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Cristina Posted Wed 20th of December, 2017 14:42:32 PM
One of my physicians would like to know in detail how to use each CPT code and the difference between both codes. Thank you 49600 closure of small omphalocele 49605 closure of large omphalocele or gastrochisis
SuperCoder Answered Thu 21st of December, 2017 07:38:37 AM

Hi Cristina,

Omphalocele is congenital outpouching of intra-abdominal organs through the area of the umbilicus in the fetus or newborn. An omphalocele is generally covered by a membrane.

49600 is billed when the baby is born with smaller omphaloceles, also referred as “hernia of the cord”. The protrusion usually contains intestines only. Surgery for small omphalocele is “primary repair” and is completed in one operation.

49605 is billed when the baby is born with large omphalocele. The protrusion usually contains liver and other organs including intestines. Surgery for large omphalocele is “staged repair” and is not completed in one sitting. Multiple or staged repair helps minimize bowel and visceral injury. Please feel free to ask for any further query. Thank you.

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