CPT® Code 49084

The procedure described by CPT® Code 49084 refers to peritoneal lavage, which is a medical intervention performed to assess the condition of the peritoneal cavity. This procedure involves the cleansing of the abdomen, typically initiated with the administration of a local anesthetic to minimize discomfort. A small incision is made in the skin, allowing access to the abdominal wall. Through this incision, a dialysis-type catheter is carefully inserted into the peritoneal cavity, often with the assistance of imaging guidance to ensure accurate placement. Once the catheter is in position, fluid is drained from the peritoneal cavity, which is then visually examined for any signs of bleeding or other pathological conditions. The collected fluid is subsequently sent to a laboratory for further analysis, which is reported separately. To ensure thorough cleansing of the cavity, a saline solution is instilled into the peritoneal space and then withdrawn, effectively flushing out any blood clots or debris that may be present. This procedure is critical in diagnosing various abdominal conditions and is performed under sterile conditions to minimize the risk of infection.