2025 CPT code 49323
(Active) Effective Date: N/A Revision Date: N/A Surgery - Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum Surgery Feed
Laparoscopic surgical drainage of a lymphocele into the peritoneal cavity.
Modifiers such as 22 (increased procedural services), 51 (multiple procedures), and 59 (distinct procedural service) may be applicable depending on the circumstances of the procedure. Refer to the CPT manual for guidance on modifier use.
Medical necessity for laparoscopic lymphocele drainage is established when the lymphocele causes significant pain, pressure, or risk of infection. Documentation needs to clearly justify the need for the procedure and demonstrate that less invasive options have been considered and ruled out.
The surgeon is responsible for pre-operative preparation, anesthesia administration (if applicable), making the incisions, inserting the laparoscope and instruments, identifying and opening the lymphocele, draining the fluid, irrigating the area, checking for bleeding, removing instruments and closing the incisions. Post-operative care and follow-up are also the surgeon's responsibility.
In simple words: The doctor uses a small camera and instruments inserted through tiny cuts in the belly to drain a fluid-filled sac. This sac, called a lymphocele, is a pocket of fluid that sometimes forms after surgery or injury and causes pain. The fluid is drained into the abdomen's natural cavity, relieving pain and reducing the risk of infection.
This procedure involves a laparoscopic approach to drain a lymphocele (a collection of lymphatic fluid) into the peritoneal cavity.The surgeon makes small incisions, inserts a laparoscope and instruments, identifies the lymphocele, opens it to allow drainage, and may irrigate the area with an antibiotic solution.The incisions are then closed.
Example 1: A patient presents with post-surgical pelvic pain and a palpable mass.Laparoscopic examination reveals a lymphocele. The surgeon performs a laparoscopic drainage, relieves the patient's pain, and reduces the infection risk., After extensive abdominal trauma, a patient develops a lymphocele causing discomfort.A laparoscopic drainage is performed to relieve pressure and pain. The lymphocele contents are cultured and antibiotic irrigation is given., A patient has a known lymphocele following a prior gynecologic laparotomy. The lymphocele shows evidence of infection based on physical exam and laboratory work.The surgeon performs a laparoscopic drainage and irrigates the area with antibiotics under general anesthesia.
** Always refer to the latest CPT manual and payer guidelines for the most up-to-date coding and reimbursement information.This information is current as of December 3, 2024.
- Revenue Code: P5E (Ambulatory Procedures - Other)
- RVU: This information is not available in the provided source and requires further research using the iFrameAI product or other relevant resources.RVUs vary based on geographic location and payer.
- Global Days : This information is not available in the provided source and needs to be determined based on local or payer-specific guidelines. The global period will vary.
- Payment Status: Active (Reimbursement varies by payer and geographic location)
- Modifier TC rule: Information on TC modifiers is not available in the provided source and requires further research using the iFrameAI product or other relevant resources. It depends on the specific details of the procedure and payer regulations.
- Fee Schedule : This information is not available in the provided source and requires further research using the iFrameAI product or other relevant resources.
- Specialties:General Surgery, Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center