Table 4.
Complex biliary surgery morbidity, mortality and observed/expected indices
| CPT code | Principal procedure | n | Observed morbidity, % | Expected morbidity, % | Morbidity index | Observed mortality, % | Expected mortality, % | Mortality index |
|---|---|---|---|---|---|---|---|---|
| 47420 | Choledochotomy, CDE, sphincteroplasty | 61 | 27.9 | 23.7 | 1.18 | 4.9 | 4.0 | 1.22 |
| 47460 | Transduodenal sphincteroplasty | 63 | 12.7 | 11.9 | 1.07 | 0.0 | 0.6 | 0.00 |
| 47564 | Lap chole w CDE | 273 | 3.3 | 9.1 | 0.36 | 0.4 | 1.1 | 0.36 |
| 47610 | Open chole w CDE | 299 | 22.1 | 22.9 | 0.97 | 5.7 | 5.0 | 1.14 |
| 47612 | Open chole w CDE w CD ent | 75 | 14.7 | 20.5 | 0.72 | 0.0 | 3.4 | 0.00 |
| 47760 | Hepaticojejunostomy | 125 | 20.0 | 27.2 | 0.74 | 1.6 | 2.7 | 0.59 |
| 47765 | Cholangiojejunostomy | 33 | 33.3 | 39.1 | 0.85 | 3.0 | 2.9 | 1.03 |
| 47780 | Roux-Y hepaticojejunostomy | 422 | 29.9 | 31.2 | 0.96 | 2.8 | 3.7 | 0.76 |
| 47785 | Roux-Y cholangiojejunostomy | 186 | 28.5 | 38.3 | 0.74 | 3.2 | 3.4 | 0.94 |
| Total | 1537* | 21.2 | 24.0 | 0.88 | 2.7 | 3.2 | 0.85 |
14 other procedure codes accounted for 265 operations (mean = 18.9 procedures per operation type)
CPT code, current procedure terminology; CDE, common duct exploration; Lap chole, laparoscopic cholecystectomy; CD ent, choledochoenteric anastomosis