CPT CODES

CPT Code 49082

CPT code 49082 is a medical billing code used for abdominal paracentesis procedures, which involve removing fluid from the abdomen.

Table of Contents
What is CPT Code 49082
Does CPT 49082 Need a Modifier?
CPT Code 49082 Medicare Reimbursement
Are You Being Underpaid for 49082 CPT Code?
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What is CPT Code 49082

CPT code 49082 is used to describe a procedure known as abdominal paracentesis. This procedure involves the insertion of a needle into the abdominal cavity to remove excess fluid for diagnostic or therapeutic purposes. It is typically performed to relieve pressure, analyze the fluid for signs of infection or disease, or to treat conditions such as ascites.

Does CPT 49082 Need a Modifier?

For CPT code 49082 (Abd paracentesis), the following modifiers may be applicable:

1. Modifier 25: Significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified healthcare professional on the same day of the procedure or other service. This modifier is used when an E/M service is provided on the same day as the procedure and is distinct from the procedure itself.

2. Modifier 59: Distinct procedural service. This modifier is used to indicate that the procedure is distinct or independent from other services performed on the same day. It is often used to prevent bundling of services that are typically considered inclusive.

3. Modifier 76: Repeat procedure or service by the same physician or other qualified healthcare professional. This modifier is used when the same procedure is repeated on the same day by the same provider.

4. Modifier 77: Repeat procedure by another physician or other qualified healthcare professional. This modifier is used when the same procedure is repeated on the same day but by a different provider.

5. Modifier 78: Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period. This modifier is used when a patient needs to return to the operating room for a related procedure during the postoperative period of the initial procedure.

6. Modifier 79: Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period. This modifier is used when a procedure is performed during the postoperative period of another procedure, but the two procedures are unrelated.

7. Modifier 91: Repeat clinical diagnostic laboratory test. This modifier is used when the same laboratory test is repeated on the same day to obtain subsequent (multiple) test results.

These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.

CPT Code 49082 Medicare Reimbursement

CPT code 49082 is reimbursed by Medicare. The code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) and local coverage determinations. Providers should consult their regional MAC for specific coverage and payment guidelines related to CPT 49082.

Are You Being Underpaid for 49082 CPT Code?

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