0UY90Z0
Transplantation Uterus to Allogeneic 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 | 9 Uterus |
| Approach | 0 Open |
| Device | Z No Device |
| Qualifier | 0 Allogeneic |
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
Uterus
The uterus is the muscular, pear-shaped organ responsible for gestation, and its transplantation is a highly specialized procedure reserved for absolute uterine factor infertility, whether congenital, as in Mayer-Rokitansky-Küster-Hauser syndrome, or acquired through prior hysterectomy. The procedure requires anastomosis of the uterine and sometimes internal iliac vasculature to a living or deceased donor graft, along with vaginal cuff attachment to restore continuity with the recipient's reproductive tract. Because the transplanted uterus is intended as a temporary organ, typically removed after one or two successful pregnancies to allow discontinuation of immunosuppression, documentation should reflect the graft source and the staged nature of the surgical plan, distinguishing this procedure clearly from other female reproductive reconstructions.
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: Allogeneic
This qualifier denotes an allogeneic tissue substitute, meaning material derived from another individual of the same species rather than the patient's own tissue. It is distinguished from the syngeneic qualifier, which applies only to genetically identical donors, and from zooplastic, which denotes tissue sourced from a different species entirely.
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.