© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 43810, known as gastroduodenostomy, is a surgical intervention that establishes a connection between the stomach and the duodenum without the need to remove any part of either organ. This approach is particularly significant as it allows for the restoration of gastrointestinal continuity while preserving the anatomical structures involved. During the procedure, the surgeon makes a midline incision in the abdomen to gain access to the stomach and duodenum. Once exposed, any adhesions that may be present are carefully lysed, allowing for better mobility of the organs. An incision is typically made along the greater curvature of the stomach, and the stomach is then divided at the gastroduodenal junction. The opening in the stomach is subsequently closed with sutures. Following this, the duodenum is sutured to the stomach in an end-to-side manner, which facilitates the passage of digestive contents from the stomach into the duodenum. Alternatively, the duodenum may be rotated to align with the stomach, allowing for a side-to-side connection. This method involves longitudinal incisions in both the stomach and duodenum, which are then sutured together. After the connection is established, the surgical site is irrigated, and drains may be placed as necessary to prevent fluid accumulation. Finally, the abdominal incision is closed in layers to ensure proper healing. This procedure is essential for patients requiring surgical intervention to address various gastrointestinal conditions while maintaining the integrity of the digestive tract.
© Copyright 2025 Coding Ahead. All rights reserved.
The gastroduodenostomy procedure, coded as CPT® 43810, is indicated for various gastrointestinal conditions that necessitate the establishment of a direct connection between the stomach and the duodenum without resection. The following are specific indications for performing this procedure:
The gastroduodenostomy procedure involves several critical steps to ensure successful surgical outcomes. The following outlines the procedural steps involved:
Post-procedure care following a gastroduodenostomy is essential for ensuring patient recovery and minimizing complications. Patients are typically monitored for any signs of infection or complications related to the surgical site. Pain management is provided as needed, and patients may be advised on dietary modifications to facilitate healing. Gradual reintroduction of oral intake is common, starting with clear liquids and progressing to a regular diet as tolerated. Follow-up appointments are crucial for assessing recovery and ensuring that the surgical connection is functioning properly. Additionally, any drains placed during the procedure are monitored and managed according to standard postoperative protocols.
| Short Descr | GASTRODUODENOSTOMY | Medium Descr | GASTRODUODENOSTOMY | Long Descr | Gastroduodenostomy | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 94 - Other OR upper GI therapeutic procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |