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CPT 48001: Pancreatic and Enteric Drainage Tube Placement
CPT code 48001 denotes a surgical drainage procedure performed for acute pancreatitis in which drains are placed around the pancreas and small openings are made in the gallbladder, stomach, and jejunum to accommodate drainage tubes. This code represents a complex, invasive procedure often performed in hospitalized patients with infected or symptomatic peripancreatic fluid collections. Nationally, accurate coding for this service matters for clinical documentation, resource use tracking, and appropriate claim adjudication for high-acuity surgical care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context on when this procedure is used, typical sites of service, and common billing considerations. The publication also outlines benchmarks and payer coverage patterns where available, procedural documentation priorities, and relevant policy developments affecting surgical drainage and enteric/gallbladder tube placement for pancreatitis.
This summary is intended for clinicians, coding professionals, and policy analysts seeking a concise national overview of CPT code 48001, its clinical role, and the payment and documentation implications that commonly accompany high-acuity pancreatic drainage procedures. Data not available in the input will be identified in specific sections.
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Billing Code Overview
CPT code 48001 describes a surgical drainage procedure for a patient with acute pancreatitis. The provider places drains around the pancreas and creates small openings in the gallbladder, stomach, and jejunum to accommodate drainage tubes.
Service Type: Surgical drainage and enteric/gallbladder drainage tube placement
Typical Site of Service: Operating room or interventional procedure suite (inpatient or procedural setting)