CPT^® 48154, Under Excision Procedures on the Pancreas

The Current Procedural Terminology (CPT^®) code 48154 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Pancreas.

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Summary

In this procedure, the provider removes part of the pancreas and almost the entire duodenum. He connects the bile duct to the intestines and the duodenum to the jejunum to restore digestive functions. This procedure does not include connection of the jejunum to a pancreatic duct, cyst, or fistula.

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Total Pancreatectomy

When the physician performs a TOTAL pancreatectomy but also does a cholecystectomy, splenectomy, duodenectomy, extrahepatic choledochojejunostomy, duodenojejunostomy, are we to code the closest whippl... [ Read More ]

need code for Frey Procedure

[b]Pancreatectomy in part[/b] 48153 - Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with panc... [ Read More ]

Cholecystectomy (47562) Inclussive to paraesophageal hernia (43281)?????

I am aware that there are no NCCI edits with codes Cholecystectomy (47562) with paraesophageal hernia (4328: however, the NCCI manual says: Hepatectomy procedures include removal of the gallbladder b... [ Read More ]

Pylorus preserving pancreatectomy with dunking pancreaticogastrostomy

[b]Whipple with Pancreaticogastostomy[/b] I am having the same issue, I am leaning toward 48154-22. I have searched for documentation and have not had any luck. I feel that using 48153 would not be... [ Read More ]

Whipple Procedure

How would you code a near total duodenectomy 48153 vs 48154 when the dr does a pancreaticogastrostomy instead of a pancreaticojejunostomy? Would you code 48154-22 or just code 48153?... [ Read More ]

Pylorus preserving pancreatectomy with dunking pancreaticogastrostomy

Hello, Was hoping to get some input on this surgery. In the reconstruction the pancreas is dunked into the stomach and attached with sutures rather than anastomosed to the jejunum because of a very s... [ Read More ]

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