CPT® Code 49325

Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed

The CPT® Code 49325 refers to a laparoscopic surgical procedure that involves the revision of a previously placed intraperitoneal cannula or catheter. This procedure may also include the removal of any obstructive material that has accumulated within the catheter's lumen. The term "laparoscopy" indicates that the surgery is performed using minimally invasive techniques, which typically involve small incisions and the use of a laparoscope—a thin, lighted tube equipped with a camera that allows the surgeon to view the abdominal cavity. The procedure begins with the creation of a small incision near the umbilicus, through which the laparoscope is inserted. The abdomen is then inflated with gas to create a working space for the surgeon. Additional small incisions are made to insert trocars, which are instruments that allow for the introduction of surgical tools into the abdominal cavity. During the procedure, the surgeon inspects the abdomen for any adhesions and identifies the entry point of the catheter into the peritoneum. If the procedure involves the initial placement of the catheter, it is done using a tunneler to guide the catheter into the peritoneal cavity. In the case of a revision, the existing catheter is evaluated, and any necessary adjustments are made, such as repositioning the catheter tip or flushing out any obstructive debris. This procedure is essential for maintaining the functionality of the intraperitoneal catheter, which is often used for various therapeutic interventions, including chemotherapy or dialysis.