Table 3.
Pancreatic surgery morbidity, mortality and observed/expected indices
| CPT code | Principal procedure | n | Observed morbidity, % | Expected morbidity, % | Morbidity index | Observed mortality, % | Expected mortality, % | Mortality index |
|---|---|---|---|---|---|---|---|---|
| Pancreatectomy | ||||||||
| 48140 | Pancreatectomy, distal w/o PJ | 1241 | 26.8 | 17.0 | 1.58 | 1.9 | 1.4 | 1.36 |
| 48145 | Pancreatectomy, distal w PJ | 103 | 35.0 | 18.0 | 1.94 | 1.9 | 1.0 | 1.90 |
| 48146 | Pancreatectomy, distal subtotal | 47 | 31.9 | 25.2 | 1.27 | 4.3 | 2.4 | 1.79 |
| 48150 | Pancreatectomy, proximal Whipple w PJ | 1588 | 37.0 | 44.2 | 0.84 | 3.3 | 3.5 | 0.94 |
| 48152 | Pancreatectomy, proximal Whipple w/o PJ | 70 | 48.6 | 42.0 | 1.16 | 10.0 | 4.7 | 2.13 |
| 48153 | Pancreatectomy, proximal PPPD w PJ | 1184 | 30.8 | 42.2 | 0.73 | 2.1 | 2.9 | 0.72 |
| 48154 | Pancreatectomy, proximal PPPD w/o PJ | 47 | 36.2 | 40.9 | 0.89 | 8.5 | 5.3 | 1.60 |
| 48155 | Pancreatectomy, total | 93 | 37.6 | 25.0 | 1.50 | 5.4 | 3.4 | 1.59 |
| Total | 4373 | 32.4 | 34.6 | 0.94 | 2.7 | 2.7 | 1.01 | |
| Other pancreatic | ||||||||
| 48120 | Excision of lesion | 113 | 18.6 | 11.8 | 1.58 | 0.0 | 0.6 | 0.00 |
| 48148 | Excision of ampulla | 20 | 30.0 | 15.5 | 1.94 | 0.0 | 1.1 | 0.00 |
| 48180 | Pancreatojejunostomy, side-to-side* | 63 | 23.8 | 18.3 | 1.30 | 1.6 | 0.8 | 2.00 |
| 48510 | Pseudocyst, external drainage | 52 | 32.7 | 31.3 | 1.04 | 1.9 | 7.1 | 0.27 |
| 48520 | Pseudocyst, cystenterostomy | 131 | 26.7 | 21.4 | 1.25 | 1.5 | 2.2 | 0.68 |
| 48540 | Pseudocyst, Roux-Y | 96 | 16.7 | 16.3 | 1.02 | 0.0 | 0.9 | 0.00 |
| 48548 | Pancreatojejunostomy, side-to-side | 70 | 22.9 | 19.4 | 1.18 | 0.0 | 0.9 | 0.00 |
| 48999 | Unlisted | 156 | 20.5 | 7.5 | 2.70 | 1.3 | 0.7 | 1.86 |
| Total | 701 | 22.5 | 16.1 | 1.40 | 0.9 | 1.5 | 0.57 | |
Code deleted in 2007
CPT code, current procedure terminology; PJ, pancreatojejunostomy; PPPD, pylorus preserving pancreatoduodenectomy