These conditions are treated with pancreatic enzyme replacement therapy, which supplies digestive enzymes; and with insulin injections.
The CPT Codes for subtotal or total pancreatectomy is 48160.
A total pancreatectomy is a surgical procedure where the entire pancreas is removed. This is often done to treat conditions like pancreatic cancer, severe chronic pancreatitis, or certain types of pancreatic neuroendocrine tumors. After the surgery, patients require lifelong insulin and enzyme replacement therapy to manage blood sugar levels and aid in digestion.
The stage of the cancer will determine whether the pancreatectomy to be performed should be total or distal.
In some case, distal pancreatectomies may also lead to pancreatic insufficiency, depending on the patient's general health condition before surgery and on the extent of pancreatic tissue removal.
The risk for tumor recurrence is thought to be unaffected by whether the patient undergoes a total pancreatectomy or a pancreaticoduodenectomy.
During a total pancreatectomy, the entire pancreas is removed along with parts of the bile duct, small intestine, and stomach. In some cases, the spleen, gallbladder, and surrounding lymph nodes may also be removed depending on the extent of the disease.
After a total pancreatectomy, the body loses the ability to secrete insulin, enzymes, and other substances; therefore, the patient has to take supplements for the rest of his/her life.
A total pancreatectomy eliminates the pancreas's ability to secrete insulin, resulting in the patient developing severe diabetes requiring lifelong insulin replacement therapy. This significantly impacts blood glucose regulation and necessitates close monitoring and management to prevent complications.
The procedure code for a total left knee replacement surgery (arthroplasty) is CPT 27447. Total knee replacement surgery is needed to stop pain; it is most regularly completed on patients with osteoarthritis.
Below mentioned three CPT procedure codes are associated with Whipple procedure. CPT code 48150 - Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy. CPT code 48152 - Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy. CPT code 48153 - Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy.
Patients with pulmonary edema may undergo phlebotomy procedures to decrease their total blood volume.
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