0QS64BZ
Reposition Upper Femur, Right to No Qualifier with External Fixation Device, Monoplanar, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | Q Lower Bones |
| Operation | S Reposition |
| Body Part | 6 Upper Femur, Right |
| Approach | 4 Percutaneous Endoscopic |
| Device | B External Fixation Device, Monoplanar |
| 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
Upper Femur, Right
The upper femur on the right, encompassing the femoral head, neck, and trochanteric region, is the proximal segment of the thighbone that articulates with the acetabulum and bears the majority of load transmitted through the hip. Reposition is used for displaced femoral neck or intertrochanteric fractures and for hip dislocations, where the proximal fragment or the femoral head is moved back into its normal anatomic alignment within the joint without excising or replacing bone. Because the blood supply to the femoral head runs through the neck and capsule, gentle, precise repositioning is important to reduce the risk of avascular necrosis. This procedure is distinct from any subsequent fixation with screws or a plate, which is coded separately.
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: External Fixation Device, Monoplanar
A monoplanar external fixation device uses pins placed and connected within a single plane, forming a simpler, lower-profile frame typically used for straightforward fracture stabilization. It contrasts with a ring fixator, which encircles the limb for multiplanar control, and a hybrid fixator, which combines both configurations.
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.