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Pancreatorrhaphy is a surgical procedure performed to repair injuries sustained by the pancreas, often as a result of traumatic incidents. This procedure involves a detailed and careful approach to ensure the integrity of the pancreatic tissue is restored. The surgery typically begins with the creation of a subcostal or midline incision in the abdomen, allowing the surgeon to gain access to the pancreas. Once the incision is made, the entire pancreas is thoroughly exposed and inspected for any lacerations or damage. The lesser sac, a space within the abdominal cavity, is mobilized and opened to provide a clearer view of the pancreas. To facilitate this, attachments to surrounding structures, such as the transverse colon and stomach, are severed, allowing for better visualization of the pancreas's body. In addition, the hepatic flexure of the colon is mobilized to enhance the view of the pancreatic head and neck. To access the tail of the pancreas, the splenic hilum is exposed, and any peritoneal attachments lateral to the spleen and colon are divided. This mobilization allows for thorough palpation and visual inspection of the posterior aspect of the pancreas. During the procedure, any bleeding from small lacerations is controlled, and larger lacerations are repaired using mattress sutures or, in some cases, staples. After the repairs are made, the operative wound is irrigated, and drains are placed to prevent fluid accumulation. Finally, the abdomen is closed around the drains, completing the procedure. This meticulous approach is essential for ensuring proper healing and function of the pancreas following injury.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of pancreatorrhaphy is indicated in cases of traumatic injury to the pancreas, where lacerations or damage to the pancreatic tissue have occurred. This may arise from blunt or penetrating abdominal trauma, necessitating surgical intervention to repair the pancreas and restore its function. The primary indications for performing pancreatorrhaphy include:
The procedure of pancreatorrhaphy involves several critical steps to ensure effective repair of the pancreas. The following outlines the procedural steps involved:
After the completion of pancreatorrhaphy, post-procedure care is essential for ensuring proper recovery. Patients are typically monitored for any signs of complications, such as infection or bleeding. The presence of drains will require careful management to ensure they function correctly and do not become obstructed. Patients may experience pain and discomfort in the abdominal area, which can be managed with appropriate analgesics. Follow-up imaging may be necessary to assess the healing of the pancreas and to ensure that no further complications arise. The overall recovery period will vary depending on the extent of the injury and the individual patient's health status.
| Short Descr | PANCREATORRHAPHY | Medium Descr | PANCREATORRHAPHY INJURY | Long Descr | Pancreatorrhaphy for injury | 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 |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure 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 |
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| 2002-01-01 | Changed | Code description changed. |
| 1994-01-01 | Added | First appearance in code book in 1994. |
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