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External drainage of a pancreatic pseudocyst is a surgical procedure that involves accessing the pancreas through an open approach, typically via a subcostal or midline abdominal incision. This procedure is indicated when a pseudocyst, which is a fluid-filled sac that can develop in the pancreas, requires drainage to alleviate symptoms or prevent complications. During the operation, the surgeon carefully exposes the pancreas and locates the pseudocyst. To confirm the nature of the cyst, it is aspirated to ensure that it contains fluid. Following this, a small incision is made in the cyst wall, and a biopsy may be performed to rule out the presence of malignancy. After confirming the cyst's characteristics, one or more drains are inserted into the cyst cavity to facilitate the continuous drainage of fluid. These drains are secured in place, and the abdominal incision is then closed around the drains, allowing for ongoing monitoring and management of the cyst's contents postoperatively.
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External drainage of a pancreatic pseudocyst is typically indicated in the following situations:
The procedure for external drainage of a pancreatic pseudocyst involves several critical steps:
After the external drainage procedure, patients are typically monitored for any signs of complications, such as infection or bleeding. The drains remain in place for a period to allow for adequate drainage of fluid from the cyst. Patients may require follow-up imaging studies to assess the status of the pseudocyst and the effectiveness of the drainage. Pain management and supportive care are also important aspects of post-procedure care to ensure a smooth recovery.
| Short Descr | DRAIN PANCREATIC PSEUDOCYST | Medium Descr | EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN | Long Descr | External drainage, pseudocyst of pancreas, open | 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 | 99 - Other OR gastrointestinal 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. | 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.) | 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). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2014-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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