0PS94ZZ
Reposition Clavicle, Right to No Qualifier with No Device, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | P Upper Bones |
| Operation | S Reposition |
| Body Part | 9 Clavicle, Right |
| Approach | 4 Percutaneous Endoscopic |
| 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, Right
The right clavicle is the S-shaped strut connecting the sternum to the scapula, and its subcutaneous position makes it one of the most frequently fractured bones in the body. Reposition is performed when a displaced midshaft or distal clavicle fracture, or an acromioclavicular/sternoclavicular dislocation, leaves the bone out of normal alignment, risking shoulder droop, skin tenting, or impingement on underlying neurovascular structures like the subclavian vessels and brachial plexus. Because the clavicle has limited soft tissue coverage, realignment often precedes internal fixation with plates or intramedullary devices, which would be coded as separate fixation procedures if left in place. Surgeons must account for the bone's curvature and rotational tendency when restoring length and alignment, since malreduction can leave a visible deformity or shoulder girdle asymmetry.
Approach: Percutaneous Endoscopic
Percutaneous Endoscopic combines a puncture through skin or mucous membrane with insertion of an endoscope to visualize the procedure internally, as in laparoscopic cholecystectomy. It is distinguished from plain Percutaneous by the presence of scope-guided visualization, and from Via Natural or Artificial Opening Endoscopic by its route being a new puncture rather than an existing orifice or stoma.
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.