0MX80ZZ
Transfer Hand Bursa and Ligament, Left to No Qualifier with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | M Bursae and Ligaments |
| Operation | X Transfer |
| Body Part | 8 Hand Bursa and Ligament, Left |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | Z No Qualifier |
Operation Definition
Moving, without taking out, all or a portion of a body part to another location to take over the function of all or a portion of a body part
Procedure Overview
Transfer procedures in this family move a bursa or ligament, or a portion of one, from its native location to a new site so it can take over the mechanical job normally performed by a different structure, without detaching its original blood and nerve supply. This is most often seen in tendon transfer surgery involving ligamentous tissue used to restore function after nerve injury, chronic tendon rupture, or joint instability where the original stabilizing structure can no longer do its job.
Because the tissue stays connected to its native blood supply, these procedures differ from a graft, which is fully detached and moved elsewhere. Surgeons choose this approach when a nearby ligament or bursal structure is healthy enough to be rerouted and can plausibly substitute for a damaged one, offering better long-term durability than an artificial replacement in select patients.
Anatomy & Axis Detail
Hand Bursa and Ligament, Left
In the left hand, the collateral ligaments of the digits and the fibrous bursae surrounding the flexor tendons work together to keep the small joints congruent during the complex, high-frequency movements of grasping and manipulation. A transfer procedure here moves a portion of local ligament, still attached to its blood supply, to substitute for a torn or attenuated ligament elsewhere in the hand, a technique sometimes used in thumb or finger collateral ligament reconstruction. Precision matters because even minor overtightening or laxity in the transferred tissue can alter joint mechanics enough to impair fine motor tasks. The operative note should describe the specific donor and recipient ligaments involved, since the hand contains numerous small, closely spaced structures that could otherwise be coded ambiguously.
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
A code from this family applies when documentation clearly shows tissue being rerouted to a new location while remaining attached to its vascular pedicle, with the explicit intent of taking over another structure's function. The operative report should name both the origin site and the new destination, along with the functional deficit being addressed. Coders frequently misassign these cases as Transplantation, which requires the tissue to be completely freed from its original site, or as Repair, when the surgeon has simply reattached tissue back to its original position rather than relocating it to serve a new purpose.