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The procedure described by CPT® Code 47802 refers to a U-tube hepaticoenterostomy, which is a surgical intervention performed to create a connection between the liver and the small intestine. This procedure is typically indicated in cases where there is a need to bypass obstructed bile ducts or to facilitate bile drainage from the liver directly into the intestine. The operation begins with a midline abdominal incision, allowing access to the liver, gallbladder, and bile ducts. During the surgery, the hilum of the liver is carefully dissected to expose the intrahepatic bile duct, where a U-tube is inserted. This U-tube serves as a conduit for bile, with one end placed within the bile duct and the other end extending into the small intestine, often through a jejunal Roux-en-Y limb. The procedure involves creating a separate enterotomy, which is an incision into the intestine, to allow the U-tube to exit the intestinal tract. Finally, stab incisions are made in the abdominal wall to secure both ends of the U-tube, ensuring that the system remains stable and functional post-operatively. This detailed approach is crucial for effective bile drainage and management of biliary obstructions.
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The U-tube hepaticoenterostomy procedure is indicated for specific clinical scenarios where bile drainage is compromised. The following conditions may warrant this surgical intervention:
The U-tube hepaticoenterostomy involves several critical procedural steps to ensure successful implementation. The following outlines the detailed steps of the procedure:
After the U-tube hepaticoenterostomy procedure, patients typically require careful monitoring and management to ensure proper recovery. Post-operative care may include monitoring for signs of infection, ensuring that the U-tube remains patent, and managing any potential complications related to bile drainage. Patients may also need to follow specific dietary guidelines and may be advised on the care of the U-tube to prevent dislodgment or blockage. Follow-up appointments are essential to assess the function of the U-tube and the overall health of the patient.
| Short Descr | FUSE LIVER DUCT & INTESTINE | Medium Descr | U-TUBE HEPATICOENTEROSTOMY | Long Descr | U-tube hepaticoenterostomy | 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 | Not applicable/unspecified. | CCS Clinical Classification | 73 - Ileostomy and other enterostomy |
| 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). | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2024-12-31 | Deleted | Code Deleted. |
| Pre-1990 | Added | Code added. |
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