0LTG0ZZ
Resection Abdomen Tendon, Left to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | L Tendons |
| Operation | T Resection |
| Body Part | G Abdomen Tendon, Left |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Cutting out or off, without replacement, all of a body part
Procedure Overview
Resection removes an entire tendon, or a clearly defined tendon body part, without putting in any replacement material. This is a less common tendon procedure than repair or reposition, and it is typically performed when a tendon is so severely diseased, degenerated, or tumor-involved that removing it entirely is the safest or most effective option, rather than attempting to preserve and repair it.
Examples include excising a tendon segment infiltrated by a soft tissue tumor, removing a chronically diseased tendon that is causing ongoing pain and dysfunction with no reasonable prospect of repair, or excising an entire tendon as part of managing a severe infection that has destroyed the tissue. Because tendons connect muscle to bone, complete resection without any subsequent reconstruction can leave a functional deficit, so it is often paired with a separate reconstructive procedure, sometimes performed later, to restore movement.
Anatomy & Axis Detail
Abdomen Tendon, Left
On the left abdominal wall, the tendinous slips anchoring the oblique and rectus musculature to the midline fascia perform the same load-bearing role as their right-sided counterparts, and complete resection removes one of these structures in its entirety, typically for a malignancy, chronic infection, or a tendon destroyed by prior surgical failure. The left side's proximity to the spleen and descending colon means surgeons must account for these organs when planning the surgical field, even though the tendon itself lies superficial to the peritoneal cavity. Because abdominal tendons blend seamlessly into surrounding fascia, achieving a clean resection without excising adjacent musculature or peritoneum requires deliberate dissection. Given that removing the tendon can compromise abdominal wall integrity, reconstructive repair often follows in the same operative episode, and documentation should clearly separate the resection from any subsequent repair coding to avoid conflating the two procedures.
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 root operation applies only when an entire named tendon body part, not merely a segment or the whole tendon down to its full anatomic extent, is being cut out and nothing biological or synthetic is placed to take its structural role. Coders should confirm the operative note describes complete excision of the tendon at that body part value, and check whether any reconstructive graft was placed at the same time, since combined excision and grafting is coded as Replacement instead.
A common assignment mistake is applying Resection when only part of a tendon was removed and the remaining tendon was repaired or trimmed, which should instead be coded as Excision or Repair depending on the amount and intent of tissue removed. Coders should also watch for tumor cases where a wider excision spans tendon and adjacent soft tissue, which may require coding to more than one body system.