2025 CPT code 48001
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), or reduced services (52).
Medical necessity for this code is established by the presence of acute pancreatitis with significant fluid accumulation requiring surgical drainage, and the clinical justification for the combined approach of peripancreatic drainage, cholecystostomy, gastrostomy, and jejunostomy.
The surgeon performs the procedure, including prepping the patient, making incisions, examining the pancreas, placing drains, irrigating the abdomen (if necessary), and closing the incision.
In simple words: In patients with severe pancreas inflammation (acute pancreatitis), this procedure drains fluid buildup. The surgeon places tubes around the pancreas and creates small openings in the gallbladder, stomach, and part of the small intestine for additional drainage.
This procedure involves the placement of peripancreatic drains for acute pancreatitis, along with the creation of openings in the gallbladder (cholecystostomy), stomach (gastrostomy), and jejunum (jejunostomy) for drainage.The surgeon makes an incision in the abdomen, examines the pancreas, and may remove diseased tissue. Drains are placed near the pancreas and secured with sutures. Additional drains are placed into the gallbladder, stomach, and jejunum through small incisions, and brought out through the abdominal wall. The abdomen may be irrigated with antibiotics, and the incision is closed.
Example 1: A patient presents with acute pancreatitis and imaging reveals significant fluid collection around the pancreas. Due to the severity and the patient's declining condition, the physician performs a surgical intervention to place drains, including a cholecystostomy, gastrostomy, and jejunostomy for optimal drainage. , A patient with acute pancreatitis develops infected pancreatic necrosis and fails to respond to less invasive drainage methods. The physician decides to surgically debride the infected tissue, place drains around the pancreas and perform cholecystostomy, gastrostomy and jejunostomy to manage the infection and facilitate drainage., A patient with severe acute pancreatitis experiences organ failure alongside a large, infected peripancreatic fluid collection. Open surgical drainage is chosen due to the complexity and extent of the infection.The surgeon places drains in the peripancreatic area, and performs a cholecystostomy, gastrostomy, and jejunostomy to improve drainage from surrounding organs.
Documentation should include the diagnosis of acute pancreatitis, the presence and location of fluid collections, the decision-making process for surgical intervention including the necessity for cholecystostomy, gastrostomy, and jejunostomy, operative details, and post-operative care plan.
- Specialties:General Surgery, Pancreatic Surgery, Gastroenterology
- Place of Service:Inpatient Hospital