Preperitoneal Pelvic Packing (49013, 49014) (January 2020)

January 2020 page 6 Preperitoneal Pelvic Packing (49013, 49014) The Current Procedural Terminology (CPT®) 2020 code set includes two new codes in the Digestive System/Abdomen, Peritoneum, and Omentum/Incision subsection to report preperitoneal pelvic packing for hemorrhage associated with pelvic trauma (49013) and re-exploration with removal of packing and repacking, when performed (49014). In addition, an instructional parenthetical note following code 49002, Reopening of recent laparotomy, was added directing users to report code 49014 for re-exploration of a pelvic wound for removal of packing, including repacking when performed. This article provides information about these changes. Digestive System Abdomen, Peritoneum...

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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 CPT® Assistant article reviews new 2020 CPT coding content for preperitoneal pelvic packing in the context of pelvic trauma. It is aimed at coding professionals, CDI staff, and clinicians who need to understand the scope of the new codes, the related instructional note, and the broad procedural context discussed in the article.

Why This Topic Matters

The article helps readers recognize when the new CPT® entries apply and how they relate to nearby abdominal and pelvic exploration codes in the same CPT section.

Article Sections

  1. January 2020 page 6

    Introduces the January 2020 update and summarizes the CPT® content area covered by the article.

  2. Digestive System / Abdomen, Peritoneum, and Omentum Incision

    Presents the relevant CPT® code placement within the Digestive System subsection and the related instructional parenthetical note.

  3. New Code Descriptions

    Explains the scope of the new CPT® entries and compares them with nearby procedures in the same general area.

  4. Clinical Example (49013)

    Provides a representative trauma scenario illustrating the type of situation addressed by the new packing-related code.

  5. Description of Procedure (49013)

    Describes the general operative setting and broad procedural context for the first new code.

  6. Clinical Example (49014)

    Provides a representative return-to-operating-room scenario associated with the second new code.

  7. Description of Procedure (49014)

    Describes the general operative setting and broad procedural context for the subsequent packing-removal service.

What You Will Learn

  • How the January 2020 CPT® update addresses preperitoneal pelvic packing.
  • Where the new CPT® entries sit within the Digestive System section.
  • How the article frames the relationship between the new codes and nearby abdominal or pelvic exploration services.
  • What kinds of clinical situations the article uses to illustrate the new services.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation specialists
  • Surgeons
  • Trauma care teams

Codes Discussed


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