CPT® Code 48152

Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy

The CPT® Code 48152 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 procedure is performed to remove the head of the pancreas along with the duodenum, a portion of the stomach, and the bile duct, while not performing a pancreatojejunostomy, which is the anastomosis of the pancreatic duct to the jejunum. The surgery typically involves a subcostal or midline incision in the abdomen, allowing access to the abdominal cavity. The procedure is indicated for various conditions affecting the pancreas and surrounding structures, such as tumors or chronic pancreatitis. The surgical steps involve careful mobilization of the duodenum and pancreas, identification of critical vascular structures, and meticulous dissection to ensure complete removal of the affected organs while preserving surrounding tissues as much as possible. The procedure concludes with the reconstruction of the gastrointestinal tract to maintain continuity, which is essential for proper digestion and bile drainage.