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The CPT® Code 49435 refers to the procedure involving the insertion of a subcutaneous extension to an intraperitoneal cannula or catheter, which includes a remote chest exit site. This procedure is classified as an add-on, meaning it is performed in conjunction with a primary procedure and should be reported separately. The process begins with the physician inserting an extension that connects to an existing abdominal cannula or catheter, which is already placed within the peritoneal cavity. The extension is then threaded subcutaneously, allowing it to exit through a designated remote site located on the chest. This technique is typically utilized to facilitate easier access to the intraperitoneal space for therapeutic or diagnostic purposes, while minimizing the risk of infection and other complications associated with direct access to the abdominal cavity.
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