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Cherie Posted Tue 09th of June, 2015 11:36:56 AM

My Dr. did a cystotomy then took a flap of omentum and sewed it down to the apex of the cystotomy closure using interrupted 3-0 sutures. Would I use 49905? Please advise. Thanks!

SuperCoder Answered Wed 10th of June, 2015 04:34:01 AM

You should bill CPT code 49904/49905/49906 depending on the surgical procedures performed on the omental flap.

Bill CPT code 49904 for reconstruction of sternal and chest wall defects.

49905 is a add on code. List separately in addition to code for primary procedure. The provider repositions a flap of omentum, a fatty membrane in the abdominal cavity, to fill a defect during an abdominal surgery. He rotates the flap into place, without disrupting its vascular supply

CPT code 49906 should be used for free omental flap with microvascular anastomosis. This code is used to fill defects during reconstructive surgery in other locations in the body, such as the breast, head and neck, or extremities, using an operative microscope and very small instruments to reconnect the vessels at the new location.

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