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Backbench reconstruction of a cadaver donor pancreas allograft prior to transplantation involves a critical surgical procedure known as venous anastomosis. This procedure is essential for preparing the pancreas for successful transplantation into a recipient. During this process, the surgeon connects the donor pancreas's venous structures to the recipient's vascular system, ensuring proper blood flow to the transplanted organ. The term 'venous anastomosis' refers specifically to the surgical connection made between veins, which is vital for maintaining the viability of the pancreas after it has been transplanted. In cases where the portal vein of the donor pancreas is too short or presents an unusual anatomical configuration, a venous extension graft may be necessary. This involves procuring a segment of donor vein, typically from the common or external iliac vein, that matches the diameter of the portal vein. The anastomosis is performed in an end-to-end fashion, often utilizing loupe magnification to enhance precision and ensure optimal alignment of the vessels. The CPT® Code 48552 should be reported for each venous anastomosis performed during this backbench reconstruction procedure.
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The procedure of backbench reconstruction of a cadaver donor pancreas allograft, specifically the venous anastomosis, is indicated in several scenarios related to organ transplantation. These include:
The backbench reconstruction procedure involves several critical steps to ensure the successful venous anastomosis of the cadaver donor pancreas allograft. These steps include:
Following the venous anastomosis during the backbench reconstruction of the cadaver donor pancreas allograft, several post-procedure considerations are important. The transplanted pancreas will require careful monitoring for signs of proper blood flow and function. Healthcare professionals will assess the anastomosis site for any complications, such as thrombosis or leakage. Additionally, the recipient will be closely observed for any signs of rejection or other adverse reactions to the transplant. Post-operative care may include the administration of immunosuppressive medications to prevent rejection of the transplanted organ. The recovery process will vary depending on the individual patient's condition and response to the transplant.
| Short Descr | PREP DONOR PANCREAS/VENOUS | Medium Descr | BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA | Long Descr | Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | 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 | 2 | CCS Clinical Classification | 176 - Other organ transplantation |
| 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. | 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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| 2005-01-01 | Added | First appearance in code book in 2005. |