In simple words: This is a minimally invasive surgery where a doctor looks inside your belly using a tiny camera on a thin tube. If they find a fluid-filled sac or cyst (like on an ovary), they'll use a suction device to remove the fluid to stop it from bursting.

This CPT code 49322 describes a surgical laparoscopy where the provider examines the abdominal cavity using a laparoscope, a device with a light and camera.The procedure includes aspirating fluid from a cavity or cyst, such as an ovarian cyst, to prevent rupture and internal bleeding.The procedure involves making small incisions in the abdomen, inflating the abdomen with carbon dioxide for better visualization, inserting the laparoscope and instruments through these incisions, aspirating the fluid using suction, examining the organs and structures for abnormalities, and then closing the incisions. A drain may be placed if necessary.

Example 1: A 35-year-old female presents with a large ovarian cyst causing pelvic pain.Laparoscopic aspiration of the cyst is performed to relieve pain and prevent rupture. , A 40-year-old female undergoes a laparoscopic examination for infertility investigation. During the procedure, a small ovarian cyst is discovered and aspirated., A 28-year-old female presents with acute abdominal pain. Diagnostic laparoscopy reveals a ruptured ovarian cyst; the surgeon performs aspiration of the free fluid in the abdomen to reduce the risk of infection and further complications.

Preoperative evaluation including imaging (ultrasound, CT scan), operative report detailing the aspiration procedure, including location, size and character of the cyst, amount of fluid aspirated, cytology results (if performed), and postoperative instructions.

** The high recurrence rate of simple cyst aspiration should be considered when choosing between aspiration and cystectomy. Cytology of aspirated fluid does not exclude malignancy.Preoperative imaging is crucial to assess the cyst's characteristics and guide treatment planning.