CPT® Code 49429

The procedure described by CPT® Code 49429 involves the removal of a peritoneal-venous shunt, which is a medical device used to manage ascites, a condition characterized by the accumulation of fluid in the peritoneal cavity. This shunt facilitates the drainage of excess fluid from the abdominal cavity into the venous system, thereby alleviating pressure and discomfort associated with ascites. During the removal process, the physician makes incisions in both the upper chest and the abdomen, specifically at the sites where the shunt tubing enters the jugular vein and the peritoneal cavity, respectively. The procedure requires careful dissection of the shunt tubing from the surrounding tissues to ensure complete removal without causing damage to adjacent structures. Following the removal, the incisions are sutured closed to promote proper healing. This procedure is typically indicated when the shunt is no longer needed or if complications arise that necessitate its removal.