CPT^® 49205, Under Excision and Destruction Procedures on the Abdomen, Peritoneum, and Omentum

The Current Procedural Terminology (CPT^®) code 49205 as maintained by American Medical Association, is a medical procedural code under the range - Excision and Destruction Procedures on the Abdomen, Peritoneum, and Omentum.

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Summary

In this procedure, the provider opens the abdomen to remove or destroy one or more abnormal growths of various types, including tumors, cysts, and endometriomas, with the largest being more than 10.0 cm in diameter. He targets these growths within or behind the membrane lining of the abdominal cavity, which may or may not be cancerous and in some cases may represent the spread of cancer from another location.

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C-Section & Removal of Ovarian Mass

If the clinician is removing an ovarian cyst open, I would look at 58925. If it's not an ovarian cyst, but rather a retroperitoneal tumor, look at 49203-49205... [ Read More ]

Question

I don't think either. 44180 is laparoscopic enterolysis - lysis of [I]intestinal [/I]adhesions, not omental adhesions 58661 is laparoscopic removal of [I]adnexa [/I](tubes and/or ovaries) It MIGHT b... [ Read More ]

Laparoscopic excision of mesenteric mass and peritoneal calcifation

Yeah, there is no appropriate laparoscopic code for 49203-49205. 49321 does not accurately capture the work. I use the unlisted and value it as 49203-49205. Have your op note and letter ready!... [ Read More ]

49204 and 49205

CPT 49204 and 49205 can't be coded together. How would you code this? POSTOPERATIVE DIAGNOSIS: Crohn's colitis with anterior abdominal wall abscess. PROCEDURE: 1. Robot assisted ileocecectomy. ... [ Read More ]

Billable? CPT Code??

For the paratubal cyst removal, I would recommend 49203-49205 depending on the size of the cyst. - Excision or destruction, open, intra-abdominal tumors, CYSTS, or endometriomas, 1 or more peritoneal,... [ Read More ]

Attempted resection pelvic mass

[b]Quite the operation...[/b] This a definitely a complicated case and one that does not come up all that often. I coded urology for 6 years and can't say that I have seen another one like it, althou... [ Read More ]

Excision of Pheochromocytoma

The CPT instructs you to use the 49203-49205 codes for remote pheochromocytoma. This was not described as remote. The 60540 looks the best to me. The tumor was part of the adrenal gland but it was ... [ Read More ]

Excision of Pheochromocytoma

mwilk, Take a look at CPT range 49203-49205 which index to open excision of retroperitoneal tumors. it may more accurately describe the procedure performed, and I think the reimbursement will also b... [ Read More ]

Cpt 15777

Please review OP report below. The doc used HD Flex implant for abdominal repair following an endometrioma removal. He also did a small umbilical hernia. He coded the mesh implant of 49568 but I th... [ Read More ]

En-Bloc Coding

Hi, Can anyone Shed some light on how to code En-bloc Resection of diff organs when a physcian starts with a major resection ? For example a surgeons performs 1. radical right upper quadrant retro... [ Read More ]

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