48547 Duodenal exclusion
Also known as: Duodenal exclusion, duodenojejunostomy
Surgical exclusion of the duodenum by bypassing the duodenal-gastric junction while maintaining biliary and pancreatic drainage for treatment of complicated duodenal ulcer disease.
In Plain Language
Bypassing part of small intestine
Clinical Context
Rarely performed in current era due to proton pump inhibitors. Historical procedure for complicated duodenal ulcers with gastric outlet obstruction.
RVU Breakdown
| Work RVU | 29.62 |
| Total RVU | 29.62 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 29.62, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 48547?
CPT 48547 (Duodenal exclusion) is a Surgery code. Surgical exclusion of the duodenum by bypassing the duodenal-gastric junction while maintaining biliary and pancreatic drainage for treatment of complicated duodenal ulcer disease.
What is the wRVU value for CPT 48547?
The work RVU for CPT 48547 is 29.62. This code is primarily used by General Surgery. It has a 90-day global period.
When is CPT 48547 used?
Rarely performed in current era due to proton pump inhibitors. Historical procedure for complicated duodenal ulcers with gastric outlet obstruction.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.