0US68ZZ
Reposition Fallopian Tube, Left to No Qualifier with No Device, Via Natural or Artificial Opening Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | S Reposition |
| Body Part | 6 Fallopian Tube, Left |
| Approach | 8 Via Natural or Artificial Opening 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
Reposition procedures involve surgically moving a female reproductive organ or structure to its normal anatomic location, or to another suitable location, without cutting away tissue or adding replacement material. This root operation is most often used for conditions where an organ has shifted out of place, such as uterine prolapse, or for procedures that relocate an ovary, such as ovarian transposition performed before pelvic radiation to protect fertility.
These procedures matter clinically because organ displacement in the pelvis can cause pain, urinary or bowel dysfunction, and infertility. Surgeons address this by suspending or anchoring the organ, sometimes using sutures to native tissue and sometimes attaching it to a nearby structure like the sacrum, but the code reflects the movement of the existing body part rather than any material that may be used to hold it there.
Anatomy & Axis Detail
Fallopian Tube, Left
The left fallopian tube functions to transport the ovum from the left ovary toward the uterus, and its position can be disrupted by torsion, adhesive disease from endometriosis or pelvic inflammatory disease, or a paratubal cyst pulling it out of alignment. Reposition procedures address these distortions by untwisting the tube to restore perfusion or by surgically relocating it to reestablish normal proximity to the ovary. Given the tube's proximity to the sigmoid colon on the left side, surgeons must navigate surrounding adhesions carefully, and preservation of the fimbriae and mesosalpingeal blood supply during mobilization is essential to maintaining the structure's reproductive function afterward.
Approach: Via Natural or Artificial Opening Endoscopic
Via Natural or Artificial Opening Endoscopic describes instrumentation introduced through a natural orifice or a surgically created opening while using an endoscope for visualization, as in a routine colonoscopy performed through the anus. It differs from the plain Via Natural or Artificial Opening value by the added scope, and from Percutaneous Endoscopic by using an existing passage rather than a new skin puncture.
Coding & Documentation
Coders assign a Reposition code when the operative report describes moving an organ or structure to correct its position, using language like suspension, fixation, transposition, or resuspension. The documentation should identify both the structure being repositioned and, where relevant, the anatomic landmark it is anchored to, since this can affect approach and code specificity.
A frequent mistake is coding Reposition when sutures or mesh were placed primarily to reinforce weakened tissue rather than to move an organ, which instead falls under Supplement. Another common error is failing to recognize that if sutures alone are used to anchor a structure with no added material, Reposition is correct even though a repair-sounding term may appear in the note; coders need to read past the surgeon's word choice to the actual mechanics described.