May 24, 2012

CPT Codes for Paracentesis and Peritoneal Lavage

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The new CPT Codes for Abdominal Paracentesis and Peritoneal Lavage are 49082 and 49083. These paracentesis CPT codes describe the procedures performed without or with imaging guidance.

If the healthcare professional performs abdominal paracentesis without imaging guidance, CPT code 49082, Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance will be applied.

If abdominal paracentesis is performed with imaging guidance (regardless of the method used), CPT code 49083, Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance will be used in the medical coding and billing of that claim.

CPT Codes for Abdominal Paracentesis and Peritoneal Lavage

CPT Code 49084, Peritoneal lavage, including imaging guidance; when performed is used to describe the procedure where a vertical skin incision is made. The linea alba is divided and the peritoneum entered after it has been picked up to prevent bowel perforation. A catheter is inserted towards the pelvis and aspiration of material is attempted using a syringe. If no blood is aspirated, warm saline is infused and after a few minutes, the effluent is drained and sent for analysis.

Parentheticals are included with CPT codes 49083 and 49084 instructing the provider not to report these codes with separate imaging codes. It includes ultrasonic guidance CPT code 76942, fluoroscopic guidance CPT code 77002, computed tomography guidance CPT code 77012, and/or magnetic resonance guidance CPT code 77021.

CPT Codes for Paracentesis and Peritoneal Lavage

Here are the Surgery / Digestive System Abdomen, Peritoneum and Omentum Incision CPT codes changes. The following two CPT Codes have been deleted:
  • CPT 49080 Peritoneocentesis, abdominal paracentesis or peritoneal lavage (diagnostic or therapeutic); initial
  • CPT 49081 Peritoneocentesis, abdominal paracentesis or peritoneal lavage (diagnostic or therapeutic); subsequent
The following three CPT Codes have replaced the above codes:
  • CPT 49082 Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance
  • CPT 49083 with imaging guidance
  • CPT 49084 Peritoneal lavage, including imaging guidance, when performed

Paracentesis CPT Code Changes

As we have mentioned that CPT 49080 and 49081 has been deleted. While the CPT Code 49083 includes imaging guidance. Please do not report CPT 49083 in conjunction with CPT codes 76942, 77002, 77012 or 77021. Peritoneal lavage with imaging guidance is reported with 49084, when performed.

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