CPT Knowledgebase - Jun 3, 2025

Would it be appropriate to report code 49999 for endoluminal vacuum (EVAC) therapy that uses negative pressure to help close a chronic coloanal anastomotic leak in the gastrointestinal (GI) tract? This procedure is occasionally performed in conjunction with a scope, and sometimes the endosponge is placed with a French nasogastric tube.

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