Abdominal Paracentesis (49082, 49083)/Peritoneal Lavage (49084) (December 2012)

December 2012 pages 9-10 Abdominal Paracentesis (49082, 49083)/Peritoneal Lavage (49084) Abdominal paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid for diagnostic or therapeutic purposes. To more accurately reflect the work required to properly perform this procedure, codes 49080 and 49081 were deleted, and codes 49082 and 49083 were established in 2012 to describe abdominal paracentesis performed without or with imaging guidance. 49082Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance 49083Abdominal paracentesis (diagnostic or therapeutic);with imaging guidance (Do not report 49083 in conjunction with 76942, 77002, 77012...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This December 2012 CPT Assistant article explains coding guidance for abdominal paracentesis and peritoneal lavage procedures. It is aimed at coding professionals, clinicians, and reimbursement staff who need to understand the CPT framework, associated imaging guidance references, and related billing considerations discussed for these procedures.

Why This Topic Matters

The article helps readers recognize how these common abdominal procedures are addressed in CPT and how imaging-related references affect reporting. It is useful for accurate procedural coding and for understanding the scope of guidance available in the article.

Article Sections

  1. Abdominal Paracentesis

    Overview of the procedure, its clinical context, and the CPT coding framework discussed for this service. The section also addresses imaging guidance references and related reporting considerations.

  2. Coding Tip

    General guidance about documentation and reporting when imaging is used or when the procedure is not completed as requested. This section provides practical coding context without detailed decision logic.

  3. Peritoneal Lavage

    Overview of diagnostic and therapeutic peritoneal lavage and its place within the CPT article. The section also discusses associated imaging guidance references and procedural context.

  4. Coding Tip

    Additional guidance related to the lavage procedure and the role of imaging in the reported service. This section provides broader reporting context for the procedure.

What You Will Learn

  • The general clinical purpose of abdominal paracentesis and peritoneal lavage
  • How CPT presents these procedures within the article
  • What kinds of imaging guidance are discussed in connection with these services
  • The types of coding considerations highlighted by the article

Who Should Read This

  • Medical coders
  • Billing professionals
  • Compliance staff
  • Clinicians documenting procedures
  • Revenue cycle teams

Codes Discussed


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