05QB4ZZ
Repair Basilic Vein, Right to No Qualifier with No Device, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 5 Upper Veins |
| Operation | Q Repair |
| Body Part | B Basilic Vein, Right |
| Approach | 4 Percutaneous Endoscopic |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Restoring, to the extent possible, a body part to its normal anatomic structure and function
Procedure Overview
This family covers surgical repair of the veins that drain the arms, shoulders, chest wall, and skull, including the subclavian, axillary, brachial, basilic, cephalic, hand, azygos, hemiazygos, innominate, and intracranial veins. Repair is used when a vein has been cut, torn, punctured, or has developed a leak or fistula that needs to be closed by suturing or other direct means, and no other, more specific procedure (like replacing the vein with a graft or widening it with a stent) applies. Typical scenarios include a vein injured during trauma, a laceration from a misplaced central line or dialysis catheter, or bleeding discovered during an unrelated operation.
Because these veins carry blood back toward the heart at relatively low pressure, many injuries can be managed with direct suture repair rather than a graft, which is why this family exists as a distinct, catch-all restorative option. Patients undergoing this procedure are typically being treated for an acute injury or a complication of another medical intervention rather than a planned elective condition.
Anatomy & Axis Detail
Basilic Vein, Right
The right basilic vein is a superficial vessel running along the medial forearm and arm, commonly used for peripheral IV access, PICC line placement, and as a conduit for autogenous arteriovenous fistula creation in patients requiring hemodialysis. Repair is indicated for injury sustained during venipuncture, catheter insertion, or trauma, and also for defects identified during fistula surgery when the vein wall is thin, aneurysmal, or has developed a stenotic segment from repeated cannulation. Because the basilic vein is superficial and relatively accessible compared to the deep venous system, repair is usually performed through a direct incision over the vessel without the deeper dissection required for axillary or subclavian repairs.
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
Repair is assigned only when documentation shows the surgeon restored the vein's own tissue to its normal structure - for example, "venorrhaphy," "suture repair of laceration," or "closure of iatrogenic venous injury" - without introducing graft material or performing a more specific root operation. The operative note should identify the exact vein involved (since Upper Veins has separate body part values for each named vessel) and describe the technique used to close the defect.
The most common coding error is defaulting to Repair whenever a vein procedure doesn't obviously fit elsewhere, when in fact a more specific root operation is required if the physician actually excised tissue, controlled bleeding through ligation, or patched the vessel with graft material. Coders also miscode the body part by using a generic "upper vein" value instead of the specific named vessel documented, or they miss that Repair is inappropriate when the vein was ligated and divided rather than reconstructed.