Medical Coding

Category - 40,000 Series

An abdominal paracentesis is performed for a patient who has ascites to obtain a sampling of the fluid for testing and to provide relief for the patient’s discomfort. No imaging guidance was necessary for this procedure. What CPT code should be used for this procedure?
  1. 49060
  2. 49082
  3. 49083
  4. 49084
Explanation
Answer: B - 49082 is the correct code for abdominal paracentesis (diagnostic or therapeutic) without imaging guidance.
Code 49060 is incorrect because this is the code for open drainage of a retroperitoneal abscess. Code 49083 is incorrect because this code is for an abdominal paracentesis with imaging guidance. Code 49084 is incorrect because this code is for peritoneal lavage including imaging guidance when needed.
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