0LQ60ZZ
Repair Lower Arm and Wrist Tendon, Left to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | L Tendons |
| Operation | Q Repair |
| Body Part | 6 Lower Arm and Wrist Tendon, Left |
| Approach | 0 Open |
| 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 on tendons address damage from lacerations, partial tears, or defects that need to be closed or restored using suture or local tissue, without replacing the tendon with graft material or moving it to a new anatomic position. This is the default root operation for tendon surgery whenever no more specific objective, such as replacement, reposition, or resection, applies. A classic example is suturing a lacerated flexor tendon in the hand after a knife injury, or closing a partial tear in the Achilles tendon.
These procedures are performed to restore a tendon's ability to transmit muscle force to bone, which is essential for normal joint movement. Left unrepaired, a torn or lacerated tendon can lead to permanent loss of motion or strength in the affected limb, so timely repair is often emphasized, particularly for tendons in the hand and wrist where scarring and adhesions can quickly limit the surgical window.
Anatomy & Axis Detail
Lower Arm and Wrist Tendon, Left
On the left side, the lower arm and wrist tendons serve the same mechanical role of linking forearm musculature to wrist and finger movement, but laterality matters clinically because handedness and occupational exposure often determine which limb sustains injury. These tendons run superficially near the wrist crease, making them vulnerable to self-inflicted or accidental lacerations, and deeper along the forearm where they can be injured by penetrating trauma or crush mechanisms. Repair restores the cut or frayed tendon ends, typically with core sutures reinforced by an epitendinous stitch, and may require identifying retracted proximal segments through a separate incision. Because flexor and extensor tendons in this region are often repaired in the same operative session, coders should confirm the specific tendon and confirm the procedure is a suture repair rather than a graft or transfer.
Approach: Open
Open approach means the surgeon cuts through skin, mucous membrane, or other tissue layers to physically expose the target site to view before performing the procedure. It gives direct visualization and hands-on access, distinguishing it from Percutaneous approaches where instruments pass through a small puncture without exposing the site. Open is typical for procedures needing wide access, such as most laparotomies.
Coding & Documentation
Coders assign a Repair code when the documentation describes suturing, direct closure, or similar restoration of tendon continuity using the patient's own tissue, without a graft substituting for missing tendon substance. The operative note should specify which tendon and where along its course the repair occurred, since ICD-10-PCS body part values distinguish tendons by region rather than by naming every individual tendon.
The most common assignment error is choosing Repair by default without first ruling out a more specific root operation; if the surgeon used graft material to bridge a tendon gap, Replacement is more accurate, and if the tendon was cut and moved to a different location for realignment, Reposition applies instead. Another frequent miss is failing to code a separate procedure when Repair is done as an unplanned part of a more complex operation, such as fixing an incidental tendon nick during another surgery.