CPT® Code 47350

The CPT® Code 47350 refers to the management of liver hemorrhage through a procedure known as simple suture of a liver wound or injury. This surgical intervention is typically indicated when there is a need to repair a laceration or injury to the liver, which may occur due to trauma or surgical complications. The procedure begins with a midline abdominal incision that allows the surgeon to gain access to the abdominal cavity and the liver. During this exploration, the extent of the liver injury is assessed, and any potential damage to surrounding organs, blood vessels, or nerves is evaluated. The falciform ligament, which connects the liver to the abdominal wall, is divided to facilitate better access. To ensure visibility and access to the liver, the overlying bowel is retracted, and surgical packs are placed above the liver to control bleeding. The right and left peritoneal ligaments are incised, and the triangular ligaments are excised, which helps in mobilizing the liver and exposing critical structures such as the hepatic artery and inferior vena cava. Once the liver wound is identified, the surgeon performs a simple suture to repair the liver parenchyma and capsule, effectively closing the injury. This procedure is crucial for controlling hemorrhage and promoting healing of the liver tissue. It is important to note that more complex procedures may be required in cases of extensive injury, which are classified under different CPT codes, but 47350 specifically addresses the simpler repair of liver wounds.