CPT® Code 48020

The procedure described by CPT® Code 48020 involves the surgical removal of a pancreatic calculus, commonly referred to as a stone. This condition typically arises when digestive enzymes and other substances in the pancreas crystallize, forming a solid mass that can obstruct pancreatic ducts. The removal of such a calculus is critical to alleviate symptoms and prevent complications associated with pancreatic duct obstruction, such as pancreatitis or infection. During the procedure, a surgical incision is made, either subcostally (below the rib cage) or through a midline approach in the abdomen, allowing access to the pancreas. Once the pancreas is visualized, the surgeon inspects it to locate the stone. An incision is then made directly over the stone within the pancreatic duct, facilitating its extraction. After the calculus is removed, the surgeon meticulously closes the incision in both the pancreatic duct and the pancreas itself. To ensure proper healing and drainage, the surgical site is irrigated, and drains are placed before the final closure of the wound. This procedure is essential for restoring normal pancreatic function and preventing further complications related to pancreatic stones.