Overview of CPT Code 25031: Pancreatic duct stent placement

Overview of CPT Code 25031: Pancreatic duct stent placement

CPT Code 25031 refers to the placement of a stent in the pancreatic duct, a procedure used to relieve obstructions and improve drainage in patients with pancreatic disorders.

When CPT Code 25031 is Used?

This procedure is indicated in various clinical scenarios.

• Obstructive pancreatitis due to gallstones
• Pancreatic duct strictures
• Pancreatic tumors causing duct obstruction
• Post-surgical complications affecting the pancreatic duct

Symptoms Indicating This Procedure

Patients may present with several symptoms that warrant this procedure.

• Severe abdominal pain
• Nausea and vomiting
• Jaundice (yellowing of the skin and eyes)
• Weight loss due to malabsorption

Causes and Risk Factors

Understanding the underlying causes can help in managing the condition.

• Chronic pancreatitis
• Pancreatic cancer
• History of gallstones
• Previous abdominal surgeries

Diagnostic Tests Before Procedure

Several tests may be conducted to confirm the need for stent placement.

• Abdominal ultrasound
• CT scan of the abdomen
• MRCP (Magnetic Resonance Cholangiopancreatography)
• Endoscopic retrograde cholangiopancreatography (ERCP)

Procedure Description

The procedure involves several key steps.

• Patient is positioned comfortably and sedated.
• Endoscope is inserted through the mouth into the duodenum.
• The pancreatic duct is accessed and visualized.
• A stent is placed within the duct to maintain patency.
• The endoscope is removed, and the patient is monitored.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Fasting for at least 8 hours prior to the procedure.
• Discussing current medications with the healthcare provider.
• Arranging for transportation home post-procedure.

Recovery and Aftercare

Post-procedure care is crucial for recovery.

• Monitoring for signs of infection or complications.
• Gradual reintroduction of diet as tolerated.
• Follow-up appointments to assess stent function.

Possible Complications

While generally safe, there are potential risks involved.

• Infection of the pancreas or surrounding tissues
• Bleeding at the site of stent placement
• Pancreatitis exacerbation
• Stent migration or blockage

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Post-Procedure Follow-Up

Regular follow-up is important for monitoring recovery.

• Initial follow-up within 1-2 weeks post-procedure.
• Subsequent visits every 3-6 months to assess stent condition.
• Additional imaging if symptoms recur.

Alternative Treatments

Other management options may be considered.

• Endoscopic balloon dilation
• Surgical bypass procedures
• Medical management of underlying conditions

Home Care Tips

Patients can take steps to aid recovery at home.

• Stay hydrated and maintain a balanced diet.
• Monitor for any unusual symptoms and report them.
• Avoid heavy lifting and strenuous activities during recovery.

Patient Education & Prevention

Education is key to preventing recurrence.

• Understanding the importance of managing underlying conditions.
• Regular check-ups to monitor pancreatic health.
• Lifestyle modifications, including diet and exercise.

Billing and Coding Information

CPT Code: 25031

Category: Surgical Procedures

Common Modifiers:

• Modifier 26 (Professional Component)
• Modifier 50 (Bilateral Procedure)

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $5,000 to $15,000.
• Most insurance plans cover medically necessary procedures.
• Out-of-pocket costs depend on individual insurance plans.

Related CPT Codes

• 10000 - Incision and drainage of a cyst