AMA CPT® Assistant - 2018 Issue 3 (March)

Surgery: Digestive System (Q&A) (March 2018)

March 2018 page 11 Surgery: Digestive System Question: Should code 49255 be reported when omentectomy is performed on omentum that is incarcerated within an incisional hernia, or is omentectomy included in the hernia repair code? Answer: Code 49255, Omentectomy, epiploectomy, resection of omentum (separate procedure), may not be reported for resection of a piece of omentum contained within an incisional hernia. Code 49255 describes removing the entire organ, starting at the greater curvature of the stomach, and is typically performed for malignancy. Code 49255 may only be reported as a "separate procedure." When partial omentectomy is performed in...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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