May 24, 2012

CPT Codes 2012 for Abdominal Paracentesis and Peritoneal Lavage

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CPT Codes 2012 for Abdominal Paracentesis and Peritoneal Lavage
The new codes for abdominal paracentesis, CPT 49082 and 49083, describe the procedure performed without or with imaging guidance.

If the health-care professional performs abdominal paracentesis without imaging guidance, CPT code 49082, Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance. If abdominal paracentesis is performed with imaging guidance (regardless of the method used),CPT code 49083, Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance.

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, including 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 2012 for Abdominal Paracentesis and Peritoneal Lavage

Surgery / Digestive System Abdomen, Peritoneum and Omentum Incision

The following two CPT Codes have been deleted:

CPT 49080 Peritoneocentesis, abdominal paracentesis or peritoneal lavage (diagnostic or therapeutic); initial
CPT 49081 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

CPT code 2012

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They replace CPT 49080-49081, which have been deleted. CPT Code 49083 includes imaging guidance. Do not report 49083 in conjunction with 76942, 77002, 77012, or 77021. Peritoneal lavage with imaging guidance is reported with 49084, when performed.

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