0UP83DZ
Removal Fallopian Tube 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 | P Removal |
| Body Part | 8 Fallopian Tube |
| Approach | 3 Percutaneous |
| Device | D Intraluminal Device |
| Qualifier | Z No Qualifier |
Operation Definition
Taking out or off a device from a body part
Procedure Overview
Removal procedures take out a device that was previously placed in or on a female reproductive organ, rather than treating the organ or tissue itself. Common examples include removing an intrauterine device, a pessary used for prolapse support, a vaginal packing or drain, or a surgical mesh or sling material used in prior reconstructive surgery. The organ housing the device is not being treated for disease during this procedure; the focus is solely on extracting the implanted or inserted material.
Patients encounter this family of procedures for many reasons - an IUD reaching the end of its approved lifespan, a device causing discomfort or complications, or a temporary object like packing that was always meant to come out after a set period. Depending on the device and how it was originally placed, removal can be a simple office procedure or require a return trip to the operating room, particularly if the device has become embedded or scarred into surrounding tissue.
Anatomy & Axis Detail
Fallopian Tube
The fallopian tube serves as the passage for the ovum toward the uterus, and Removal is coded when a device previously placed in or on the tube, such as a sterilization coil, clip, or ring used for tubal occlusion, is taken out of the body. This is distinct from salpingectomy, where the tube itself is excised or resected, since Removal here refers only to extracting hardware or material, not native tissue. Such procedures arise when a patient requests reversal of tubal sterilization, when a previously placed occlusive device has migrated or caused symptoms, or when a device is being exchanged for another type. Correct coding depends on identifying that the tubal tissue remains in place and only the foreign device is being extracted during the encounter.
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
This root operation is coded when a device is taken out and nothing is put in its place during that same encounter; documentation should identify the specific device removed and confirm no new device was inserted, since a simultaneous removal and replacement is captured differently. Coders need to verify the device type against the correct device value, distinguishing, for instance, an IUD from a pessary from mesh, as each has its own qualifying detail. A frequent error is coding Removal alone when a device is taken out and immediately replaced with a new one in the same session, which instead calls for a distinct combination of Removal and Insertion, or in some code sets a single replacement concept; another is overlooking Removal entirely when it happens incidentally during a different primary procedure, such as taking out an IUD before a hysteroscopy.