2025 CPT code 49062
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Abdomen, Peritoneum, and Omentum Feed
Drainage of extraperitoneal lymphocele to peritoneal cavity, open.
Modifiers may be applicable in certain circumstances, such as increased procedural services (modifier 22) or multiple procedures (modifier 51).
Medical necessity must be established by documenting the patient's symptoms and the impact of the lymphocele on their health and quality of life. If the lymphocele is infected, this should also be clearly documented.
The physician performs the open drainage procedure, which includes prepping and anesthetizing the patient, making the incision, identifying the lymphocele, draining it, irrigating the area, checking for bleeding, and closing the incision.
In simple words: This procedure drains a collection of lymph fluid (lymphocele) from outside the abdominal cavity into the abdominal cavity.It is done through an incision in the abdomen.
Open drainage of a lymphocele located outside the peritoneal cavity into the peritoneal cavity.This procedure involves an incision in the abdomen to access the lymphocele, followed by opening it to allow drainage into the peritoneal space.The area is then irrigated, and the incision is closed.
Example 1: A patient develops a symptomatic lymphocele following a kidney transplant. Open drainage to the peritoneal cavity is performed to relieve symptoms and prevent infection., A patient experiences a large lymphocele after extensive abdominal surgery. The lymphocele is causing pain and restricting movement, so open drainage is chosen as the most effective treatment., Following pelvic lymph node dissection for cancer, a patient develops a lymphocele that becomes infected. Open surgical drainage is required to adequately address the infection and facilitate healing.
Documentation should include the size and location of the lymphocele, the reason for the procedure (e.g., symptoms, infection), the operative approach used, and any complications encountered.Any cultures taken should also be documented.
- Specialties:General surgery, urology, gynecologic oncology, surgical oncology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center