0CSB0ZZ
Reposition Parotid Duct, Right to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | C Mouth and Throat |
| Operation | S Reposition |
| Body Part | B Parotid Duct, 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 move a mouth or throat structure to its normal anatomic location, or to another location that will serve better, without removing or replacing any tissue. A submucous cleft palate repair that relocates muscle bands into correct alignment, correction of an ectopic salivary gland duct opening, or surgical repositioning of a displaced uvula or tonsillar remnant are typical examples. The tissue itself stays the patient's own; only its position changes.
These operations are usually planned when a structure formed or healed in the wrong place, whether from a congenital anomaly present since birth, scar contracture after a prior surgery, or displacement following trauma. Correcting the position can improve swallowing, speech, or breathing, and in congenital cases is often timed around a child's growth and development rather than performed as an emergency.
Anatomy & Axis Detail
Parotid Duct, Right
The right parotid duct, or Stensen's duct, carries saliva from the parotid gland across the masseter muscle to an opening opposite the upper second molar, and its course makes it vulnerable to injury during facial trauma or maxillofacial surgery. Repositioning is performed when the duct's oral orifice or a segment of its course is surgically relocated, such as rerouting the duct posteriorly to reduce drooling in patients with chronic sialorrhea, or realigning a lacerated but intact duct after facial injury. Because the duct is a narrow, easily obstructed structure, documentation should specify the new anatomic termination point and confirm that the duct itself was moved rather than reconstructed from other tissue or replaced, which would fall under different root operations.
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
Look for operative language describing that a structure was mobilized, moved, and reattached or resutured at a new site, distinct from a note that only closes a wound where it already lies. Congenital anomaly repairs, particularly involving the palate or salivary ducts, are the most common source of reposition codes in this body system. A recurring coding mistake is applying reposition to any procedure that involves surgical manipulation of tissue, when in fact the structure was never displaced from its normal location in the first place, which would make repair the correct choice instead. Coders should also confirm the documentation doesn't describe removing tissue during the same act, which would point toward excision or resection rather than reposition alone.