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 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 LavageHere 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
- CPT 49082 Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance
- CPT 49083 with imaging guidance
- CPT 49084 Peritoneal lavage, including imaging guidance, when performed