The final imple-mentation date is set for October 1, 2014. Patients usually recover in the hospital for seven to 10 days. We modified Blumgart pancreaticojejunostomy and applied the. 8 Transplant Of Pancreas; 52. 59 Other partial pancreatectomy convert 52. 3 - other international versions of ICD-10 L92. Pancreaticoduodenectomy (PD) is a common surgical procedure for treating pancreatic head cancers and periampullary tumors (). 0 may differ. The 2024 edition of ICD-10-CM C22. ICD-9-CM. Having difficulty finding a code that describes this. Get. 1%). Twitter. Indications for su rgery included pancreatic head tumor (n = 18), ampullary carcinoma (n =8), bile duct carcinoma (n = 22), gallbladder carcinoma (n = 2), and trauma (n = 1). 09 - other international versions of ICD-10 K83. 1 became effective on October 1, 2023. (2019) 269:733–40. 53 and 52. Applicable To. 9 may differ. 0–157. 6 to ICD-10-PCS; 52. Michelakos T, Pergolini I, Castillo CF, Honselmann KC, Cai L, Deshpande V, et al. 0000000000001254. We suggest researchers consider such characteristics in defining. 3 became effective on October 1, 2023. 89 became effective on October 1, 2023. 2. Induction therapy: The first treatment for the. Pancreaticoduodenectomy (PD) holds high postoperative morbidity. The Whipple procedure, also known as a pancreaticoduodenectomy, is a multipart surgery performed as a treatment primarily for people affected by pancreatic cancer. Patient-related factors associated with POPF include soft pancreatic texture and a small main pancreatic duct (MPD). This. code to identify any associated: diabetes mellitus, postpancreatectomy (. (Superior pancreaticoduodenal labeled at center left. Postoperative morbidity remains high (30–50%) after PD, despite the significant reduction of mortality rate (<3%) at high-volume centers. 7, C25. There were no differences in 30-day. At the time of diagnosis, only about 20% of patients with pancreatic ductal adenocarcinoma (PDAC) have resectable disease. 1 - other international versions of ICD-10 E89. 0%–1. [2] It is also used for the treatment of pancreatic or duodenal trauma, or chronic pancreatitis. 09 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Laparoscopic surgery reduces surgical morbidity in various operations, however laparoscopic pancreaticoduodenectomy (LPD) is a relatively new procedure which lacks a clear consensus regarding its benefits (10-14). L92. In about 20% of patients undergoing pancreaticoduodenectomy to treat chronic pancreatitis, groove pancreatitis is detected. 0 became effective on October 1, 2023. 52. 9 became effective on October 1, 2023. Introduction Despite its rising adoption, the use of minimally invasive (MIS) pancreaticoduodenectomy (PD) in the treatment of pancreatic cancer remains controversial. 815 may differ. Z85. ICD-10-CM Z90 will be released in 2021. Early national experience with laparoscopic pancreaticoduodenectomy for ductal adenocarcinoma: a comparison of laparoscopic pancreaticoduodenectomy and open pancreaticoduodenectomy from the National Cancer Data Base. were classified as having periampullary adenocarcinoma. For patients with at least a 3-year follow-up. 59 Other partial pancreatectomy convert 52. Similar findings were observed when sub-analyses were performed in the pancreaticoduodenectomy (n = 220, 10 % vs. Abstract. 0 - other international versions of ICD-10 C25. 3 became effective on October 1, 2023. ICD-10-PCS 0FBG0ZX is a specific/billable code that can be used to indicate a procedure. 52. Michelakos T, Pergolini I, Castillo CF, Honselmann KC, Cai L, Deshpande V, et al. The 2024 edition of ICD-10-CM D33. Synonyms: h/o: major abdominal surgery, history of pancreatectomy , A pancreaticoduodenectomy, pancreatoduodenectomy, or Whipple, is a surgical procedure involving the pancreas, intestines, and other organs. 5 cm in diameter. 6%) and neuroendocrine neoplasms (32. Coding Robot-assisted Surgery. 819 for Decreased white blood cell count, unspecified is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism . To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD. liver cirrhosis (ICD-9 571. 52. The spleen may also need to be removed. 49 became effective on October 1, 2023. ICD-10 code: ICD-9 code: 52. With the introduction of laparoscopic and robotic surgery, minimally invasive. 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 ]. Introduction. 8, and C25. 3 became effective on October 1, 2023. 41) Z90. 815 contain annotation back-referencesC25. Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with Roux-en-Y anatomy poses a major challenge to gastrointestinal endoscopists. Notice that you don’t distinguish 48140 and 48145 based on. It should only be performed when there is a clear indication and when no alternative is available. 1 became effective on October 1, 2023. 6 months after surgery. Factors influencing health status and contact with health services. 49 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The effects of neoadjuvant therapy on 30 days' outcomes in patients with pancreatic cancer are not well defined in the literature. Neoadjuvant therapy: chemotherapy delivered before surgical resection of the primary tumour, designed to enable earlier treatment of micrometastases. Multimodal treatment including surgery and chemotherapy is considered the gold standard treatment of pancreatic cancer by most guidelines. 2 The US Department of Health and Human Services originally planned for ICD-10-CM/PCS to replace ICD-9-CM in 2008, but the conversion was delayed after several impact analyses3 and requests by physician and other health care provider organizations. 07 may differ. Five patients were treated by pancreaticoduodenectomy, 4 for low-grade neuroendocrine tumors and 1 for high-grade neuroendocrine carcinoma. Code description: Rad pancreaticoduodenect (Radical pancreaticoduodenectomy). 7 to ICD-10-PCS; 52. Assign the appropriate ICD-10-PCS code for this procedure. 1–3 Numerous studies have reported that a positive margin of resection was an independent predictor of poor long-term. The objective of this work was to perform a propensity score matching. XXXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. In addition to pancreatectomy, systemic therapy is used across all disease stages because it is associated with improved survival, and radiotherapy is utilized in select patients with the goal of improving local disease control. 855-695-4872 Outside of Maryland. W08. [2] Due to the shared. Since its first description in 1930s, Whipple's pancreaticoduodenectomy [] has become increasingly accepted as a safe and appropriate surgery for patients with benign and malignant disease of the pancreas and periampullary region. of 14 /14. 41. 2 Almost half of all PDAAs are associated with celiac axis stenosis (CAS) 2 and median arcuate ligament (MAL) compression, which creates a “hooked” appearance that is characteristic of MAL syndrome (MALS), noted in 10% to 30% of such cases. 1016/j. 041. 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,. 81 became effective on. 1, C25. Surgery may require pancreaticoduodenectomy or segmental duodenal resection; either are acceptable options as long as negative margins are achievable and an adequate lymphadenectomy can be performed. A procedure once associated with an. 2,5,11 Assuming that PD involves the. 51, 52. 001) (Fig. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Major morbidity was greatest in patients with diagnoses of bile duct and ampullary neoplasms (33. 07 became effective on October 1, 2023. We identified patients undergoing pancreaticoduodenectomy using the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), code 52. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. However, true ampullary cancers have a better. K74. Pancreaticoduodenectomy is one of the most challenging surgical procedures which requires the highest level of surgical expertise. The procedure involves removal of the “head” (wide part) of the pancreas next to the first part of the small intestine (duodenum). Excision of Pancreas, Open Approach, Diagnostic. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 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. Radical pancreaticoduodenectomy ICD-9-CM Vol 3 Code 52. Pancreatic ductal adenocarcinoma (PDAC) is a leading causes of cancer mortality worldwide. 410 - other international versions of ICD-10 Z90. This study presents the updated. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. Of course it would help to see a copy f the note, but you cannot use an open procedure code for a laparoscopic procedure. Outcomes The principle outcome of interest for this study was clinically relevant postoperative pancreatic. When we compared the 2017 data to the 2010 data for robotic pancreaticoduodenectomy. Z48. 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]. Only pa. This concept has been applied for pancreatic surgery since the first published guidelines in 2012. ijsu. The 2024 edition of ICD-10-CM B15. Access to this feature is available in the following products: Find-A-Code Essentials. Enucleations were associated with shorter operation time, less blood loss as well as shorter ICU and hospital stay compared to pancreaticoduodenectomy and left resections. Patients were identified from the. The 2024 edition of ICD-10-CM E08 became effective on October 1, 2023. doi: 10. Total Pancreatectomy (“TP”) - This involves removing the entire pancreas and reconstructing the gastrointestinal tract. An important cause of this delayed hemorrhage is erosion or pseudoaneurysm formation of the gastroduodenal artery (GDA) by pancreatic enzymes and adjacent intra-abdominal sepsis. Pancreatic fistula after a pancreaticoduodenectomy for ductal adenocarcinoma and its association with morbidity: a multicentre study of the French Surgical Association. 20 McLeod et al 18 performed a cross-sectional survey of 25 pancreaticoduodenectomy patients, comparing them with 25. The study population is a consecutive sample of older (greater than or equal to 75 years) and younger (16 to 74 years) patients from California (January 1990 to December 1996; n = 3,113) and UCSF (January 1993 to November 2000; n = 218), who underwent radical pancreaticoduodenectomy, distal pancreatectomy, or total. Applicable To. 86 Transplantation of cells of Islets of Langerhans, not otherwise specified convert 52. Author: tranque. D016577. Introduction. Index Terms Starting With 'A' (Arthritis, arthritic) due to or associated with. Search All ICD-10 Toggle Dropdown. Pancreaticoduodenectomy represents a major surgery for tumors located at the pancreatic head and the ampullary/periampullary region. For example, ICD-9-CM code 52. Adenocarcinoma / mortality*. For comparison, 20 patients (39. All patients ≥ 18-year old presenting with penetrating pancreatic and/or duodenal injuries were identified using the International Classification of Diseases version-9 (ICD-9) diagnosis codes: 863. 1,3,5,7,8,9,10 The degree of glucose metabolism impairment after pancreatectomy is related to the extent of pancreatic parenchyma resection, underlying pancreatic disease, and duration of follow-up. Adenocarcinoma / surgery*. 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. Laparoscopic pancreaticoduodenectomy for periampullary tumors: lessons learned from 500 consecutive patients in a single center. 1 (Postprocedural hypoinsulinemia). Surg Endosc 2020; 34 :1948-58. 410 became effective on October 1, 2023. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 802 became effective on October 1, 2023. 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-PCS)1. What is the appropriate ICD-10-PCS procedure code assignment for the Whipple pyloric sparing pancreaticoduodenectomy procedure?. 1007/s00464-019-06968-8 [ PubMed ] [ CrossRef ] [ Google Scholar ] A retrospective analysis of the Trauma Quality Improvement Program (TQIP) was performed between January 2010 and December 2016. This is the American ICD-10-CM version of D33. The uncinate process is an extension of the lower (inferior) half of the head toward the left; it is of varying size and is wedged between the superior mesenteric vessels (vein on the right, artery on the left) in. 10. What is the Pancreaticoduodenectomy ICD 10 code? Diagnosis code K90 for ICD-10-CM in 2021. Surgeons and hospitals: new risk factors? Today many authors support the concept that among the most important factors affecting the rate of pancreatic anastomotic leak are the surgeon's and centre's experience 1,3,8,9,10,11,12,13,15,76. Nonetheless, the clinical benefit of LPD compared with OPD was marginal despite extensive procedural expertise. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. ICD-9-CM. 6 vs 26. Pancreatic fistula remains one of the most harmful and troublesome complications after laparoscopic pancreaticoduodenectomy (LPD) [1,2,3]. 8 may differ. 0000000000002600. Subscribers see mappings between ICD-10-PCS codes and ICD-9. 2/7/9, or E34. The conventional operation for removal of lesions from within the head or uncinate process of the pancreas is pancreaticoduodenectomy, also called the "Whipple procedure. Outcomes of our surgical team compared to the published data of some other centers. Find a Doctor. On multivariable cox regression analysis, age and pN1 were associated with worse OS while. The Whipple removes and reconstructs a large part of the gastrointestinal tract and is a difficult and complex operation. Surgery is the only potentially curative treatment for pancreatic cancer, but it is known that pancreatic surgery is technically demanding: despite advances in decreasing post-operative mortality below 2% after pancreatic resection in specialized. 3 - other international versions of ICD-10 Z48. Many surgical techniques have been proposed in order to reduce mortality rates, although post-procedure complications represent a. We identified a subset of procedures, not including cholecystectomy, deemed to be anatomically and technically related to pancreaticoduodenectomy using ICD-9-CM codes. Factors influencing health status and contact with health services. Logistic regression models were constructed using the 2014. 3 may differ. The diagnostic accuracy of cancer was confirmed by both specific admission ICD-9 codes (ampullary cancer [ICD-9 156. 52. This is the American ICD-10-CM version of Z85. Since the NCDB does not have a variable which distinguishes between resectable and. G40. 1097/SLA. From April 1999 through December 2003, 51 patients underwent pancreaticoduodenectomy at our institution. Z90. scepting end-to-end pancreaticojejunostomy was perfomled in 44 patients (67%). 31 - other international versions of ICD-10 K91. (CPT) and International Classification of Diseases Ninth Revision (ICD-9) codes for “pancreaticoduodenectomy” were used to identify patients. Studies suggest that surgical methods and other clinical characteristics may affect the occurrence of DGE. Many patients who suffer these complications require. 1% in 1998; it was greater in patients older than age 65. 94. Ann Surg. Traditionally, this procedure has been performed most usually by open approach, which results in a large and painful wound. Consequently, it is vital to discern a postoperative prognostic biomarker. Applicable To. A chronic systemic infection by a gram-positive. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 94 Endoscopic removal of stone (s) from. 802 - other international versions of ICD-10 G40. We found that robotic PD had lower 30-day (4. The 2024 edition of ICD-10-CM K90. (69%) had one or more lymph nodes with metastatic involvement; 10 of these had disease in CHALN. This retrospective multicentric study attempts to elucidate the risk factors and complications of a PF in a large cohort of patients undergoing a PD for. 7, 52. 41 - other international versions of ICD-10 Z90. ICD-10-PCS, like ICD-10-CM, stresses laterality. 51), distal pancreatectomy (52. However, the perioperative outcomes of LPD versus OPD are still controversial. 07 may differ. 8 - other international versions of ICD-10 L92. 53 Radical subtotal pancreatectomy convert 52. 6% and increases to 16. 52. 41. Charlottesville, VA. The overall surgical morbidity of enucleations was 28. Currently, laparoscopic pancreatic resection (LPR) is extensively applied to treat benign and low-grade diseases related to the pancreas. Codes: 2011 · 2010 · 2009 · 2008 · 2007 · 2006;This study investigated the correlation between pancreatic fibrosis (PF) and development of pancreoprivic diabetes after pancreaticoduodenectomy (PD). Toggle navigation. The Clinical Classifications Software (CCS) for ICD-10-PCS (beta version) is a procedure categorization scheme that can be employed in many types of projects analyzing data on procedures. Neoadjuvant chemotherapy and radiation is associated with lower rates of positive margin after pancreaticoduodenectomy for small (T1 and T2) PDAC. 5% now achieved in large centers. 815 - other international versions of ICD-10 Z48. (ICD-O-3) morphology (8140 and 8500) and topography codes (C25. Codes 48150 and 48152 describe the standard Whipple procedures, with partial pancreatectomy (subtotal), total removal of the duodenum, partial removal of the. The present study aims to assess the preliminary outcomes of the effectiveness of wrapping the ligamentum teres hepatis (LTH) around the gastroduodenal artery stump for the prevention of erosion hemorrhage after laparoscopic pancreaticoduodenectomy (LPD). Only a few reports have described surgical difficulties in patients with CTPV. Procedure complexity and volume–outcome relationships have led to increased regionalization of pancreaticoduodenectomy (PD) for pancreas cancer. 410 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Chen K, Zhou Y, Jin W, et al. For a surgical procedure that is extremely complex, the history behind it is no less worthwhile. Pancreaticoduodenectomy. ASCII CCS for ICD-10-PCS files (beta version) for use with user. 410. [5,6,7] Three anastomoses are created including the. Results. 7. [ edit on Wikidata] The Puestow procedure (also known as a Puestow-Gillesby procedure, or a lateral pancreaticojejunostomy) is a surgical technique used in the treatment of chronic pancreatitis. Other epilepsy, not intractable, without status epilepticus. View 218 Download 0. 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). 6% in 1994 and 10. 1 became effective on October 1, 2023. Summary and recommendation: Patients should receive dedicated preoperative counseling, preferably with multimedia informational materials rather than only spoken information with or without an educational pamphlet. 0 months), and hepatic steatosis on CT images was evaluated. However, because pancreatic cancer usually presents late, only 10% to 20% of patients are candidates for pancreaticoduodenectomy [5, 6], a potentially lifesaving procedure that is associated with high morbidity and a disappointing 5-year survival rate of 10% to 29% [7–12]. 0 Malignant neoplasm of head of pancreas E89. The pancreaticoduodenectomy (Whipple Procedure) is the most commonly performed surgery to remove pancreatic tumors. 93 to ICD-10-PCS. Ann Surg. The current study investigates the prognostic impact of resection margin status after neoadjuvant therapy and pancreaticoduodenectomy for patients. DOI: 10. (MeSHMeSHPancreaticoduodenectomy after esophageal resection is technically difficult, because blood flow of the gastric conduit should be preserved. 9, 23, 25. 815 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 191 - other international versions of ICD-10 C44. Pancreaticoduodenectomy Intervention: Pancreaticoduodenectomy ICD-10 code: ICD-9 code: 52. [10]. Methods We retrospectively evaluated 103 consecutive patients who underwent pancreaticoduodenectomy via. The following code(s) above L92. Owing to the complexity of this procedure, pitfalls that lead to major complications can occur. Additional. able to insert a 2-0 Prolene stitch at the inferior border of the pancreas. This is likely in part due. 2007 Aug;14 (8):2330-6. E-Mail. The completeness of resection resulting from pancreaticoduodenectomy (PD) for pancreatic adenocarcinoma, while not part of the TNM staging system, has powerful prognostic significance for recurrence and survival. - pancreaticoduodenectomy. 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. 21 %) and the distal pancreatectomy (n = 136, 7 % vs. 411 is a billable diagnosis code used to specify acquired partial absence of pancreas. The 2024 edition of ICD-10-CM Z85. ICD-10-CM Codes. [1,2,3,4,5] This procedure is usually done via classic or pyloric preservation that stomach antrum is usually resected. Pancreaticoduodenectomy (PD) is the main therapy for resectable and borderline resectable pancreatic ductal adenocarcinoma (PDAC) []. The most common and life-threatening complications following the procedure are pancreatic anastomotic leakage and subsequent fistula formation. Short description: Encntr for surgical aftcr following surgery on. The median OS of patients who experienced a pCR was longer than of those who did not experience a pCR (76. 7 MeSH D016577 Other codes: A pancreaticoduodenectomy, pancreatoduodenectomy,[1] Whipple procedure, or Kausch-Whipple procedure, is a major surgical operation involving the pancreas, duodenum, and other organs. 92 Cannulation of pancreatic duct convert 52. 0–157. The traditional duct-to-mucosa anastomosis was modified to be easily performed. 6 (subtotal and total pancreatectomy, respectively); and 52. ). 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Islet AutoTransplantation (“IAT”) - After the pancreas has been. 3 may differ. Whipple’s disease is number 81. Background Enhanced recovery after surgery (ERAS) pathways are now implemented worldwide with strong evidence that adhesion to such protocol reduces medical complications, costs and hospital stay. Whipple pancreaticoduodenectomy results in the highest probability of cure in both sporadic and MEN-1 gastrinoma patients as it removes the entire gastrinoma triangle. 52. (ICD-9) diagnosis codes. Hoping someone can help me. Pancreaticoduodenal artery aneurysms are rare and account for 2% of all visceral aneurysms. For a surgical procedure that is extremely complex, the history behind it is no less worthwhile. Cleveland Clinic is a non-profit academic medical center. Number of ICD-10-AM 7th edition. Introduction. 52. The 2024 edition of ICD-10-CM Z48. A robotic lateral pancreaticogastrostomy is performed with the objective of decompressing the pancreatic ductal system. Volumes 1 and 2 are used for diagnostic codes . 9 may differ. 1 may differ. Although surgical resection is a therapy implemented to treat pancreatic cancer, the rates of mortality remain high, and the 5-year survival rate is only 10–20% [2, 3]. 7 - Radical pancreaticoduodenectomy. The 2024 edition of ICD-10-CM G40. 8 may differ. 53, and 52. 3% vs 4. Numerous studies have reported that a positive margin of resection is an independent predictor of poor long-term survival following pancreaticoduodenectomy for pancreatic adenocarcinoma [1-10]. Using the Abbreviated Injury Scale 2005 and ICD-9-CM E-codes, we. Background: Pancreatoduodenectomy may lead to new-onset diabetes mellitus, also known as type 3c diabetes, but the exact risk of this complication is unknown. Neoadjuvant therapy (NAT) in PDAC aims to transform the proportion of inoperable PDACs. As we hypothesized, cause of death between the early and late post-pancreaticoduodenectomy patients differs significantly. Code description: Rad pancreaticoduodenect (Radical pancreaticoduodenectomy). 1 became effective on October 1, 2023. As described above, 4 our study sample includes all US Medicare patients over age 65 undergoing radical pancreaticoduodenectomy (ICD-9 code 52. 48146 (Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)). Subscribe to Codify by AAPC and get the code details in a flash. Pancreaticoduodenectomy (PD) is the main therapy for resectable and borderline resectable pancreatic ductal adenocarcinoma (PDAC) []. Although. +1-410-502-7683 International. This is the American ICD-10-CM version of C44. 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. (33. The classic Whipple procedure is named after Allen Whipple, MD, a Columbia University surgeon who. Current mortality after PD performed at high volume centers is as low as 1–2 % due to improvements in operative technique and perioperative care. 18–22 The two most comprehensive QOL studies published to date are those of McLeod et al 18 and Melvin et al. This is the American ICD-10-CM version of E89. Pancreaticoduodenectomy, so‐called “Whipple operation,” is a time‐consuming and technically demanding complex operation. 2, C25. 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. Pancreatic adenocarcinoma is the third leading cause of cancer death in the United States. 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 procedure codes for each discharge record. There have been contradictory reports on the development of pancreatogenic DM after PD. Disclaimer. 1 - other international versions of ICD-10 D33.