How To Use CPT Code 49325

CPT 49325 describes a laparoscopic surgical procedure that involves the revision of a previously placed intraperitoneal catheter and the removal of any intraluminal obstructive material if necessary. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 49325?

CPT 49325 is a code used to describe a laparoscopic surgical procedure that involves the revision of a previously placed intraperitoneal catheter and the removal of any intraluminal obstructive material if necessary. This procedure is performed by a healthcare provider using a minimally invasive technique, which allows for better visualization of the abdominal cavity and the target site.

2. Official Description

The official description of CPT code 49325 is: ‘Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure, ensuring they are appropriately prepped and anesthetized.
2. A small incision is made at the umbilicus (navel), which serves as the entry point for the laparoscopic instruments.
3. The provider insufflates the abdomen with carbon dioxide, creating space and improving visualization of the target site.
4. Additional small incisions are made, and a laparoscopic camera and instruments are inserted through these incisions.
5. The provider examines the abdominal organs and structures, paying particular attention to the previously placed intraperitoneal catheter.
6. If necessary, the provider repositions or replaces part of the catheter to ensure proper placement and functioning.
7. If an obstruction is identified within the catheter, the provider removes the obstructive material.
8. The provider verifies the functioning of the catheter and reattaches any external devices as needed.
9. After achieving hemostasis, the provider removes all instruments and closes the incisions.

4. Qualifying circumstances

CPT 49325 is typically performed on patients who have a previously placed intraperitoneal catheter that requires revision or removal of intraluminal obstructive material. The procedure is performed by a healthcare provider using a laparoscopic technique, which allows for better visualization and minimizes the invasiveness of the procedure.

5. When to use CPT code 49325

CPT code 49325 should be used when a healthcare provider performs a laparoscopic surgical procedure to revise a previously placed intraperitoneal catheter and remove any intraluminal obstructive material if necessary. This code should be used for each instance of the procedure performed.

6. Documentation requirements

To support a claim for CPT 49325, the healthcare provider must document the following information:

• Patient’s medical history and the need for the procedure
• Details of the laparoscopic surgical procedure performed, including the specific steps taken
• Date of the procedure and the duration of the surgery
• Findings during the procedure, such as the condition of the previously placed intraperitoneal catheter and any intraluminal obstructive material
• Any additional procedures or interventions performed during the same surgical session
• Post-operative care instructions and any follow-up appointments scheduled
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 49325, ensure that the procedure meets the criteria outlined in the official description. It is important to accurately document the details of the procedure and provide any necessary supporting documentation. CPT code 49325 should not be reported with other codes that describe similar procedures or services. It is important to follow the specific billing guidelines provided by the payer to ensure proper reimbursement.

8. Historical information

CPT 49325 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs a laparoscopic surgical procedure to revise a previously placed intraperitoneal catheter and remove an intraluminal obstruction.
2. During a laparoscopic surgery, a healthcare provider identifies a previously placed intraperitoneal catheter that requires repositioning and removes an intraluminal obstructive material.
3. A patient undergoes a laparoscopic procedure to revise a previously placed intraperitoneal catheter and remove an intraluminal obstruction, as identified by the healthcare provider.
4. A healthcare provider performs a laparoscopic surgical procedure to revise a previously placed intraperitoneal catheter and removes an intraluminal obstruction, improving the functioning of the catheter.
5. During a laparoscopic surgery, a healthcare provider identifies and removes an intraluminal obstruction within a previously placed intraperitoneal catheter, ensuring proper functioning.
6. A patient undergoes a laparoscopic procedure to revise a previously placed intraperitoneal catheter and remove an intraluminal obstruction, as determined by the healthcare provider.
7. A healthcare provider performs a laparoscopic surgical procedure to revise a previously placed intraperitoneal catheter and removes an intraluminal obstruction, improving the patient’s condition.
8. During a laparoscopic surgery, a healthcare provider identifies a previously placed intraperitoneal catheter that requires repositioning and removes an intraluminal obstructive material, resulting in improved catheter function.