CPT® Code 48150

Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy

The CPT® Code 48150 refers to a complex surgical procedure known as a proximal subtotal pancreatectomy with total duodenectomy, partial gastrectomy, choledochoenterostomy, and gastrojejunostomy, commonly referred to as a Whipple-type procedure. This intricate operation involves the removal of the head of the pancreas, a portion of the duodenum, and part of the stomach, along with the creation of anastomoses between the remaining structures. The procedure is typically indicated for patients with conditions affecting the pancreas, such as tumors or chronic pancreatitis, where surgical intervention is necessary to alleviate symptoms or remove diseased tissue. The surgical approach usually involves a subcostal or midline incision in the abdomen, allowing the surgeon to access the internal organs effectively. The procedure requires careful dissection and mobilization of various anatomical structures, including the superior mesenteric vein, common bile duct, and portal vein, to ensure a successful outcome. The anastomosis of the pancreas to the jejunum (pancreatojejunostomy) and the connection of the bile duct to the jejunum (choledochojejunostomy) are critical components of this surgery, facilitating the proper flow of digestive enzymes and bile into the small intestine. Overall, this procedure is a significant intervention aimed at addressing serious pancreatic conditions while requiring a high level of surgical expertise and postoperative care.