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2025 CPT code 49329

Unlisted laparoscopic procedure of the abdomen, peritoneum, and omentum.

CPT guidelines state that unlisted procedure codes should only be used when no other appropriate CPT code exists.Detailed documentation is crucial for justifying the use of 49329 and supporting reimbursement.

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.

IMPORTANT:If a more specific code exists for the performed procedure, that code should be used instead of 49329.Consider 58662 for laparoscopic fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface.Code selection requires thorough documentation to justify medical necessity and the use of an unlisted code.

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.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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