2025 CPT code 49329
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Unlisted laparoscopy procedure Surgery Feed
Unlisted laparoscopic procedure of the abdomen, peritoneum, and omentum.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 51 may be used for multiple procedures.Consult the CPT manual for modifier usage guidelines.
The medical necessity for the unlisted laparoscopic procedure must be thoroughly documented to justify the use of 49329. Documentation should clearly explain why no other existing CPT code adequately describes the service provided.
The physician performs a laparoscopic procedure on the abdomen, peritoneum, and omentum; this requires expertise in minimally invasive surgical techniques and a comprehensive understanding of abdominal anatomy.
In simple words: This code covers laparoscopic surgeries on the belly area that don't have a specific code. The doctor makes small cuts in your belly, fills it with gas to see better, uses a tiny camera to look inside, and uses other small cuts for tools. They use devices to keep the cuts open, and then close everything up with stitches or staples.
This CPT code reports laparoscopic procedures performed on the abdomen, peritoneum, and omentum that do not have a specific code.Laparoscopy involves making several abdominal incisions, inflating the abdomen with carbon dioxide for better visualization, inserting a scope to examine the area, and using additional incisions for instruments.Ports are used to maintain incision openings, removed at procedure's end, and incisions are closed with sutures or staples. The omentum (abdominal cavity membrane extending from the stomach) and peritoneum (abdominal cavity lining) may be involved.
Example 1: Laparoscopic exploration of the abdomen to investigate abdominal pain of unknown origin, with no specific lesion identified., Laparoscopic removal of an unknown peritoneal adhesion causing bowel obstruction, where the adhesion's characteristics don't fit the description of existing CPT codes., Laparoscopic lysis of extensive adhesions involving multiple abdominal organs after prior abdominal surgery, exceeding the complexity described by existing CPT codes.
Detailed operative report with a description of the procedure, including the structures involved, instruments used, and the rationale for using an unlisted code.Preoperative and postoperative diagnoses should be clearly documented, along with any imaging studies or other relevant diagnostic information.
** When using 49329, submit a detailed explanation justifying the use of this unlisted code, comparing the procedure to similar codes and providing supporting documentation such as operative notes.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Not specified in provided data.RVUs vary based on geographic location, facility type, and other factors. Consult the appropriate fee schedule for specific RVU values.
- Global Days: Not specified in provided data.The global period for this unlisted procedure will need to be determined based on medical practice and payer guidelines.
- Payment Status: Active
- Modifier TC rule: The application of a TC modifier would depend on the specific components of the laparoscopic procedure.
- Fee Schedule: Historical fee schedule data is not provided, this will vary by payer and geographic region.Consult appropriate fee schedules for historical reimbursement data.
- Specialties:General Surgery, Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center