0PSB3ZZ
Reposition Clavicle, Left to No Qualifier with No Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | P Upper Bones |
| Operation | S Reposition |
| Body Part | B Clavicle, Left |
| Approach | 3 Percutaneous |
| 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
This family describes moving a bone of the skull, face, chest wall, or upper extremity back to its normal anatomic location, or to another location that will function better, without cutting the bone free and removing it from the body. It's the code family used for reducing a displaced fracture, correcting a malunion, or realigning a bone that has shifted out of its normal position due to trauma or a congenital condition.
The procedure preserves the bone's own blood supply and continuity while adjusting its position - fixation with pins, plates, or screws is often part of the same operative episode to hold the corrected alignment in place.
Anatomy & Axis Detail
Clavicle, Left
The left clavicle bridges the sternum and scapula, forming the only bony connection between the arm and the axial skeleton, and its exposed location under the skin makes displaced fractures and joint dislocations common indications for repositioning. When a midshaft break shortens or angulates the bone, or when the acromioclavicular or sternoclavicular joint dislocates, reposition restores the clavicle's length and alignment to preserve normal shoulder girdle mechanics and prevent skin compromise over sharp fragment edges. The proximity of the subclavian vessels and brachial plexus beneath the medial clavicle demands careful technique during manipulation. Documentation should specify whether the correction targeted a diaphyseal fracture, a distal fracture near the coracoclavicular ligaments, or a dislocation, since the anatomic landmarks and stability concerns differ across these clavicular regions.
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
A coder looks for language describing realignment, reduction, or repositioning of a fragment or whole bone as the defining clue, distinguishing it from repair language about restoring damaged tissue in place. Fixation devices used to hold the new position should be captured through the device value on the same code rather than as a separate procedure when performed at the same operative site. A common error is coding an open reduction and internal fixation entirely as repair, missing that the reduction component is reposition while the fixation is captured through the device character. Another pitfall is failing to distinguish reposition from resection when a bone fragment is removed rather than realigned.