CPT® Code 49600

The procedure described by CPT® Code 49600 involves the surgical repair of a small omphalocele, which is a congenital defect characterized by an abnormality in the umbilical ring. An omphalocele occurs when the abdominal contents, typically a portion of the intestine, protrude through the abdominal wall at the umbilical site, resulting in a sac-like structure. In the case of a small omphalocele, the defect is generally between 1 to 2 centimeters in diameter and may contain one or two loops of small bowel. During the repair, the surgeon addresses the unopened omphalocele sac or any remaining ruptured sac by excising it. A thorough examination of the bowel is conducted to ensure that there are no additional complications or issues that require intervention. If the bowel is found to be intact and without further problems, the surgeon then proceeds to create sufficient space in the abdominal cavity by gently pushing outward on the abdominal wall with both hands. This maneuver allows for the safe repositioning of the bowel back into the abdominal cavity. Finally, the defect in the abdominal wall is meticulously closed, and the area is covered with skin to complete the repair process.