08TY3ZZ
Resection Lacrimal Duct, Left to No Qualifier with No Device, Percutaneous Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 8 Eye |
| Operation | T Resection |
| Body Part | Y Lacrimal Duct, Left |
| Approach | 3 Percutaneous |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Cutting out or off, without replacement, all of a body part
Procedure Overview
Resection procedures in the eye involve cutting out an entire body part without replacing it, most notably enucleation of the globe for conditions such as intraocular tumors, severe trauma, or a blind and painful eye, and evisceration or excision of other complete ocular structures like the lacrimal gland. These are definitive, irreversible procedures reserved for situations where a structure is diseased beyond salvage or poses an ongoing risk, such as malignancy or infection, that outweighs any benefit of preserving it.
Because Resection removes an entire body part rather than a portion of it, these procedures carry significant functional and cosmetic consequences, and they are typically followed by reconstructive or prosthetic planning as a separate consideration. The decision to resect is made only after other treatment options have been exhausted or are not viable given the severity of the underlying condition.
Anatomy & Axis Detail
Lacrimal Duct, Left
The left lacrimal duct system carries tears from the eye's medial canthus down into the nasal cavity through the canaliculi, lacrimal sac, and nasolacrimal duct, and resection is reserved for situations where the duct itself is diseased beyond repair, such as tumor invasion, chronic recalcitrant dacryocystitis, or scarring from prior surgery or trauma. Because this pathway is the sole conduit for normal tear drainage, its removal is rarely an isolated goal and is usually paired with a reconstructive bypass to prevent epiphora, making the operative note's description of which duct segment was excised clinically important. Coders should differentiate resection, which removes duct tissue outright, from probing, dilation, or stent placement, which manage obstruction without excising the anatomical structure.
Approach: Percutaneous
Percutaneous describes entry by needle or instrument puncture through the skin or mucous membrane to reach the site of the procedure, without cutting the tissue open or using a visualizing scope. It differs from Open in that the site itself is never exposed, and from Percutaneous Endoscopic in that no endoscope is used to see internal structures. Common examples include needle biopsies and injections.
Coding & Documentation
Coders assign Resection when the documentation confirms complete removal of an entire named body part, such as the whole eyeball in enucleation or the entire lacrimal gland, distinguishing it from partial excision procedures that would be coded as Excision instead. The operative note must clearly state that the entire structure was removed, not merely a lesion or portion of it, and coders need to identify the precise qualifying body part being resected.
A common error is applying Resection to biopsy or partial tumor excision cases where only a lesion or segment of tissue was removed, which actually falls under Excision; another is confusing enucleation, evisceration, and exenteration, three distinct eye removal procedures with different anatomic scope that require careful reading of the operative report to code correctly.