0QS244Z
Reposition Pelvic Bone, Right to No Qualifier with Internal Fixation Device, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | Q Lower Bones |
| Operation | S Reposition |
| Body Part | 2 Pelvic Bone, 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
Reposition procedures move a lower bone, or a fragment of one, from an abnormal location to its correct anatomical position, or to another location that will let it function properly. This is the category most fracture reductions fall into, along with corrective osteotomies performed to realign a bone that has healed crookedly or grown abnormally, and procedures that move a bone segment to a new site for reconstructive purposes.
These operations address displaced fractures of the pelvis, femur, tibia, fibula, patella, or foot bones, as well as deformities such as a bowed tibia or a malaligned metatarsal that needs to be cut and shifted into better alignment. Fixation devices like plates, screws, rods, or external fixators are frequently used alongside the repositioning to hold the bone in its new location while it heals.
Anatomy & Axis Detail
Pelvic Bone, Right
The right pelvic bone, comprising the ilium, ischium, and pubis fused around the acetabulum, forms half of the bony pelvic ring and anchors the lower limb to the axial skeleton. Reposition is performed after pelvic ring disruptions, such as open-book or lateral compression fractures, where displaced bone must be moved back to restore normal ring geometry and joint congruity before any fixation is applied. Because the pelvis houses major vessels, the lumbosacral plexus, and pelvic viscera, repositioning this bone requires careful control of reduction forces to avoid secondary injury to these structures. The procedure is coded based on the bone moved into corrected position, separate from any subsequent internal or external fixation device placement.
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
The operative note needs to document that a bone or bone fragment was moved to a different position, whether by closed manipulation or open surgical exposure, and should specify any fixation device left in place, since that device is captured as a separate value on the same code rather than a separate procedure. Coders must distinguish open versus percutaneous versus external approaches carefully, as this changes the approach value substantially. A common mistake is coding a simple cast application or splinting as Reposition when no manipulation of bone position actually occurred, and another is failing to capture the device value when hardware is placed during the same reduction.