During an open procedure to excise intra-abdominal primary or secondary tumors or cysts (49186-49190), several

During an open procedure to excise intra-abdominal primary or secondary tumors or cysts (49186-49190), several peritoneal tumors are identified, measured in situ, and excised. A 1-cm lienorenal ligament tumor and a 3-cm omentum tumor are also identified and excised via a partial splenectomy (38101) and a total omentectomy (49255). When summing the maximum length of the tumors to determine the appropriate code selection, should the size of the lienorenal ligament tumor and the omentum tumor be included with the size of the intra-abdominal tumors?

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CPT Knowledgebase - Oct 6, 2025