02QJ0ZG
Repair Tricuspid Valve to Atrioventricular Valve, Right with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 2 Heart and Great Vessels |
| Operation | Q Repair |
| Body Part | J Tricuspid Valve |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | G Atrioventricular Valve, Right |
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
Tricuspid Valve
The tricuspid valve separates the right atrium from the right ventricle and, unlike the mitral valve, is frequently repaired secondary to functional annular dilation caused by left-sided heart disease or pulmonary hypertension rather than primary leaflet pathology. Because tricuspid regurgitation often develops as a consequence of another cardiac problem, repair here is commonly performed alongside a separate procedure on another valve or structure during the same operative session, and coders should verify each root operation reflects the correct body part rather than bundling them together. Techniques include suture annuloplasty, ring implantation, and edge-to-edge leaflet approximation, with the goal of restoring coaptation without narrowing the orifice enough to cause stenosis. The valve's proximity to the conduction system also means documentation should note whether pacing wires were affected or repositioned.
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.
Qualifier: Atrioventricular Valve, Right
This qualifier identifies the right atrioventricular valve, functionally equivalent to the tricuspid valve, used particularly in congenital heart anatomy where conventional valve naming does not fit. It contrasts with the left atrioventricular valve qualifier by side, and with the common atrioventricular valve qualifier used when a single shared valve is present instead.
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.