02QS3ZZ
Repair Pulmonary Vein, Right to No Qualifier with No Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 2 Heart and Great Vessels |
| Operation | Q Repair |
| Body Part | S Pulmonary Vein, 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 is the default root operation for fixing an abnormality of the heart or great vessels when no more specific term - like Replacement, Occlusion, or Restriction - describes what was done. It covers a wide range of interventions, from suturing a traumatic tear in the aorta to closing a congenital defect with the patient's own tissue rather than a device, to correcting an abnormal connection between vessels.
Because Repair is the catch-all category in this body system, it is used for many congenital heart surgeries in children, trauma repairs after chest injury, and corrections of structural problems that don't fit the more specialized definitions elsewhere in the classification. The unifying idea is restoring the anatomy toward its normal form and function using general surgical techniques such as suturing, patching with the patient's own tissue, or reconstructing shape.
Anatomy & Axis Detail
Pulmonary Vein, Right
The right pulmonary vein or veins return oxygenated blood from the right lung to the left atrium, and repair of this structure is performed for conditions such as anomalous pulmonary venous connection, where one or more of the right-sided veins drain into the wrong chamber, or for acquired stenosis that can develop after ablation procedures or prior venous surgery. Because pulmonary vein stenosis tends to progress and can be technically difficult to correct durably, surgeons may use patch venoplasty or sutureless repair techniques that mobilize the surrounding atrial or pericardial tissue rather than suturing directly onto the narrowed vein wall, reducing recurrent scarring. The right side is coded separately from the left, and when multiple right pulmonary veins are involved in a single reconstructive procedure, documentation should clarify the extent of venous confluence addressed.
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
Coders should only reach for Repair after ruling out every more specific root operation that fits the documented objective, since ICD-10-PCS convention states a more precise term always takes priority over Repair when both could apply. This makes accurate code assignment dependent on close reading of the operative note for words like "patch," "suture," or "reconstruct" versus terms suggesting occlusion, replacement, or restriction. A common mistake is defaulting to Repair out of convenience when a synthetic patch or device was actually used, which should instead point toward Supplement or Replacement depending on the material and intent.