CPT® Code 49326

Add-On Code

Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)

A laparoscopic omentopexy, also known as an omental tacking procedure, is a surgical intervention that is performed using minimally invasive techniques during a laparoscopic procedure. This procedure is specifically designed to insert or revise an intraperitoneal catheter or cannula, which is essential for various medical treatments. The omentum, which is a significant anatomical structure in the abdominal cavity, consists of a layer of fat that is covered by the peritoneum. It extends from the stomach to other abdominal organs, with the greater omentum stretching from the lower edge of the stomach to the transverse colon, providing coverage over the small intestine. During the procedure, specialized instruments, such as forceps, are introduced into the abdominal cavity through an existing laparoscopic port. The surgeon then carefully grasps the greater omentum, elevates it into the upper abdominal area, and secures it to the upper abdominal wall, falciform ligament, or another anatomical structure using sutures or laparoscopic tacks. This technique is crucial for ensuring the proper positioning and stability of the intraperitoneal catheter or cannula, thereby facilitating effective treatment and management of the patient's condition.