CPT® Code 49322

The procedure described by CPT® Code 49322 refers to a laparoscopic surgical technique that involves the aspiration of fluid from a cavity or cyst, such as an ovarian cyst. This minimally invasive approach begins with the placement of a port near the umbilicus, through which a pneumoperitoneum is established by insufflating air into the abdominal cavity. This process allows for the expansion of the abdominal space, providing the surgeon with a clear view of the internal structures using a laparoscope equipped with a video camera. The laparoscope enables thorough inspection of the abdominal cavity, peritoneum, and omentum for any signs of malignancy, disease, or injury. Once the target cavity or cyst is identified, an aspiration needle is introduced through the laparoscope to puncture the cyst or cavity, allowing for the extraction of fluid. This procedure can involve the aspiration of fluid from multiple cavities or cysts if necessary. After the aspiration is completed, the surgeon inspects the puncture sites for any bleeding, which can be controlled using laser or electrocautery techniques. Finally, the instruments are carefully withdrawn, and pressure is applied to the abdomen to expel any residual air from the peritoneal cavity before closing the portal incisions. This technique is valued for its reduced recovery time and minimal scarring compared to traditional open surgical methods.