0PS744Z
Reposition Glenoid Cavity, Right to No Qualifier with Internal Fixation 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 | 7 Glenoid Cavity, Right |
| Approach | 4 Percutaneous Endoscopic |
| Device | 4 Internal Fixation 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
Glenoid Cavity, Right
The right glenoid cavity is the shallow, curved socket at the lateral scapula that receives the humeral head to form the shoulder joint, and even small changes in its orientation can affect joint stability and cartilage wear. Reposition of the glenoid is performed for glenoid dysplasia, a malunited or displaced glenoid rim fracture, or chronic glenohumeral instability where the socket's version or tilt is being surgically corrected, sometimes as part of a glenoid osteotomy. Because the glenoid articulates directly with the humeral head, restoring proper orientation here is essential to prevent recurrent dislocation or accelerated joint degeneration, and the procedure requires precise intraoperative assessment of glenoid version to avoid over- or under-correction. Adjacent labral and capsular structures are frequently addressed at the same time to support the corrected bony position.
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.
Device: Internal Fixation Device
Internal fixation device is the general value for hardware such as plates, screws, or rods placed within the body to stabilize bone or joint, used when a more specific configuration is not indicated. It stands in contrast to the named subtypes - Rigid Plate, Intramedullary, Sustained Compression, and Intramedullary Limb Lengthening - which specify how the hardware achieves stabilization.
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.