Codes 48150 and 48152 describe the standard Whipple procedures, with partial pancreatectomy (subtotal), total removal of the duodenum, partial removal of the stomach, and anastomosis of the bile duct to the intestines and the stomach to the jejunum.
The Whipple also requires reconstructions—pancreaticojejunostomy (attaching the pancreas to the jejunum), hepaticojejunostomy (attaching the hepatic duct to the jejunum), and gastrojejunostomy (attaching the stomach to the jejunum)—to repair the gastrointestinal tract and allow food to pass through.
The most common Whipple procedure is an en bloc removal of: Distal segment (antrum) of the stomach. First and second portions of the duodenum. Head of the pancreas. Common bile duct. Gallbladder.
K90. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K90.
ICD-10-PCS 0DJW0ZZ converts approximately to: 2015 ICD-9-CM Procedure 54.11 Exploratory laparotomy.
C25. 9 converts to ICD-9-CM: 157.9 - Malignant neoplasm of pancreas, part unspecified.
Malignant neoplasm of pancreas, unspecified C25. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C25. 9 became effective on October 1, 2021.
Z48. 815 - Encounter for surgical aftercare following surgery on the digestive system | ICD-10-CM.
Exploratory laparotomy is an abdominal surgery that doctors sometimes use to diagnose abdominal issues. It is usually recommended when other testing did not diagnose or fully resolve an issue. Reasons to perform this surgery include: Abdominal trauma (for example, from an accident) Unexplained bleeding.
Coding Whipple Procedures. Codes 48150 and 48152 describe the standard Whipple procedures, with partial pancreatectomy (subtotal), total removal of the duodenum, partial removal of the stomach, and anastomosis of the bile duct to the intestines and the stomach to the jejunum.
The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct. It is the most often used surgery to treat pancreatic cancer that's confined to the head of the pancreas.
ICD-9-CM Diagnosis Code 199.1 : Other malignant neoplasm without specification of site.
If the malignant neoplasm is of contiguous or overlapping sites of the pancreas and the point of origin cannot be determined, assign code 157.8. Carcinoma in situ of the pancreas is classified to code 230.9. Pancreatic cancer is usually not diagnosed in the early stages and rapidly spreads.
Other specified diseases of pancreas The 2022 edition of ICD-10-CM K86. 8 became effective on October 1, 2021.
C25. 4 - Malignant neoplasm of endocrine pancreas | ICD-10-CM.