0MS60ZZ
Reposition Wrist Bursa and Ligament, Left to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | M Bursae and Ligaments |
| Operation | S Reposition |
| Body Part | 6 Wrist Bursa and Ligament, Left |
| 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 bursa or, more often, a ligament from an abnormal location back to its correct anatomic position, or to another location that will let it function properly. A common scenario is surgical repositioning of a chronically dislocating patellar or biceps tendon-associated ligamentous structure, or realignment of a displaced ligament following trauma, where the tissue itself is healthy but sitting in the wrong place.
This differs from most other procedures in the family because the ligament or bursa is not cut out, replaced, or reinforced - it is detached, moved, and reattached or otherwise secured in its new position. Surgeons choose this approach when a structural malalignment, rather than tissue damage, is causing pain, instability, or abnormal joint mechanics, such as recurrent shoulder or kneecap dislocation. Restoring normal alignment allows the joint to track and load correctly, reducing repeat injury and improving comfort with movement.
Anatomy & Axis Detail
Wrist Bursa and Ligament, Left
On the left wrist, ligaments such as the scapholunate and lunotriquetral bands, along with associated bursae, hold the carpal bones in proper alignment during the wrist's wide range of motion. Trauma or chronic laxity can shift these ligaments out of normal position, producing instability patterns that affect grip strength and carpal mechanics without necessarily tearing the tissue. Reposition surgery addresses this by relocating the displaced structure back to its correct anatomic site, typically secured with sutures or small fixation devices anchored to adjacent carpal bones. Because the wrist contains numerous closely spaced ligaments with distinct stabilizing roles, accurate identification of the specific structure being repositioned is important both for surgical planning and for precise procedural documentation.
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
This code applies when the operative note describes moving a bursa or ligament to a new site and securing it there, using language such as "transposed," "relocated," or "repositioned." The coder should confirm the structure itself was not resected or supplemented with additional material during the move - only its location changed. A frequent mistake is coding Reposition when a ligament was actually released and reattached at its original insertion point after debridement, which may better reflect Repair. Coders should also verify the correct body part is selected based on the ligament's final anatomic location rather than its origin.