05S70ZZ
Reposition Axillary Vein, Right to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 5 Upper Veins |
| Operation | S Reposition |
| Body Part | 7 Axillary Vein, Right |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Moving to its normal location, or other suitable location, all or a portion of a body part
Procedure Overview
Reposition procedures in the upper venous system involve surgically moving a vein - or a segment of one - from its current location to a new or corrected anatomic position, without removing tissue or replacing it with graft material. The most familiar example is basilic vein transposition, where a superficial arm vein is mobilized and rerouted to a more superficial position under the skin so it can be reliably accessed for hemodialysis. Reposition can also apply to correcting a vein that has migrated, kinked, or been displaced by prior surgery or injury.
This type of procedure is generally planned rather than emergent, often performed to create durable, usable vascular access for patients who need long-term treatments such as dialysis, or to correct anatomy that is interfering with normal venous drainage.
Anatomy & Axis Detail
Axillary Vein, Right
The right axillary vein continues from the basilic vein through the axilla, becoming the subclavian vein at the outer border of the first rib, and it serves as a major conduit for venous return from the right upper extremity as well as a site for dialysis access and certain catheter placements. Repositioning this vessel is generally undertaken to address venous outlet obstruction, to reroute the vein during reconstruction after axillary trauma or lymph node dissection, or as part of managing thoracic outlet syndrome affecting the vein's course near the pectoralis minor tendon and coracoid process. Its close relationship to the axillary artery and cords of the brachial plexus within the axillary sheath requires careful surgical navigation to avoid neurovascular injury. Postoperative arm swelling risk from lymphatic disruption in the axilla is an additional consideration when this vessel is 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.
Coding & Documentation
Coders should look for explicit documentation that the vein itself was mobilized and moved to a different location, such as "vein transposition" or "relocation of basilic vein," as opposed to simply being connected to another vessel in place. The operative report should describe dissection of the vein along its length, tunneling to the new position, and reanastomosis if the vein was divided during the move.
A common mistake is confusing vein transposition procedures performed to create arteriovenous access with the Fusion or Bypass root operations used elsewhere in vascular coding; Reposition applies specifically when the vein's own location changes. Coders also sometimes fail to capture that the vein was tunneled to a new subcutaneous position, which is the defining clinical detail supporting this root operation over a simple repair or supplement.