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Repair Hand Bursa and Ligament, Left to No Qualifier with No Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | M Bursae and Ligaments |
| Operation | Q Repair |
| Body Part | 8 Hand Bursa and Ligament, Left |
| 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
This family covers surgical repair of a bursa or ligament when it is torn, lacerated, or otherwise damaged but not being replaced with graft material or reinforced with supplemental tissue. Ligaments connect bone to bone and stabilize joints such as the knee, ankle, shoulder, and wrist, while bursae are small fluid-filled sacs that cushion friction points between tendons, bone, and skin. Damage to either structure typically comes from a sudden twisting injury, a fall, overuse, or a laceration, and can leave a joint feeling unstable, painful, or prone to giving way.
The surgeon's goal is to bring the torn edges of the ligament back together, or close and stabilize a ruptured or infected bursa, restoring the structure as close to its original anatomy as the tissue allows. This might mean suturing a partial ligament tear, draining and closing an infected olecranon or prepatellar bursa, or repairing a bursal rupture found during an open procedure. Recovery generally involves bracing or immobilization followed by physical therapy to regain strength and range of motion, and outcomes depend heavily on how completely the native tissue can be restored.
Anatomy & Axis Detail
Hand Bursa and Ligament, Left
The left hand contains a dense network of small bursae and ligaments - intercarpal, metacarpophalangeal collateral, and volar plate structures among them - that stabilize the fine, high-demand joints used in grip and pinch. These structures are thin, closely packed among tendons and neurovascular bundles, and repair here is prompted by lacerations, crush injuries, sports-related sprains, or attenuation from chronic overuse and arthritis that leaves a joint unstable or painful. Because the hand's ligaments are small and the surgical field crowded, repair often means direct suturing or reattachment under magnification rather than reconstruction with graft material, and documentation should specify the exact ligament or bursa involved since many procedures on a single hand target more than one structure in the same operative session.
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 look for operative language describing suturing, closure, or reattachment of a bursa or ligament without the use of graft or synthetic material - words like "repaired," "sutured," or "reattached primarily" point here rather than to Replacement or Supplement. The documentation needs to specify which named bursa or ligament was involved and confirm no device or biologic material was left in place to reinforce the structure. A frequent error is coding Repair when the operative note actually describes a mesh or allograft reinforcing the ligament, which belongs under Supplement instead. Another common miss is failing to distinguish a simple bursa drainage (Drainage root operation) from an actual repair of the bursal wall itself.