0KX60Z2
Transfer Shoulder Muscle, Left to Skin and Subcutaneous Tissue with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | K Muscles |
| Operation | X Transfer |
| Body Part | 6 Shoulder Muscle, Left |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | 2 Skin and Subcutaneous Tissue |
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 move a muscle, or part of one, to a new location while keeping its original blood supply and nerve connections intact, so the relocated muscle can take over a function normally performed by a different muscle or body part. Classic examples include moving the latissimus dorsi to restore shoulder or elbow motion, or transferring the gracilis muscle from the thigh to the face to restore movement after facial paralysis.
Surgeons choose this approach when a muscle has been damaged, is absent, or no longer works due to nerve injury, but a neighboring muscle with similar mechanical properties can be repositioned to substitute for it. Because the transferred muscle keeps its own blood and nerve supply as it is moved, recovery focuses on the tissue adapting to its new role and the patient relearning how to activate it for the new function.
Anatomy & Axis Detail
Shoulder Muscle, Left
On the left shoulder, muscle transfer moves a muscle like the latissimus dorsi or trapezius, along with its intact nerve and blood supply, to a new position to compensate for irreversibly damaged shoulder musculature, most often after brachial plexus trauma, chronic massive rotator cuff tears, or nerve injury causing loss of elevation or rotation. Surgeons select the donor muscle based on which movement needs restoration and route it along a new vector calculated to mimic the lost muscle's mechanical action, all while preserving the pedicle that keeps the muscle viable in its new location. Given the number of muscles converging on the shoulder, precise identification of the specific muscle transferred, along with left-side laterality, is essential for accurate documentation and coding.
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.
Qualifier: Skin and Subcutaneous Tissue
Skin and Subcutaneous Tissue qualifies a procedure by indicating that both the outer skin layer and the fatty tissue beneath it were involved, without extending to deeper fascia. It sits between the qualifier for Skin alone and the more extensive Skin, Subcutaneous Tissue and Fascia qualifier, marking an intermediate depth of tissue involvement.
Coding & Documentation
The operative note must show that the muscle was moved to a new location while remaining attached to its original vascular pedicle and nerve, and that it was left in place to serve a new functional role rather than being fully detached and reattached elsewhere with new vessel connections. Coders look for language identifying both the origin and the destination of the muscle. A common mistake is coding Transfer when the muscle was actually completely detached and reconnected with microsurgical vessel anastomosis at the new site, which represents a free tissue transfer requiring different coding, or overlooking a companion procedure needed to secure the muscle at its new attachment point.
Commonly Confused With
This is most often confused with free muscle flap transfers, where the muscle is fully detached and its vessels are surgically reconnected at the new site - that scenario requires additional vascular bypass coding rather than Transfer alone. It is also distinct from Transplantation, which involves moving tissue from a donor person or site to serve as a replacement rather than relocating the patient's own muscle to take over a nearby function.