How To Use CPT Code 48548

CPT 48548 describes the surgical procedure known as pancreaticojejunostomy, specifically a side-to-side anastomosis, also referred to as a Puestow-type operation. This article will provide an overview of CPT code 48548, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 48548?

CPT 48548 is used to describe a surgical procedure called pancreaticojejunostomy, which involves creating a connection between the pancreas and the jejunum, the second part of the small intestine. This procedure is performed to restore the drainage of pancreatic fluids in cases of chronic inflammation or other pancreatic diseases.

2. Official Description

The official description of CPT code 48548 is: ‘Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation).’ This procedure involves surgically joining the pancreas to the jejunum in a side-to-side fashion to restore proper drainage of pancreatic fluids.

3. Procedure

1. During the procedure, the healthcare provider makes an upper midline incision in the abdomen and carefully dissects down to the pancreas.
2. After inspecting the upper abdomen, the provider makes a longitudinal incision along the pancreas and opens the main pancreatic duct, which is responsible for draining fluids from the pancreas.
3. The provider then attaches the pancreatic duct and the pancreas itself to a loop of the jejunum, creating a side-to-side connection.
4. Once the anastomosis is complete, the provider irrigates the area, checks for any bleeding, removes any instruments, and closes the incision.

4. Qualifying circumstances

CPT 48548 is performed in cases where there is chronic inflammation of the pancreas or other pancreatic diseases that require the restoration of proper drainage of pancreatic fluids. The procedure is typically performed by a qualified healthcare provider who has the necessary expertise in pancreatic surgery.

5. When to use CPT code 48548

CPT code 48548 should be used when a healthcare provider performs a pancreaticojejunostomy with a side-to-side anastomosis, specifically a Puestow-type operation. This code accurately represents the surgical procedure performed to restore proper drainage of pancreatic fluids.

6. Documentation requirements

To support a claim for CPT 48548, the healthcare provider must document the following information:

• Patient’s diagnosis necessitating the pancreaticojejunostomy
• Details of the procedure, including the approach used and any modifications made
• Date of the surgery
• Any complications encountered during the procedure
• Post-operative care instructions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 48548, ensure that the procedure performed matches the description of the code. It is important to accurately document the details of the surgery and any complications encountered. Additionally, follow any specific billing guidelines provided by the payer or insurance company to ensure proper reimbursement.

8. Historical information

CPT code 48548 was added to the Current Procedural Terminology system on January 1, 2007. Since its addition, there have been no updates or changes to the code.

9. Examples

1. A patient with chronic pancreatitis undergoes a pancreaticojejunostomy with a side-to-side anastomosis to restore proper drainage of pancreatic fluids.
2. A healthcare provider performs a Puestow-type operation on a patient with pancreatic cancer to alleviate symptoms and improve quality of life.
3. In a case of pancreatic pseudocyst, a surgical procedure involving a side-to-side anastomosis between the pancreas and the jejunum is performed to drain the cyst and prevent complications.
4. A patient with hereditary pancreatitis undergoes a pancreaticojejunostomy to manage the condition and reduce the risk of further complications.
5. A healthcare provider performs a Puestow-type operation on a patient with chronic pancreatitis and recurrent episodes of pancreatitis to improve pancreatic drainage and prevent future flare-ups.