0VU14KZ
Supplement Seminal Vesicle, Right to No Qualifier with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | V Male Reproductive System |
| Operation | U Supplement |
| Body Part | 1 Seminal Vesicle, Right |
| Approach | 4 Percutaneous Endoscopic |
| Device | K Nonautologous Tissue Substitute |
| Qualifier | Z No Qualifier |
Operation Definition
Putting in or on biological or synthetic material that physically reinforces and/or augments the function of a portion of a body part
Procedure Overview
Supplement procedures put in biological or synthetic material to reinforce or augment a body part that is still present, rather than replacing or repairing it outright. In the male reproductive system this includes using graft material - synthetic mesh or donor tissue - to reinforce the tunica albuginea during correction of Peyronie's disease, or grafting to support tissue during complex penile or scrotal reconstruction. The native structure stays in place; the graft adds strength or bulk it currently lacks.
These procedures are often part of reconstructive surgery for congenital conditions, traumatic injury, or acquired scarring conditions like Peyronie's disease, where the goal is to correct curvature or reinforce a weakened area while preserving the patient's own tissue.
Anatomy & Axis Detail
Seminal Vesicle, Right
The right seminal vesicle is a paired accessory gland posterior to the bladder that contributes the bulk of seminal fluid volume and fructose-rich secretions supporting sperm viability. Supplement procedures on this structure use autologous, nonautologous, or synthetic material to physically reinforce or replace damaged vesicular tissue, most often in the context of complex pelvic reconstruction following trauma, congenital anomaly repair, or as part of an oncologic reconstruction where native tissue is insufficient to restore normal form. Given the deep pelvic location adjacent to the bladder base, ureter, and rectum, the operative note should specify the graft or substitute material used and confirm that the procedure augmented rather than replaced the vesicle entirely, since full replacement would be coded differently.
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.
Device: Nonautologous Tissue Substitute
Nonautologous Tissue Substitute refers to biologic material sourced from a donor or another species, such as an allograft or xenograft, used to replace a body part. It differs from Autologous Tissue Substitute by tissue origin outside the patient's own body, and from Synthetic Substitute by being biologic rather than manufactured material.
Coding & Documentation
Correct coding depends on the operative note specifying that graft or reinforcing material was added to an existing structure, along with the type of material used - autograft, allograft, or synthetic - since this drives the device or qualifier value. A common mistake is coding Supplement when the documentation actually describes a Repair alone with simple suture closure and no reinforcing material, or conversely missing the Supplement code when a Peyronie's plaque incision was reinforced with a graft that should be captured separately from the underlying procedure.