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The CPT® Code 48001 refers to the medical procedure involving the placement of peripancreatic drains specifically for the treatment of acute pancreatitis. This procedure is an extension of the initial drainage process described in CPT® Code 48000, where a small incision, or stab wound, is made in the abdomen to access the fluid collection associated with pancreatitis. During this procedure, a catheter is inserted into the fluid collection using a guidewire, allowing for effective drainage. The catheter is then secured in place and remains until the patient's condition improves. In addition to the peripancreatic drainage, CPT® Code 48001 includes the placement of additional drainage catheters into the gallbladder (cholecystostomy), stomach (gastrostomy), and small intestine (jejunostomy). The cholecystostomy involves guiding a catheter through the abdominal wall and liver into the gallbladder, while the gastrostomy and jejunostomy require small incisions in the abdominal wall to insert tubes into the stomach and small intestine, respectively. All catheters are similarly secured and left in place until the pancreatitis resolves, ensuring that the patient can effectively manage the complications associated with this condition.
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The procedure described by CPT® Code 48001 is indicated for patients suffering from acute pancreatitis, particularly when there is a need for drainage of peripancreatic fluid collections. The following conditions may warrant this procedure:
The procedure for CPT® Code 48001 involves several critical steps to ensure effective drainage and management of acute pancreatitis:
After the completion of the procedure associated with CPT® Code 48001, the patient will require careful monitoring to assess the effectiveness of the drainage and to watch for any potential complications. The catheters placed will remain in situ until the pancreatitis subsides, which may take several days to weeks depending on the severity of the condition. Patients may need supportive care, including pain management and nutritional support, particularly if they are unable to eat normally due to the underlying condition. Follow-up imaging may be necessary to evaluate the resolution of fluid collections and to ensure that the drainage is effective. Additionally, healthcare providers will monitor for signs of infection or other complications related to the catheters, ensuring timely intervention if needed.
| Short Descr | PLACEMENT OF DRAIN PANCREAS | Medium Descr | PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY | Long Descr | Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy | 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 | 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.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GW | Service not related to the hospice patient's terminal condition |
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| 2011-01-01 | Changed | Medium description changed. Short description changed. |
| 1994-01-01 | Added | First appearance in code book in 1994. |
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