0UW300Z
Revision Ovary to No Qualifier with Drainage Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | W Revision |
| Body Part | 3 Ovary |
| Approach | 0 Open |
| Device | 0 Drainage Device |
| Qualifier | Z No Qualifier |
Operation Definition
Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device
Procedure Overview
This family covers procedures to fix or reposition a device that was previously implanted in the female reproductive tract, most often a vaginal pessary that has shifted, an intrauterine device that has migrated, or a mechanical component of an artificial sphincter or slings used for pelvic organ support. Revision does not replace the entire device with a new one; instead, the surgeon adjusts, repositions, or repairs the malfunctioning part while leaving as much of the original device in place as possible.
Patients typically need this procedure because a device is causing pain, has moved out of proper position, is no longer controlling symptoms such as incontinence or prolapse, or has developed a mechanical problem like a frayed mesh or displaced anchor. The goal is to restore the device to proper function without the larger recovery associated with full removal and reimplantation.
Because pelvic anatomy is compact and devices are often placed near the bladder, urethra, or bowel, revision procedures require careful surgical planning to avoid injury to nearby structures while correcting the original device's position or function.
Anatomy & Axis Detail
Ovary
Revision procedures on the ovary address a previously placed device or the result of a prior procedure that requires correction, such as repositioning a malpositioned suture, adjusting or replacing a fixation device used in ovarian conservation surgery, or correcting a complication from an earlier autotransplantation or cystectomy. The ovary's role in producing oocytes and hormones means that any revisional surgery must weigh the risk of further compromising ovarian reserve, particularly in patients of reproductive age, and surgeons often proceed with conservative, tissue-sparing techniques. Because the ovary is mobile and suspended by the utero-ovarian and infundibulopelvic ligaments, correcting a displaced or malfunctioning implant can require careful dissection to avoid torsion or vascular injury. Laterality and the specific nature of the prior device or procedure being revised should be clearly documented.
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.
Device: Drainage Device
Drainage Device denotes a device such as a tube or catheter left in place to remove fluid, blood, or air from a body part or cavity following a procedure. It is distinguished from Monitoring Device, which senses and records physiologic data rather than evacuating substances from the body.
Coding & Documentation
A coder assigns from this family when the operative note describes correcting, repositioning, or repairing part of an existing device rather than removing it outright. Supporting documentation should specify which device is involved (pessary, sling, IUD, artificial sphincter component), what was wrong with it, and exactly what corrective maneuver was performed, such as retensioning a sling or repositioning a shifted mesh anchor.
The most common assignment error is confusing Revision with Removal followed by a new Insertion when the surgeon actually took out the entire device and put in a brand new one; that scenario is coded as two separate root operations, not a single Revision. Another frequent mistake is coding Revision when the note only describes adjusting fit or tension of a device still functioning normally, which may not meet the threshold of correcting a malfunction and instead falls under Inspection or a different qualifier.