How To Use CPT Code 49427

CPT 49427 describes the injection procedure for the evaluation of a previously placed peritoneal-venous shunt. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 49427?

CPT 49427 can be used to describe the injection procedure performed by a healthcare provider to evaluate the flow of material through a peritoneal-venous shunt that has been previously placed in the peritoneal cavity of a patient. This procedure involves injecting a contrast or dye into the reservoir of the shunt to assess its functionality.

2. Official Description

The official description of CPT code 49427 is: ‘Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt.’

3. Procedure

1. The healthcare provider prepares the patient for the procedure, ensuring they are appropriately prepped and anesthetized.
2. Using a needle, the provider injects a contrast or dye into the peritoneal venous shunt in the peritoneal cavity of the patient.
3. The provider may perform this procedure under radiologic guidance to ensure accurate placement of the injection.
4. After the injection, the provider may palpate the abdomen to encourage the material to flow through the shunt.
5. A separate radiogram is taken to examine the flow of material through the shunt and identify any obstructions or defects.

4. Qualifying circumstances

CPT 49427 is performed on patients who have a previously placed peritoneal-venous shunt in their peritoneal cavity. This procedure is used to evaluate the flow of material through the shunt and identify any obstructions or defects. It is important to note that this code is specific to the injection procedure and does not include radiological supervision and interpretation, which should be reported separately.

5. When to use CPT code 49427

CPT code 49427 should be used when a healthcare provider performs an injection procedure to evaluate the flow of material through a previously placed peritoneal-venous shunt. This code should not be used for other procedures or evaluations unrelated to peritoneal-venous shunts.

6. Documentation requirements

To support a claim for CPT 49427, the healthcare provider must document the following information:

• Confirmation of a previously placed peritoneal-venous shunt
• Details of the injection procedure, including the use of contrast or dye
• Date and time of the procedure
• Any additional procedures performed, such as radiologic guidance
• Results of the evaluation, including any obstructions or defects identified
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 49427, ensure that the procedure performed is specifically for the evaluation of a previously placed peritoneal-venous shunt. This code should not be reported with codes for radiological supervision and interpretation. It is important to follow the guidelines provided by the payer and accurately document the procedure to support the claim.

8. Historical information

CPT 49427 was added to the Current Procedural Terminology system on January 1, 1993. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider injects contrast into a peritoneal-venous shunt to evaluate the flow of material in a patient with a history of shunt placement.
2. Using radiologic guidance, a provider performs an injection procedure to assess the functionality of a previously placed peritoneal-venous shunt.
3. A patient with a peritoneal-venous shunt undergoes an injection procedure to identify any obstructions or defects in the shunt.
4. A healthcare provider performs an evaluation of a peritoneal-venous shunt by injecting dye and examining the flow of material through the shunt.
5. During a procedure, a provider injects contrast into a peritoneal-venous shunt to determine if there are any issues with its functionality.
6. A patient with a peritoneal-venous shunt undergoes an injection procedure to assess the flow of material through the shunt and identify any potential problems.
7. A healthcare provider performs an evaluation of a previously placed peritoneal-venous shunt by injecting contrast and examining the flow of material.
8. Using radiologic guidance, a provider injects dye into a peritoneal-venous shunt to evaluate its functionality and identify any defects.
9. A patient with a peritoneal-venous shunt undergoes an injection procedure to assess the flow of material and ensure the shunt is working properly.
10. A healthcare provider performs an evaluation of a peritoneal-venous shunt by injecting contrast and examining the flow of material to detect any abnormalities.