0UQ53ZZ
Repair Fallopian Tube, Right to No Qualifier with No Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | Q Repair |
| Body Part | 5 Fallopian Tube, Right |
| Approach | 3 Percutaneous |
| 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
Repair procedures in the female reproductive system cover surgeries that restore a body part to its normal structure and function when no other root operation more precisely describes what was done. This is the root operation used when a surgeon closes a laceration, drains a hematoma, or corrects a defect without removing tissue, replacing it with a substitute, or rearranging anatomy in one of the other specific ways ICD-10-PCS defines. It is essentially a catch-all for reconstructive or corrective work on the uterus, ovaries, fallopian tubes, vagina, vulva, or cervix.
Patients encounter these procedures after childbirth trauma, such as suturing a perineal or cervical tear, or following an injury or unintended surgical complication, such as repairing an accidental puncture of the uterus during another operation. Because Repair is a residual category, it is only assigned when the documentation doesn't support a more specific term like Resection, Reposition, or Supplement.
Anatomy & Axis Detail
Fallopian Tube, Right
The right fallopian tube is repaired to correct structural problems such as a tubal pregnancy managed with salpingostomy and tube-sparing removal of ectopic tissue, a partial tubal rupture, or reversal of prior sterilization through tubal reanastomosis. Because the fallopian tube is a narrow, delicate structure responsible for transporting the egg toward the uterus, its internal patency and the integrity of its fimbriated end are important considerations that influence future fertility outcomes. Scarring from pelvic inflammatory disease or endometriosis can distort the tube and complicate repair, and surgeons often use microsurgical technique to reconnect segments or close a defect while preserving the lumen. Documentation should reflect that the procedure aimed to restore normal tubal anatomy rather than remove tissue or the tube itself.
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.
Coding & Documentation
A coder should turn to Repair only after confirming that none of the more specific root operations apply, since PCS coding conventions treat Repair as the default rather than a first choice. The operative note needs to clearly describe suturing, closure, or reconstruction of a defect, along with the exact structure involved (for example, cervix versus vaginal wall) and the surgical approach, whether open, percutaneous endoscopic, or vaginal.
The most common assignment error is defaulting to Repair when the surgeon actually performed a more specific operation, such as reattaching a prolapsed structure to its normal position (Reposition) or reinforcing tissue with mesh (Supplement). Coders also sometimes miss that a repair performed incidentally during a different primary procedure, like repairing a cystotomy during a hysterectomy, may not need separate coding depending on payer and coding guideline rules.