0UY10Z2
Transplantation Ovary, Left to Zooplastic with No Device, Open Approach
Procedural Specifications
| Clinical Axis | Detail Definition |
|---|---|
| Section | 0 Medical and Surgical |
| Body System | U Female Reproductive System |
| Operation | Y Transplantation |
| Body Part | 1 Ovary, Left |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | 2 Zooplastic |
Operation Definition
Putting in or on all or a portion of a living body part taken from another individual or animal to physically take the place and/or function of all or a portion of a similar body part
Procedure Overview
Transplantation in the female reproductive system refers to placing all or part of a reproductive organ taken from another person into the patient to take over the structure or function of the patient's own organ. The clearest example is uterus transplantation, performed for individuals born without a functioning uterus or who have lost uterine function, with the goal of enabling pregnancy through subsequent embryo transfer.
This is a highly specialized procedure performed at a small number of transplant centers and typically follows an established organ transplant protocol, including donor matching, immunosuppression planning, and extensive pre-transplant evaluation of the recipient's overall health and reproductive anatomy.
Because the transplanted organ originates from a donor rather than the patient's own tissue, the patient will usually require lifelong or extended immunosuppressive therapy afterward, and the transplanted organ is often intended to be temporary, removed after successful childbearing to allow the patient to discontinue immunosuppression.
Anatomy & Axis Detail
Ovary, Left
The left ovary is a paired gonadal organ suspended by the utero-ovarian and suspensory ligaments near the distal fallopian tube, and its transplantation involves moving a donor or the patient's own cryopreserved ovarian tissue into the pelvis to restore hormonal function or fertility potential. Ovarian transplantation is most often performed for patients facing premature ovarian failure from chemotherapy or radiation, using tissue banked before gonadotoxic treatment, or between identical twins where immune matching allows engraftment without rejection therapy. Because the ovary depends on a rich vascular pedicle running through the mesovarium, successful placement requires microsurgical anastomosis to reestablish blood flow, and documentation should specify laterality and whether the graft is autologous or allogeneic, since this distinction drives both technique and expected outcome.
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: Zooplastic
This qualifier denotes a zooplastic tissue substitute, meaning material derived from an animal source rather than a human donor. It is distinguished from allogeneic tissue, which comes from another human, and from syngeneic tissue, which comes from a genetically identical human donor, making species origin the key distinguishing feature here.
Coding & Documentation
This code family applies only when documentation confirms tissue came from another individual, whether a living or deceased donor, and was placed to physically replace all or part of the patient's own organ. The operative report should clearly identify the donor source, the specific organ or portion transplanted, and confirm that the intent was to have the new tissue assume the recipient's anatomic and physiologic role.
The most frequent coding error is applying Transplantation to procedures using the patient's own tissue moved from one site to another, which is coded as Transfer or Reattachment rather than Transplantation, since Transplantation strictly requires an allogeneic or xenogeneic source. Coders should also confirm the qualifier correctly reflects allogeneic versus syngeneic versus zooplastic tissue when that detail is documented, since it changes the code selection.