Predictors of resectability and survival in patients with borderline and locally advanced pancreatic cancer who underwent neoadjuvant treatment with FOLFIRINOX. 0 Malignant neoplasm of head of pancreas E89. Sometimes coders do this with a 52 modifier on the open code, however the reimbursement is then reduced and most surgeons I have talked to about. ICD-10-CM Diagnosis Code E13. ICD-10-PCS before its release in 1998. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Pancreaticoduodenectomy (PD) is a complex surgery, commonly performed for malignant tumors of pancreatic head, ampulla, distal bile duct, and may be performed for benign tumors, and trauma of pancreatic head and duodenum, while rarely perform for chronic pancreatitis [1, 2]. 10. The 2024 edition of ICD-10-CM K68. 3 - other international versions of ICD-10 K74. 6), and. 8 for Other ascites is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified . The pancreaticoduodenectomy (Whipple Procedure) is the most commonly performed surgery to remove pancreatic tumors. ICD-10-PCS, like ICD-10-CM, stresses laterality. noted significant improvement in outcomes associated with pancreaticoduodenectomy when performed at a center with increased volume 10. G40. NSQIP (2009-2012) was used. This is the American ICD-10-CM version of Z48. Pancreatic cancer is an extremely aggressive malignancy and has a poor prognosis worldwide []. 1%. Learn about the Whipple and other treatments. This is the American ICD-10-CM version of Z90. Pancreaticoduodenectomy (PD) with or without pylorus preservation remains the mainstay curative treatment in patients presenting with localized periampullary cancers [5, 6]. ICD: International Classification of Diseases; NIS: Nationwide Inpatient Sample INTRODUCTION Elective pancreaticoduodenectomy in patients with primary pancreatic cancer provides the only hope for long-term cure in patients even though the 5- year survival is less than 10% even when curative resection are performed [ 1 , 2 ]. 1 - other international versions of ICD-10 C22. 3 became effective on October 1, 2023. 1. Periampullary cancers (PACs) are malignant diseases that develop near the ampulla of Vater, including cancer of the second part of the duodenum, head and neck of the pancreas, distal end of the common bile duct (CBD), and the ampulla of Vater. Background. Info Newsletters AHA CC viewing Wed Nov 8, 2023 AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1 Whipple Procedure The Whipple procedure,. [10]. The observation period was set at 1 to 12 months after partial pancreatectomy to exclude the period of unstable glucose metabolism immediately after surgery, [ 16 ] and based on previous studies suggesting. 6 Total pancreatectomy convert 52. 52. 2018 Apr;52:383-387. Author links open overlay panel Rajesh S Shinde a, Rajgopal Acharya b,. 41. 09 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2007 Aug;14 (8):2330-6. Z85. 1 became effective on October 1, 2023. Little is known about the adverse oral events and skin disorders caused by zinc deficiency after PD. 1 may differ. The following operations were included in the analysis: pancreaticoduodenectomy (ICD-9 codes: 52. 28, No. Trauma pancreaticoduodenectomy (TP) remains a challenging operation with morbidity and mortality rates as high as 80% and 50%. Nutrition after your pancreaticoduodenectomy (Whipple procedure) Page - 3 Possible nutrition problems Gastroparesis What To Do What is it? A condition where food moves through your stomach slower than normal and takes longer to digest. 10. Multimedia information seems superior to only spoken information, with or without leaflet [11]. to accommodate a laparoscopic GIA stapling device. Demographic data, preoperative, intraoperative, and. In 10 patients, a pancreatogastrostomy was performed; all of the remaining patients underwent a pancreatojejunostomy. Whipple’s procedure. Outcomes The principle outcome of interest for this study was clinically relevant postoperative pancreatic. Despite advances in surgical technique and perioperative care, major pancreatic resection (eg, pancreaticoduodenectomy and total pancreatectomy) continues to have a high incidence of postoperative complications. By Marcella Bucknam CPC CPCH CPCP CPCI CCC COBGC CCS CCSP A pancreaticoduodenectomy pancreatoduodenectomy or Whipple is a surgical procedure involving the pancreas. Introduction. This concept has been applied for pancreatic surgery since the first published guidelines in 2012. 52. Pancreaticoduodenectomy, so-called "Whipple operation," is a time-consuming and technically demanding complex operation. While for pancreatic cancer, apart from its. In 25 of 42 patients, unenhanced CT scans were available approximately 12 months after pancreatoduodenectomy (average, 12. K74. Increased experience has led to a decline in mortality rate after pancreatoduodenectomy over the past decade 1–11. The aim of this article is to compare a multicenter center risk of LPD in elderly and nonelderly patients. 0 may differ. 520 - other international versions of ICD-10 Z85. 7. With rapid increase of the proportion of the elderly population, there will be an increasing need to consider patients over the age of 80 for pancreaticoduodenectomy (PD) for the treatment of biliary and pancreatic cancer []. SEER Program Coding and Staging Manual 2018 Appendix C: Surgery Codes 1 Surgery Codes Pancreas C250–C259 (Except for M9727, 9732, 9741-9742, 9762-9809, 9832,Introduction. Background Cavernous transformation of the portal vein (CTPV) due to extrahepatic portal vein obstruction is a rare vascular anomaly. This is the American ICD-10-CM version of K91. Although innumerable details of pancreaticoduodenectomy yield to continued innovation, a comprehensive discussion of intraoperative variants (ie, duct to mucosa vs invagination of the pancreaticojejunal anastomosis, diverse approaches to vein resection and reconstructions, nuances of each enteric anastomosis, and modifications of Roux-en-Y reconstructions, to name a few) is beyond the scope of. Minimally invasive pancreaticoduodenectomy (MIPD), including robotic (RPD) and laparoscopy (LPD), is becoming more frequently employed in the management of pancreatic ductal adenocarcinoma (PDAC), though the majority of operations are still performed via open approach (OPD). 89 became effective on October 1, 2023. 8 Transplant Of Pancreas; 52. 527 ICD-9 ⇄ ICD-10 Crosswalk . Information about the “527” (ICD-9) code. 2018. Applicable To. Large multicentre studies comparing postoperative outcomes in PD stratified by diagnosis are lacking. The rate of neoadjuvant therapy documented in this study (approximately 25% of patients undergoing a pancreaticoduodenectomy for pancreatic adenocarcinoma) was much higher than what had been previously reported. 1], and duodenal cancer [ICD-9 152. Assign the appropriate ICD-10-PCS code for this procedure. Applicable To. 7 (pancreaticoduodenectomy); 52. The objective of this study was to examine the postoperative morbidity and mortality of NAT after pancreaticoduodenectomy (PD) for pancreatic ductal adenocarcinoma (PDA). Laparoscopic pancreaticoduodenectomy for periampullary tumors: lessons learned from 500 consecutive patients in a single center. 7. ObjectiveThis meta-analysis compares the perioperative outcomes of laparoscopic pancreaticoduodenectomy (LPD) to those of open pancreaticoduodenectomy (OPD) for pancreatic and periampullary tumors. Celiac axis stenosis (CAS) is also a problem for pancreaticoduodenectomy, because arterial blood supply for the liver comes mainly through the collateral route from the superior mesenteric artery (SMA) via. Codes used to report surgeries for tumor excision in people with pancreatic cancer include: Distal Pancreatectomy – During this surgery, the left side of the pancreas is removed. 21, 863. Code description: Rad pancreaticoduodenect (Radical pancreaticoduodenectomy). 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 1 may differ. Understanding the potential complications and recognizing them are imperative to ta. 3% without major complications. Patients were identified from the. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. PD is challenging for surgeons due to the complexities involved in intra-abdominal dissection and the difficulties in reconstructing the alimentary tract; PD has high risks of perioperative morbidity and. 0 months), and hepatic steatosis on CT images was evaluated. How to resolve this issue is challenged. This is the American ICD-10-CM version of L92. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 52. 4% and no risk factor is identified. 3 may differ. 7, 52. Around 15% to 20% of people with pancreatic cancer are eligible for this surgery. Pancreaticoduodenectomy Intervention: Pancreaticoduodenectomy ICD-10 code: ICD-9 code: 52. 2018. of 14 /14. Hoping someone can help me. What is the appropriate ICD-10-PCS procedure code assignment for the Whipple pyloric sparing pancreaticoduodenectomy procedure?. 7. 520 became effective on October 1, 2023. Reiter's disease. The aim of this review was to assess the risk of new-onset diabetes mellitus after pancreatoduodenectomy. The 2024 edition of ICD-10-CM Z85. Pancreatectomy is a term for surgical removal of all or part of the pancreas. INTRODUCTION. Code description: Rad pancreaticoduodenect (Radical pancreaticoduodenectomy). 1, C25. The primary surgical procedure remains laparoscopic: You should not report unlisted procedure codes or. (MeSHMeSHPancreaticoduodenectomy after esophageal resection is technically difficult, because blood flow of the gastric conduit should be preserved. Although surgical resection remains the only chance for long-term patient survival, the likelihood of initial resectability is no higher than 20%. This is the American ICD-10-CM version of B15. Surgery to remove a tumor offers the best chance for long-term control of all pancreatic cancer types. Purpose Total pancreatectomy (TP) eliminates the risk and morbidity of pancreatic leak after pancreaticoduodenectomy (PD). Codes: 2011 · 2010 · 2009 · 2008 · 2007 · 2006;This study investigated the correlation between pancreatic fibrosis (PF) and development of pancreoprivic diabetes after pancreaticoduodenectomy (PD). Consequently, it is vital to discern a postoperative prognostic biomarker. 9 Other Operations On Pancreas. 07 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Nearly 10 years later, Giulianotti performed the first PD in a robotic manner in 2003. Previous studies conflict on the net benefit of TP. 1–3 During the next decade, peer review of this procedure was limited to scattered case series involving experiences among highly selected. ijsu. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. Background: The purpose of this study is to evaluate whether wrapping of the pedicled falciform ligamentum flap around the gastroduodenal artery (GDA) stump/hepatic artery can significantly decrease the incidence of erosion hemorrhage after pancreatoduodenectomy (PD). Incidence reaches 1. The history of the pancreaticoduodenectomy extends from the late 19th century with its ominous prohibitive mortality to its current stage where mortality has been reduced to less than 2%. However, the perioperative outcomes of LPD versus OPD are still controversial. - pancreaticoduodenectomy; of 14 /14. For a person with pancreatic cancer, surgery may be the only option for a cure, and one such type of surgery is a Whipple procedure (pancreaticoduodenectomy). BackgroundThe Clavien–Dindo classification (CDC) has been widely accepted and applied in clinical practice. This was the first year ICD-10-CM was implemented into the HIPAA code set. 52. 3 may differ. able to insert a 2-0 Prolene stitch at the inferior border of the pancreas. Background: Studies of pancreaticoduodenectomy (PD) frequently overlook diagnosis as a variable when evaluating postoperative outcomes or generically group patients according to whether they have 'benign' or 'malignant' disease. Enucleation should be considered more frequently as an optio. It was associated with a shorter length of stay and similar short-term morbidity and mortality rates to OPD. ). One of 8 patients can achieve 10-year survival with a potential for cure. Methods: Retrospective review (n = 237) of perisurgical outcomes in patients undergoing LPD during the months. 31 may differ. ICD-10-PCS. Pancreaticoduodenectomy (PD) is the only possible treatment indicated for the most complex injuries (grades IV and V). 1 : K00-K95. C25. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Number of ICD-10-AM 7th edition. Pancreaticoduodenectomy NEC 174705003 removed: 2010-01-31. 1], and duodenal cancer [ICD-9 152. Traditional techniques for performing pancreaticoduodenectomy have emphasized the importance of establishing a tumor-free plane between the SMPV confluence and the neck of the pancreas. #2. 7, 52. Studies suggest that surgical methods and other clinical characteristics may affect the occurrence of DGE. MeSH. 8: Neuroendocrine tumors: D01. Chen K, Zhou Y, Jin W, et al. Objective: To determine the effects of total parenteral nutrition (TPN) and enteral nutrition (EN) on biochemical and clinical outcomes in pancreatic cancer patients who underwent pancreaticoduodenectomy. Subscribe to Codify by AAPC and get the code details in a flash. 2 A number of reports have documented superior immediate results in centers that perform pancreaticoduodenectomy with high frequency, although the precise contribu- tion of surgical technique and surgeon experience to the observed volume-outcome relationship is not defined. Access to this feature is available in the following products: Find-A-Code Essentials. 8 contain annotation back-referencesPancreaticoduodenectomy (PD) is one of the most challenging and complex surgeries in the abdominal surgery that carries a high rate of major complications, among which delayed gastric emptying (DGE) remains one of the most commonly observed complications with an incidence ranging from 15–35% [1,2,3,4,5]. This is the American ICD-10-CM version of D33. The SID databases use ICD-9-CM coding for diagnoses and procedures, and include principal diagnosis and procedure, plus as many as 24 additional diagnosis codes or 20 other. For a surgical procedure that is extremely complex, the history behind it is no less worthwhile. It is usually only carried. 4. The primary outcome was the development of postoperative P-DM after surgery. K74. We sought to determine whether volume is also related to survival after hospital discharge. The mortality rate after pancreaticoduodenectomy is declining and is currently. 1–3 Numerous studies have reported that a positive margin of resection was an independent predictor of poor long-term. E08 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 9: Malignant neoplasm of pancreas: C7A. First, report E89. Nonetheless, the clinical benefit of LPD compared with OPD was marginal despite extensive procedural expertise. However, unlike -CM, ICD-10-PCS requires the use of laterality because “unspecified” is not an anatomical option. 1 became effective on October 1, 2023. Results: The derotation procedure significantly decreased operative time (434 vs 516 minutes) and blood loss (521 vs 908 mL), and tended to increase the rate of R0 resection (90% vs 78%), compared with the conventional procedure. The overall surgical morbidity of enucleations was 28. The incidence of pancreatic ductal adenocarcinoma (PDAC) has been on the rise in recent years; however, its clinical diagnosis and treatment remain challenging. Only a few reports have described surgical difficulties in patients with CTPV. XXXA became effective on October 1, 2023. 8 Thus, we identified 4775 PD. The Pubmed, EMBASE. Robotic pancreaticoduodenectomy has generated signicant interest in recent years. Find a Doctor. The 2024 edition of ICD-10-CM Z48. 0. This may result in a shorter hospital stay and reduced pain and scarring. Transverse colectomy EN bloc with complete mobilization of the splenic flexure. Patients and Methods. 0]) 7 and inclusion in the Registry for Catastrophic Illness Patient Database, a subpart of the NHIRD. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9). 8 may differ. Patients who underwent pancreaticoduodenectomy were identified using the International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) proce-dure code 52. The most common complications encountered are post. 3 became effective on October 1, 2023. 1097/SLA. 91–863. With the introduction of laparoscopic and robotic surgery, minimally invasive. definitions - Pancreaticoduodenectomy report a problem. The 2024 edition of ICD-10-CM D33. The ICD-O-3 histology codes included in the study were: 8140/3, 8141/3, 8143/3, 8144/3, 8145/3, 8148/3,History of pancreaticoduodenectomy: early misconceptions, initial milestones and the pioneers. A 59-year-old patient, who is status post pancreaticoduodenectomy, presents with stenosis of the pancreaticoju- nostomy. Introduction. We divided the pancreas. 59 to ICD-10-PCS; 52. Epub 2011 Mar 31. 041. The anastomosis of the pancreatic stump is considered the most difficult phase of the surgery, crucial for postoperative healing. The 2024 edition of ICD-10-CM E08 became effective on October 1, 2023. ICD-10-PCS before its release in 1998. A 59-year-old patient, who is status post pancreaticoduodenectomy, presents with stenosis of the pancreaticoju-nostomy. Applicable To. Methodology A comparison of patients undergoing non-emergent,. 0 became effective on October 1, 2023. Pancreaticoduodenectomy without formation of stoma. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. 94. W08. This is the American ICD-10-CM version of K74. 52. Applicable To. This procedure is associated with significant. A total of 6085 patients underwent pancreaticoduodenectomy: 744 (12. Best answers. Moreover, the learning curve for the traditional open PD is significant,. 54: Avg LOS with ICD 527 - Radical Pancreaticoduodenectomy: 8. Only pa. 41-), diabetes mellitus (postpancreatectomy) (postprocedural) (E13. To reduce bias due to coding inaccuracy, operations with diagnosis unrelated to pancreatic surgery were. 0 months, p < 0. What is the procedure code 19303? Mastectomy,. 1 - other international versions of ICD-10 C22. 01. 410 became effective on. 6), and other resections (52. MeSH. ASCII CCS for ICD-10-PCS files (beta version) for use with user. Distal pancreatectomy may be used for isolated. 5 cm in diameter. 1 became effective on October 1, 2023. The aim of this meta-analysis was to evaluate whether robotic pancreaticoduodenectomy (PD) may provide better clinical and pathologic outcomes compared to its open counterpart. The 2024 edition of ICD-10-CM Z85. 1 may differ. The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. Currently, the. 4)” so you should also report: Z90. Neoadjuvant therapy (NAT) in PDAC aims to transform the proportion of inoperable PDACs. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The Whipple removes and reconstructs a large part of the gastrointestinal tract and is a difficult and complex operation. The Whipple procedure, also known as a pancreaticoduodenectomy, is a multipart surgery performed as a treatment primarily for people affected by pancreatic cancer. Specialty: Gastroenterology,. 2018. The pancreatoduodenectomy, also known as the Whipple procedure, is the surgical procedure of choice for the resectable and the borderline resectable pancreatic ductal adenocarcinomas. 7, C25. Complete surgical removal of the tumor remains the only chance for cure, however 80-90% of patients have disease that is surgically incurable at the time of clinical presentation (15). Adenocarcinoma / pathology. Median survival following resection was 17 months. Once testing has confirmed a diagnosis of pancreatic cancer, the next step is determining the right code to describe the patient’s condition. On multivariable cox regression analysis, age and pN1 were associated with worse OS while. We identified patients undergoing pancreaticoduodenectomy using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code 52. The 2024 edition of ICD-10-CM K91. 0 Malignant neoplasm, head of pancreas. 1097/MD. ObjectiveIn this study, we retrieved the data available in the Surveillance, Epidemiology, and End Results database to identify the prognostic factors for patients with pancreatic head cancer who had undergone pancreaticoduodenectomy and developed a prediction model for clinical reference. This is the American ICD-10-CM version of K83. In all of the described techniques, the jejunal limb is brought to the supracolic compartment in a retro colic. 22, 52. 1 | Page PMB definition guideline for Early Stage Pancreatic Cancer PMB definition guideline for early stage pancreatic cancer . Laparoscopic pancreaticoduodenectomy versus open pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: oncologic outcomes and long-term survival. 815 became effective on October 1, 2023. This operation is performed to treat cancerous tumours on the head of the pancreas . The 2024 edition of ICD-10-CM K83. With the introduction of laparoscopic and robotic surgery, minimally invasive. Neoadjuvant Therapy* / methods. Pancreaticoduodenectomy (PD) is an operative procedure that involves resection of the pancreatic head in addition to the duodenum and bile duct. C22. K83. The use of neoadjuvant chemoradiation therapy in patients with pancreatic adenocarcinoma is emerging as an acceptable therapy option. Postoperative pancreatic fistula is still the most dangerous complication of laparoscopic pancreaticoduodenectomy. Context 2. Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y anatomy poses a major challenge to gastrointestinal endoscopists. D010193. Best answers. NAT is associated with improved survival for patients with borderline resectable PDAC but broader efficacy for resectable PDAC and optimal treatment strategy have yet. % of Total ICD 527 - Radical Pancreaticoduodenectomy in DRG: 0. As the population ages, pressure to offer surgical therapy to elderly patients will increase. This is the American ICD-10-CM version of B15. 0–157. J Am Coll Surg. Z48. 6% in 1994 and 10. Z90. This is likely in part due to the. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 07 - other international versions of ICD-10 Z85. 0 - other international versions of ICD-10 C25. Recently, several meta-analyses showed the superior aspects of “superior mesenteric artery (SMA)-first approach,” “systematic mesopancreas dissection,” and “circumferential lymphadenectomy around SMA” in. Although the first published case was described in 1994, it has been slow to gain popularity . The primary aim was to correlate percentage pancreatic remnant volume (%RV) after PD in nondiabetic patients with the development of new-onset impaired glucose tolerance/diabetes mellitus. The median OS of patients who experienced a pCR was longer than of those who did not experience a pCR (76. 107-112 CHINESE MEDICAL SCIENCES JOURNAL ORIGINAL ARTICLE Standard Versus Extended Pancreaticoduodenectomy in Treating Adenocarcinoma…Efficacy and outcomes of resection for pancreatic neuroendocrine tumors (pNET) are well established; specific data on outcomes for pancreaticoduodenectomy (PD), either alone or with combined procedures, are limited. 3 - other international versions of ICD-10 K74. ICD-10-CM Z90 will be released in 2021. Nevertheless, the results of such studies are conflicting. 81–863. However, in ICD-10-PCS each component of the procedure is reported with a separate code. 7%) patients underwent radiotherapy and/or chemotherapy with 39 patients. Introduction Despite its rising adoption, the use of minimally invasive (MIS) pancreaticoduodenectomy (PD) in the treatment of pancreatic cancer remains controversial. Pancreaticoduodenectomy, also referred to as the “Whipple” or “Kausch-Whipple” procedure, is the most common surgical procedure for the resection of tumors in the pancreatic head, uncinate process, and neck as well as lesions of the ampulla, extrahepatic bile duct, and duodenum []. 49 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The effect of PD on pancreatic exocrine secretion is multifactorial. [2] This activity reviews the procedure of pancreaticoduodenectomy, relevant surgical anatomy, technical details, contraindications, and complications. 411 is a billable diagnosis code used to specify acquired partial absence of pancreas. Treatment algorithms increasingly employ a multimodal strategy, which includes neoadjuvant and adjuvant therapies. 6, 52. 59 (proximal, distal, and other partial pancreatectomy, respectively) and ICD-10 0FTG0ZZ (Resection of Pancreas, Open Approach), 0FTG4ZZ (Resection of Pancreas, Percutaneous Endoscopic Approach),. Short description: Encntr for surgical aftcr following surgery on. Introduction. [1,2,3,4,5] This procedure is usually done via classic or pyloric preservation that stomach antrum is usually resected. The final imple-mentation date is set for October 1, 2014. The overall postoperative mortality rate was 5. 80. 52, 52. Applicable To. 59), pancreaticoduodenectomy (ICD-9 codes 52. 49 became effective on October 1, 2023. CASE REPORT Pancreaticoduodenectomy for pancreas carcinoma occurring in the annular pancreas: report of a case Hiromichi Kawaida1 • Hiroshi Kono1 • Mitsuaki Watanabe1…The pancreaticoduodenectomy (Whipple procedure) is a complex operation with the potential for significant morbidity and mortality. 8 contain annotation back-references Background Delayed gastric emptying (DGE) remains one of the major complications after pancreaticoduodenectomy (PD), with discrepant reports of its contributing factors. Aug 20, 2012. Ann Surg. 1: Malignant neoplasm of ampulla of Vater: C25. When we compared the 2017 data to the 2010 data for robotic pancreaticoduodenectomy. 1: Intrahepatic bile duct carcinoma: C24. For example, ICD-9-CM code 52. XXXA may differ. ICD-9-CM Volume 3 is a system of procedural codes used by health insurers to classify medical procedures for billing purposes. 1 – 5 However, postoperative morbidity remains considerable and ranges from 30 to 60 %. 0]) 7 and inclusion in the Registry for Catastrophic Illness Patient Database, a subpart of the NHIRD. This is the American ICD-10-CM version of W08. Background: Resection margin status is an important prognostic factor in pancreatic cancer; however, the impact of positive resection margins in those who received neoadjuvant therapy remains unclear. 0, C25. The 2024 edition of ICD-10-CM Z85. 51 and 52. Pancreaticoduodenectomy, also referred to as the “Whipple” or “Kausch-Whipple” procedure, is the most common surgical procedure for the resection of tumors in the pancreatic head, uncinate process, and neck as well as lesions of the ampulla, extrahepatic bile duct, and duodenum []. Procedure: 1. Pancreaticoduodenectomy (i.