© Copyright 2026 American Medical Association. All rights reserved.
The CPT® Code 49002 refers to the procedure known as the reopening of a recent laparotomy. This surgical intervention involves the physician performing an exploratory laparotomy, also referred to as a celiotomy, which may include the option of obtaining biopsies as part of the procedure. During this operation, the abdomen is surgically incised to allow access to the abdominal cavity. The primary objective of this procedure is to visually examine the abdominal organs for any signs of complications such as infection, inflammation, perforations, lesions, or other pathological conditions that may have arisen since the initial surgery. The physician meticulously inspects the organs and notes any abnormalities, including the presence of fluids such as blood or bile that may indicate underlying issues. Additionally, if necessary, fluid or tissue samples can be collected for further analysis in a laboratory setting, which would be reported separately. After the thorough examination of the abdominal contents, the organs are carefully returned to their anatomical positions, and the abdominal incision is closed in layers to ensure proper healing and minimize complications. In the context of code 49002, the focus is specifically on the reopening and re-exploration of a previously made laparotomy site, following the same procedural steps outlined above.
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