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Transfer Hip Bursa and Ligament, Right 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 | L Hip Bursa and Ligament, Right |
| 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
Hip Bursa and Ligament, Right
The hip bursae and ligaments on the right, including structures like the iliofemoral and ischiofemoral ligaments and surrounding bursae, stabilize the hip joint and reduce friction between tendons and bone during movement. A Transfer procedure relocates a native ligamentous segment, with its vascular supply intact, to augment support elsewhere, commonly to reinforce capsular stability after trauma, dysplasia correction, or recurrent instability. The deep location of these structures beneath the gluteal muscles and near the femoral neurovascular bundle makes meticulous dissection essential to avoid disrupting blood flow to the femoral head. Correct coding requires identifying the right-sided origin as the body part value and specifying, through the qualifier, the destination structure that benefits from the transferred tissue, distinguishing this from simple repair or reattachment procedures.
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.