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The procedure described by CPT® Code 49428 involves the ligation of a peritoneal-venous shunt, which is a medical intervention aimed at managing ascites, a condition characterized by the accumulation of fluid within the peritoneal cavity. A peritoneal-venous shunt is a device that facilitates the drainage of excess fluid from the abdominal cavity into the venous system, thereby alleviating the symptoms associated with ascites. During the ligation process, the physician performs a surgical procedure to tie off the shunt, effectively stopping its function. This is typically done when the shunt is no longer needed or if complications arise. The procedure requires careful dissection of the shunt tubing, which is located beneath the skin and subcutaneous tissue of the chest wall. The ligation is accomplished by placing a ligature around the tubing, ensuring that the flow of fluid is halted. This procedure is crucial for patients who may be experiencing adverse effects from the shunt or who have resolved the underlying condition that necessitated its placement.
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The ligation of a peritoneal-venous shunt is indicated for patients experiencing complications related to the shunt or when the underlying condition of ascites has resolved. The following are specific indications for this procedure:
The procedure for ligation of a peritoneal-venous shunt involves several key steps that ensure the safe and effective completion of the intervention. Each step is critical to achieving the desired outcome while minimizing potential complications.
After the ligation of the peritoneal-venous shunt, patients are typically monitored for any immediate complications, such as bleeding or infection at the incision site. Post-procedure care may include pain management and instructions for wound care to ensure proper healing. Patients may also be advised on signs of complications to watch for, such as increased redness, swelling, or discharge from the incision site. Follow-up appointments may be scheduled to assess recovery and to determine if any further interventions are necessary.
| Short Descr | LIGATION OF SHUNT | Medium Descr | LIGATION PERITONEAL-VENOUS SHUNT | Long Descr | Ligation of peritoneal-venous shunt | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 99 - Other OR gastrointestinal therapeutic procedures |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 1995-01-01 | Added | First appearance in code book in 1995. |
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