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Author: Dr. Guptha
Article Date: 6/25/2012

A 67 year old man is admitted for a pancreatectomy. A ct scan performed last week revealed a mass in the tail and body of the pancreas. The patient is prepared and anesthesia administered. The pancreas is exposed through an abdominal incision. At the junction of the head and body of the pancreas, transection of the pancreas is accomplished with removal of the distal portion. What is the cpt code and the icd 9 vol. 3 significant procedure code?

Specialty: Medical Billing/Coding

QUESTION: A 67 year old man is admitted for a pancreatectomy. A ct scan performed last week revealed a mass in the tail and body of the pancreas. The patient is prepared and anesthesia administered. The pancreas is exposed through an abdominal incision. At the junction of the head and body of the pancreas, transection of the pancreas is accomplished with removal of the distal portion. What is the cpt code and the icd 9 vol. 3 significant procedure code?

The Correct ICD-9 Volume 3 code is 52.52 - Distal pancreatectomy Excision of tail of pancreas (with part of body)

Any one of the following CPT can be assigned basing on the Operative Report.
  • 48140 Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy
  • 48145 Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy
  • 48146 Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)
  • 48152 Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy

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