CPT® Code 49000

The CPT® Code 49000 refers to an exploratory laparotomy, also known as an exploratory celiotomy, which is a surgical procedure performed to investigate the abdominal cavity. This procedure may be conducted with or without the collection of biopsy samples. During an exploratory laparotomy, the surgeon makes an incision in the abdomen to gain access to the internal organs. The primary objective of this procedure is to visually inspect the abdominal organs for any signs of abnormalities, such as infection, inflammation, perforations, lesions, or other injuries that may indicate disease. The surgeon carefully examines the organs and notes any irregularities, including the presence of fluids like blood or bile within the abdominal cavity. If necessary, the surgeon may obtain fluid or tissue samples for further analysis, which can be reported separately. After the examination is complete, the abdominal organs are returned to their normal anatomical positions, and the incision is meticulously closed in layers to promote proper healing. It is important to note that this code is designated as a separate procedure, and it is distinct from other related codes, such as CPT® Code 49002, which involves re-exploration of a previously opened laparotomy site.