2025 CPT code 49326
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Laparoscopic omentopexy; add-on code for tucking away omental loop occluding intraperitoneal catheter.
Modifiers may be applicable depending on the circumstances of the procedure. Consult CPT guidelines for modifier application rules. Modifiers 51 (multiple procedures) and others might apply depending on the context.
Medical necessity is established when an omental loop actively obstructs the placement or function of an intraperitoneal catheter or interferes with the primary surgical procedure. The omentopexy must be directly related to and integral to the successful completion of the main procedure.
The surgeon performs this procedure after the initial laparoscopic surgery.The patient is already prepped and anesthetized. The surgeon locates, repairs, and secures the omentum, ensuring hemostasis before wound closure.
In simple words: This procedure is an additional step done during a laparoscopy. If a part of the abdominal lining (omentum) is blocking a tube placed inside the abdomen, the surgeon moves the omentum to clear the blockage.This only happens if there is a main procedure already being done.
This add-on code, 49326, is used in conjunction with a primary procedure to describe laparoscopic omentopexy (omental tacking).It involves addressing an omental loop occluding an intraperitoneal catheter during a laparoscopic surgical exploration of the abdominal cavity. The procedure includes locating the omental loop, identifying the defect or area of droop, folding and lifting the omentum back into its normal position using sutures or staples, achieving hemostasis, and removing instruments before closing the wound in layers. This is performed after the initial laparoscopic procedure, utilizing the existing access and anesthesia.
Example 1: A patient undergoes a laparoscopic cholecystectomy. During the procedure, an omental loop obstructs the placement of an intraperitoneal drain.The surgeon performs laparoscopic omentopexy (49326) to reposition the omentum and allow proper drain placement., A patient is undergoing a laparoscopic appendectomy.An omental flap is impeding the surgeon's access to the appendix. The surgeon performs an omentopexy (49326) to relocate the obstructing omental tissue to facilitate appendectomy., During a laparoscopic lysis of adhesions, the surgeon encounters an omental adhesion obscuring access to the site of the adhesions. The surgeon performs an omentopexy (49326) to remove the obstruction.
Operative report detailing the necessity of omentopexy, description of the omental manipulation (folding, lifting, securing), materials used (sutures or staples), achievement of hemostasis, and wound closure.The report should clearly link this procedure to the primary surgical procedure.
** This code is specifically for addressing omental obstruction of an intraperitoneal catheter.It should not be used for other omental procedures like omentectomy.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable for add-on code.
- Specialties:General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient