0VTN4ZZ
Resection Vas Deferens, 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 | N Vas Deferens, 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
Vas Deferens, Right
The right vas deferens is the muscular duct that transports sperm from the right epididymis toward the ejaculatory duct, passing through the inguinal canal as part of the spermatic cord. Resection of a segment or the entirety of this duct is performed for congenital anomalies, obstructive disease, tumors involving the duct, or as a component of certain reconstructive or oncologic procedures distinct from a simple vasectomy, which instead falls under division or occlusion rather than resection. Because the vas deferens is anatomically bundled with vascular structures within the cord, the operative report needs to specify that the duct itself, rather than the whole cord, was the target of excision to support accurate body part selection.
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.