0DQF3ZZ
Repair Large Intestine, Right to No Qualifier with No Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | D Gastrointestinal System |
| Operation | Q Repair |
| Body Part | F Large Intestine, 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 gastrointestinal system cover the surgical closure or reconstruction of a digestive organ that has been torn, perforated, or otherwise damaged, when no other specific repair method already describes the fix. Surgeons turn to this approach after trauma such as a stab wound to the bowel, a perforated ulcer that has eaten through the stomach wall, an anastomotic leak following prior surgery, or an iatrogenic injury discovered during an unrelated abdominal operation. The goal is simply to restore the organ's structural integrity so it can resume its normal role in digestion, whether that means stitching a hole in the small intestine or closing a fistula tract between the colon and bladder.
Because the digestive tract runs from the esophagus to the rectum, repair here can mean anything from suturing an esophageal perforation to closing a gastric wall defect or oversewing a colonic laceration. Patients typically need this kind of surgery on an urgent or emergent basis, since untreated perforations lead to peritonitis and sepsis, though elective repairs of chronic fistulas or hernia-related defects also fall into this category.
Anatomy & Axis Detail
Large Intestine, Right
The right large intestine, comprising the cecum, ascending colon, and hepatic flexure region as a functional grouping distinct from the left colon, is repaired for perforation, traumatic laceration, or an inadvertent enterotomy occurring in this vascular territory supplied by the superior mesenteric vessels. This right-sided segment carries thinner, more distensible wall and a wider luminal diameter than the left colon, which generally lowers perforation pressure but also means defects here can be sizable before symptoms prompt intervention. Repair is chosen over resection when the injured segment retains adequate blood supply and tissue integrity for primary closure, and documentation should specify laterality clearly since right- and left-sided large intestine repairs are captured with distinct body part values in this classification.
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
This root operation applies only when the documentation describes a suture, staple, or other closure technique aimed at restoring anatomy, and no dedicated root operation such as Bypass, Occlusion, or Restriction better captures the intent. The operative note must specify the organ repaired and the technique used, since Repair is the default, catch-all code whenever a more specific term does not fit. A common assignment error is coding Repair when the documentation actually supports Resection with reconnection, or when a hernia repair with mesh should instead be captured as Supplement. Coders also need to confirm laterality is not applicable here, since most GI structures are midline, and to verify whether the repair was open, percutaneous, or via a natural or artificial opening.