0VT64ZZ
Resection Tunica Vaginalis, Right to No Qualifier with No Device, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | V Male Reproductive System |
| Operation | T Resection |
| Body Part | 6 Tunica Vaginalis, Right |
| Approach | 4 Percutaneous Endoscopic |
| 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 remove an entire body part of the male reproductive system without replacing it with other material. Orchiectomy - removal of one or both testes - is the most common example, performed for testicular cancer, as part of treatment for advanced prostate cancer, for severe trauma, or occasionally for chronic pain or infection unresponsive to other treatment. Other resection procedures in this family include removal of the entire epididymis or complete removal of the prostate and seminal vesicles.
These are typically definitive procedures aimed at eliminating diseased or damaged tissue rather than preserving it. Because the organ is removed in full, resection often has permanent effects on fertility and hormone production, which is part of why patients considering these procedures discuss options like sperm banking or hormone replacement beforehand.
Anatomy & Axis Detail
Tunica Vaginalis, Right
The right tunica vaginalis is the serous membrane derived from peritoneum that envelops the anterior and lateral surfaces of the right testis, and its complete resection is performed most commonly for hydrocele that recurs after simpler drainage or plication procedures, for testicular tumors where the membrane is involved, or occasionally for chronic hematocele. Excising this sac-like layer removes the space in which fluid accumulates, which is the underlying goal in hydrocelectomy performed by full excision rather than eversion. Because the tunica lies immediately adjacent to the testis and epididymis, the surgeon must dissect it free without compromising testicular blood supply, and hemostasis along the cut edge is important since this layer is vascular. Right-sided documentation distinguishes the procedure from left or bilateral involvement.
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.
Coding & Documentation
Coders assigning Resection need pathology or operative documentation confirming the entire organ was removed, not just a portion. A frequent error is coding Resection when only a partial excision was performed, such as a partial orchiectomy for a small testicular mass with preservation of remaining tissue - that scenario belongs under Excision instead. Laterality also matters: unilateral versus bilateral orchiectomy uses different body part values, and the note should state clearly whether one or both testes were removed.