07TC0ZZ
Resection Lymphatic, Pelvis to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | 7 Lymphatic and Hemic Systems |
| Operation | T Resection |
| Body Part | C Lymphatic, Pelvis |
| 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 covers the complete removal of an entire lymphatic or hemic body part, without replacing it, and is one of the more consequential procedure types in this family because it permanently eliminates that structure. The most familiar example is total splenectomy, removing the entire spleen after severe trauma, certain blood disorders, or an enlarged spleen that is failing or at risk of rupture. Other examples include complete thymectomy for thymic tumors or myasthenia gravis, and full lymphadenectomy, where an entire chain or region of lymph nodes is removed, often as part of cancer staging or treatment to prevent disease spread.
Because these organs and nodes support immune defense and fluid balance, patients undergoing resection are usually counseled about the tradeoffs, such as increased infection risk after splenectomy, before the procedure is performed.
Anatomy & Axis Detail
Lymphatic, Pelvis
Pelvic lymph nodes include the iliac, obturator, and presacral chains that drain the bladder, prostate, uterus, cervix, ovaries, and rectum, and their resection, most often as a pelvic lymphadenectomy, is a key staging and therapeutic step in gynecologic, urologic, and lower rectal cancers. The dissection field lies close to the external and internal iliac vessels, obturator nerve, and ureter, structures whose injury carries distinct functional consequences, making meticulous identification essential during either open or minimally invasive approaches. The extent of node retrieval directly affects cancer staging accuracy and subsequent treatment decisions, and pelvic lymphadenectomy is frequently performed alongside a primary organ resection such as prostatectomy or hysterectomy, though it is captured as a distinct lymphatic body part in documentation regardless of the concurrent procedure.
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
Documentation must clearly state that the entire body part was removed, not a portion of it, since removing only part of an organ or only some nodes in a chain is coded as Excision rather than Resection. This distinction is one of the most frequent sources of coding errors in this family, especially with lymphadenectomies, where a note describing removal of "regional lymph nodes" needs to specify whether the entire nodal chain or basin was taken versus a sampling of nodes. Coders also need to confirm the specific body part value that matches the region resected, such as spleen versus a named lymph node group, and should check whether any adjacent structures were resected in the same operation, which would require additional codes.