0DPV3KZ
Removal Mesentery to No Qualifier with Nonautologous Tissue Substitute, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | D Gastrointestinal System |
| Operation | P Removal |
| Body Part | V Mesentery |
| Approach | 3 Percutaneous |
| Device | K Nonautologous Tissue Substitute |
| Qualifier | Z No Qualifier |
Operation Definition
Taking out or off a device from a body part
Procedure Overview
This family covers taking out a device that was previously placed in or on a digestive organ, such as a feeding tube, stent, drain, or other implanted material, without performing a therapeutic repair on the underlying tissue at the same time. It is used whenever a device has completed its purpose, malfunctioned, or needs to be exchanged, and the physician's task is specifically to extract it.
Common examples include removing a gastrostomy or jejunostomy tube that is no longer needed, retrieving a migrated or clogged esophageal or colonic stent, or taking out a drain that was left in the abdominal cavity near the bowel after a prior operation. This is typically a lower-risk, often outpatient or bedside procedure compared to the original placement, though stent retrieval can sometimes require endoscopic maneuvering if the device has become embedded or displaced.
Anatomy & Axis Detail
Mesentery
Removal from the mesentery refers to taking out a device fixed within this fold of peritoneum that suspends the small bowel and carries its vascular supply, such as a catheter or marker anchored to the mesentery during a prior procedure. Because the mesentery contains the mesenteric vessels feeding the intestine, any manipulation here carries a heightened risk of bleeding or compromising bowel perfusion, so the location and fixation method of the original device shape how cautiously it must be freed. This code is used relatively infrequently compared with other gastrointestinal removal sites, and documentation should clearly establish that the device was mesenteric rather than sited on an adjacent structure like the omentum or bowel wall.
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: Nonautologous Tissue Substitute
Nonautologous Tissue Substitute refers to biologic material sourced from a donor or another species, such as an allograft or xenograft, used to replace a body part. It differs from Autologous Tissue Substitute by tissue origin outside the patient's own body, and from Synthetic Substitute by being biologic rather than manufactured material.
Coding & Documentation
A code from this family applies when documentation shows a device is being taken out and no new device is being put in its place at that same site during the same encounter; if the old device is removed and immediately replaced with a new one, that exchange is typically captured with a different root operation combination or specific replacement coding guidance rather than Removal alone. Coders should verify exactly what type of device was removed and from which specific body part, since a stent removed from the esophagus is coded differently than one removed from the colon. A frequent error is coding Removal when the physician actually repositioned or adjusted a device rather than taking it out entirely, or when removal was immediately followed by replacement with a similar device, which changes the coding approach. Documentation should clearly state the device type and confirm it was not replaced in the same operative episode for a clean Removal code to apply.