CPT® Code 49900

The CPT® Code 49900 refers to the procedure of secondary suture of the abdominal wall specifically for cases of evisceration or dehiscence. Dehiscence is a medical term that describes the reopening of a surgical wound or incision that was previously closed with sutures. This condition can occur due to various factors, including infection, inadequate healing, or excessive tension on the wound. Evisceration, on the other hand, involves the protrusion of intra-abdominal contents through the open wound, which can pose significant risks to the patient, including infection and organ damage. During the procedure, the surgical team inspects the suture line and the abdominal wall for any signs of infection, ensuring that the area is clean and suitable for reclosure. The old sutures are carefully removed to prepare the wound for new suturing. Any eviscerated abdominal contents are also examined and returned to the abdominal cavity to restore normal anatomy. The edges of the wound, which include the peritoneum, fascia, subcutaneous tissue, and skin, are meticulously trimmed to promote proper healing. Running sutures are then loosely placed along the entire length of the surgical wound, encompassing the peritoneum, fascia, and muscle layers. After all sutures are in place, they are tightened, and the knot is securely tied. Finally, the subcutaneous tissue and skin are closed over the abdominal wall, completing the procedure and aiming to restore the integrity of the abdominal wall.