CPT® Code 49188

Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm

The procedure described by CPT® Code 49188 involves the open excision or destruction of intra-abdominal tumors or cysts, which can be either primary or secondary in nature. This surgical intervention is indicated for tumors or cysts that measure between 10.1 to 20 cm in total maximum length. The approach requires a careful incision into the abdomen, allowing access to the peritoneal cavity. During the procedure, the surgeon must take precautions to avoid damaging surrounding organs, such as the bowel, kidneys, and blood vessels. The tumors or cysts may be completely excised or destroyed using techniques such as electrocautery or laser ablation. The procedure necessitates a thorough exploration of the abdominal cavity to identify and address all masses and abnormalities present. Post-excision, the abdominal cavity is irrigated, inspected for any injuries, and the organs are returned to their anatomical positions before closure. This procedure is critical for managing intra-abdominal tumors and cysts, ensuring that any malignant growths are effectively treated while minimizing risks to the patient.