaching the ejaculate, providing a permanent method of contraception.
These procedures are usually performed in an office or outpatient setting under local anesthesia and are chosen by men who have decided they do not want to father children in the future. Because the goal is complete closure rather than narrowing or removal, the approach can vary from a traditional incisional technique to a no-scalpel method, but the underlying objective, blocking the lumen entirely, stays the same.
Anatomy & Axis Detail
Vas Deferens, Left
The left vas deferens mirrors its right counterpart in course and function, and its occlusion completes the second side of a standard bilateral vasectomy when performed together with the right, or may be reported alone if only unilateral occlusion is clinically indicated. The duct is isolated through the scrotal skin, freed from the surrounding cord structures, and interrupted by ligation, clipping, or cautery to block sperm transit while sparing the testicular artery and venous plexus. Confirmation of successful occlusion is generally established later through semen analysis rather than at the time of the procedure itself, and documentation should specify that the vas deferens, not the broader spermatic cord, was the structure occluded.
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: Extraluminal Device
Extraluminal Device describes a device positioned on the outside surface of a tubular or hollow body part rather than within its lumen, such as a vascular banding or external stabilization device. It is the structural counterpart to Intraluminal Device, distinguished by its external placement relative to the vessel or duct wall rather than sitting inside the passageway itself.
Coding & Documentation
Coders assign an Occlusion code when documentation confirms the vas deferens (or another applicable structure) was completely closed, using terms like ligated, clipped, cauterized, or sealed with no opening left. The operative note should specify whether both sides were done bilaterally or only one, since laterality affects body part selection, and should describe the technique used to determine the correct approach value.
A common mistake is confusing occlusion with excision when a segment of the vas deferens is actually removed rather than just closed off; if a portion of the duct is cut out, Excision may need to be considered alongside or instead of Occlusion depending on the technique documented. Coders should also confirm bilaterality is explicitly stated rather than assumed, since an incomplete note describing only one side changes the code selection.