07QF8ZZ
Repair Lymphatic, Right Lower Extremity to No Qualifier with No Device, Via Natural or Artificial Opening Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 7 Lymphatic and Hemic Systems |
| Operation | Q Repair |
| Body Part | F Lymphatic, Right Lower Extremity |
| Approach | 8 Via Natural or Artificial Opening 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
Repair in this body system is the catch-all corrective procedure used when a lymphatic or hemic structure - most often the spleen, but also lymph nodes, the thymus, or the thoracic duct - has been damaged and needs to be restored to as close to normal anatomy and function as possible, using a technique that does not fit any more specific root operation. A classic example is suturing a lacerated spleen after blunt trauma, sometimes called splenorrhaphy, to control bleeding while preserving the organ rather than removing it. Another is closing a lymphatic fistula or leak, such as a chyle leak from an injured thoracic duct.
These procedures matter clinically because they aim to save the organ or vessel and its function, which for the spleen in particular helps preserve immune defenses that would be lost with removal.
Anatomy & Axis Detail
Lymphatic, Right Lower Extremity
Lymphatic vessels and nodes of the right lower extremity, including the popliteal and lower leg channels above the inguinal region, drain the right leg and foot and are vulnerable to injury during vascular surgery, orthopedic procedures, or trauma to the limb. Repair addresses a lacerated or leaking lymphatic vessel, aiming to restore normal flow and prevent complications such as localized lymphocele or lymphatic drainage into a surgical wound. This is distinct from treatment of chronic lymphedema, which more often involves bypass or transfer procedures rather than direct repair of a single injured vessel. Coders should confirm the documentation describes an identifiable structural defect being closed or restored in the right leg specifically, rather than a broader reconstructive or decompressive lymphatic procedure.
Approach: Via Natural or Artificial Opening Endoscopic
Via Natural or Artificial Opening Endoscopic describes instrumentation introduced through a natural orifice or a surgically created opening while using an endoscope for visualization, as in a routine colonoscopy performed through the anus. It differs from the plain Via Natural or Artificial Opening value by the added scope, and from Percutaneous Endoscopic by using an existing passage rather than a new skin puncture.
Coding & Documentation
Repair is a default root operation, so coders should only assign it after ruling out that the documented technique matches one of the more specific root operations - Release, Reposition, Resection, or a reconstructive operation like Replacement or Supplement. If the note describes suturing a spleen laceration with no other technique implied, Repair is appropriate; if it describes removing damaged splenic tissue along with the repair, part of the procedure may need to be coded as Excision instead. A common documentation gap is a vague operative note that says "repaired" without describing what was actually done, forcing the coder to query the physician rather than guess. Coders should also verify the correct body part, since a thoracic duct repair and a splenic repair use different values.