0US00ZZ
Reposition Ovary, Right to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | S Reposition |
| Body Part | 0 Ovary, 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 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
Ovary, Right
The right ovary is a paired gonadal structure that can become displaced from its normal adnexal position due to ovarian torsion, adhesions from endometriosis or prior surgery, or a large cyst that stretches or twists its suspensory ligaments. Repositioning is performed to detorse a twisted ovary and restore blood flow before ischemic damage becomes irreversible, or to move the ovary to a fixed location such as out of a planned radiation field, a procedure known as oophoropexy. Because ovarian viability depends on rapid restoration of perfusion, timing is critical in torsion cases, and the surgeon must assess tissue color and Doppler flow intraoperatively to decide whether the ovary can be salvaged rather than removed.
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 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.