CPT code 49329 is an unlisted laparoscopic procedure for abdominal peritoneal and ommental conditions, used for billing and documentation purposes.
CPT code 49329 is used to describe an unspecified laparoscopic procedure performed on the abdominal cavity, specifically related to the peritoneum and omentum. This code indicates that the procedure does not have a more specific classification within the existing CPT codes, allowing healthcare providers to report a laparoscopic intervention that may not fit into other defined categories.
For CPT code 49329 (Unlisted laparoscopy procedure, abdomen, peritoneum, and omentum), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Used when the work required to provide a service is substantially greater than typically required.
2. Modifier 52 - Reduced Services: Indicates that a service or procedure is partially reduced or eliminated at the physician's discretion.
3. Modifier 53 - Discontinued Procedure: Used when a procedure is terminated due to extenuating circumstances or those that threaten the well-being of the patient.
4. Modifier 59 - Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day.
5. Modifier 62 - Two Surgeons: When two surgeons work together as primary surgeons performing distinct parts of a procedure.
6. Modifier 66 - Surgical Team: When a highly complex procedure requires the services of several physicians, often of different specialties, plus other highly skilled personnel.
7. Modifier 76 - Repeat Procedure or Service by Same Physician: Indicates that a procedure or service was repeated by the same physician subsequent to the original procedure or service.
8. Modifier 77 - Repeat Procedure by Another Physician: Indicates that a procedure or service was repeated by another physician subsequent to the original procedure or service.
9. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Used when a patient requires a return to the operating room for a related procedure during the postoperative period.
10. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Indicates that the performance of a procedure or service during the postoperative period was unrelated to the original procedure.
11. Modifier 80 - Assistant Surgeon: When an assistant surgeon is required during a procedure.
12. Modifier 81 - Minimum Assistant Surgeon: When an assistant surgeon is required for a minimal portion of the procedure.
13. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when a qualified resident surgeon is not available, and an assistant surgeon is necessary.
14. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Indicates that a non-physician provider assisted in the surgery.
These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.
CPT code 49329 is not typically reimbursed by Medicare. This code is not listed on the Medicare Physician Fee Schedule (MPFS), which means it does not have a set reimbursement rate. Healthcare providers should consult their local Medicare Administrative Contractor (MAC) for specific guidance on billing and reimbursement policies for this unlisted procedure code.
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