2025 CPT code 49255
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Excision of the omentum (separate procedure).
Modifiers 22 (Increased procedural services) and 52 (Reduced Services) may be applicable if supported by documentation. Modifier 59(Distinct Procedural Service) can be reported with this code if deemed appropraite.
Medical necessity for omentectomy is established by the presence of conditions such as malignancy, infarction, or other pathology affecting the omentum.
The surgeon makes an incision (typically laparotomy), inspects the abdomen, frees the omentum from its attachments, removes it, irrigates the area, checks for bleeding, and closes the incision.
In simple words: This procedure removes a fatty apron-like tissue (omentum) in the abdomen. It's usually done when cancer is present in the abdomen. The surgeon makes an incision, carefully detaches the omentum, takes it out, and then closes the incision.
Surgical removal of the omentum, a fold of fatty tissue hanging from the stomach, performed as a separate procedure. This typically involves making an incision, dissecting the omentum from its attachments, removing it, and closing the incision.It is often performed for metastatic abdominal or pelvic cancer.
Example 1: A patient with metastatic ovarian cancer undergoes a complete omentectomy as part of their cancer treatment., A patient with a large omental infarction requires resection of the affected portion of the omentum. Although this involves only a portion of the omentum, if performed as a separate procedure, 49255 can be reported with modifier 52 (Reduced services) if deemed appropriate., A patient with primary peritoneal cancer has an omentectomy performed to remove the diseased tissue. In cases where the omentectomy is extensive due to the extent of disease, modifier 22 (Increased procedural services) may be appended to code 49255 if supported by appropriate documentation of the increased complexity and time.
Operative report detailing the extent of the omentectomy, the indication for the procedure (e.g., malignancy, infarction), and any associated procedures.
** Resection of a piece of omentum within an incisional hernia is considered part of the hernia repair and is not separately reported.The omentum is rarely excised at a separate operative session and 49255 is reported only when it is the only procedure performed in the abdomen.
- Revenue Code: P1G - Major Procedure - Other
- RVU: Not available in provided information.
- Global Days: Not available in provided information.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Not available in provided information.
- Specialties:General surgery, surgical oncology, gynecologic oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center