2025 CPT code 49900
(Active) Effective Date: N/A Surgery - Suture Procedures on the Abdomen, Peritoneum, and Omentum Surgery Feed
Secondary suture of the abdominal wall for evisceration or dehiscence.
Modifiers may be applicable. Common modifiers include 22 (Increased Procedural Services), 51 (Multiple Procedures), 52 (Reduced Services), and others as appropriate.
Medical necessity for 49900 is established by the presence of wound dehiscence or evisceration requiring surgical repair to prevent further complications such as infection, peritonitis, or organ damage.
The surgeon prepares the patient, inspects the wound, removes unhealthy tissue, returns any exposed organs, irrigates the area, and closes the wound in layers using sutures and/or staples.
In simple words: This procedure involves stitching back together a surgical cut in the belly that has come apart, sometimes with organs pushing out. The surgeon cleans the wound, puts any organs back inside, and sews the area closed again.
This code describes the procedure of resuturing a disrupted abdominal wall due to dehiscence (wound rupture) or evisceration (protrusion of internal organs).The procedure typically includes debridement of any infected or damaged tissue, returning any protruding organs to the abdominal cavity, irrigation of the area, and reapproximation of the subcutaneous tissue with sutures, followed by skin closure.
Example 1: A patient undergoes a laparotomy for a bowel resection. Several days later, the incision opens, and a loop of bowel protrudes. The surgeon performs 49900 to repair the dehiscence and evisceration., Post-cesarean section, a patient's wound dehisces due to infection. The surgeon performs 49900 to debride the infected tissue and resuture the abdominal wall., A patient with a previous abdominal surgery experiences wound dehiscence after strenuous activity.Although no organs are protruding, the surgeon performs 49900 to close the open wound and prevent further complications.
Documentation should include the size and location of the wound, the extent of dehiscence or evisceration, presence of infection, any debridement performed, method of wound closure, and any complications encountered.
- Revenue Code: P1G - Major Procedure - Other
- Payment Status: Active
- Specialties:General Surgery, Trauma Surgery, Critical Care, Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center