CPT 49000–49999 codes: Surgery: digestive system

This range contains 104 CPT Category I codes in the 2026 CMS fee schedule data, 100 of which carry work RVUs. Select a code to see its full RVU breakdown, Medicare status and related codes.

  • CPT 49000 — Exploratory laparotomy (12.23 wRVUs)
  • CPT 49002 — Reopening of recent laparotomy (17.19 wRVUs)
  • CPT 49010 — Retroperitoneal exploration (15.66 wRVUs)
  • CPT 49013 — Preperitoneal pelvic packing for hemorrhage or trauma (8.14 wRVUs)
  • CPT 49014 — Reexploration of preperitoneal pelvic packing wound (6.56 wRVUs)
  • CPT 49020 — Open drainage of peritoneal abscess (26.00 wRVUs)
  • CPT 49040 — Open drainage of intra-abdominal abscess (16.11 wRVUs)
  • CPT 49060 — Open drainage of retroperitoneal abscess (18.07 wRVUs)
  • CPT 49062 — Drainage of extraperitoneal fluid into peritoneal cavity (11.91 wRVUs)
  • CPT 49082 — Abdominal paracentesis without imaging (1.21 wRVUs)
  • CPT 49083 — Draining fluid from the abdomen with ultrasound guidance (paracentesis) (1.95 wRVUs)
  • CPT 49084 — Diagnostic peritoneal lavage (1.95 wRVUs)
  • CPT 49180 — Needle biopsy of an abdominal mass (1.69 wRVUs)
  • CPT 49185 — Sclerotherapy of fluid collection, image-guided (2.29 wRVUs)
  • CPT 49186 — Open excision of intra-abdominal tumor, up to 5 cm (21.45 wRVUs)
  • CPT 49187 — Open excision of intra-abdominal tumor, 5.1-10 cm (27.93 wRVUs)
  • CPT 49188 — Open excision of intra-abdominal tumor, 10.1-20 cm (33.15 wRVUs)
  • CPT 49189 — Open excision of intra-abdominal tumor, 20.1-30 cm (39.00 wRVUs)
  • CPT 49190 — Open excision of intra-abdominal tumor, over 30 cm (48.75 wRVUs)
  • CPT 49215 — Excision of presacral or sacrococcygeal tumor (36.86 wRVUs)
  • CPT 49250 — Excision of umbilicus (8.78 wRVUs)
  • CPT 49255 — Omentectomy, epiploectomy, resection of omentum (12.25 wRVUs)
  • CPT 49320 — Diagnostic laparoscopy done as a standalone procedure (5.01 wRVUs)
  • CPT 49321 — Diagnostic laparoscopy with biopsy (5.30 wRVUs)
  • CPT 49322 — Laparoscopy with aspiration of cyst or fluid (5.86 wRVUs)
  • CPT 49323 — Laparoscopic drainage of a lymph fluid collection in the abdomen (9.97 wRVUs)
  • CPT 49324 — Laparoscopic insertion of tunneled peritoneal dialysis catheter (6.16 wRVUs)
  • CPT 49325 — Laparoscopic revision of peritoneal dialysis catheter (6.65 wRVUs)
  • CPT 49326 — Add-on: laparoscopic omentopexy during another procedure (3.41 wRVUs)
  • CPT 49327 — Add-on: laparoscopic placement of fiducial marker for radiotherapy (2.32 wRVUs)
  • CPT 49329 — Unlstd laps px abd pertm&omn
  • CPT 49400 — Injection of air or contrast into peritoneal cavity (1.83 wRVUs)
  • CPT 49402 — Removal of intra-abdominal foreign body at laparotomy (13.74 wRVUs)
  • CPT 49405 — Image-guided catheter drainage of visceral fluid collection (3.90 wRVUs)
  • CPT 49406 — Image-guided catheter drainage of peritoneal or retroperitoneal collection (3.90 wRVUs)
  • CPT 49407 — Image-guided catheter drainage, transrectal or transvaginal (4.14 wRVUs)
  • CPT 49411 — Percutaneous placement of intra-abdominal fiducial markers (3.48 wRVUs)
  • CPT 49412 — Add-on: open placement of fiducial markers during another procedure (1.46 wRVUs)
  • CPT 49418 — Percutaneous insertion of tunneled peritoneal catheter (3.86 wRVUs)
  • CPT 49419 — Insertion of tunneled peritoneal catheter with port (6.90 wRVUs)
  • CPT 49421 — Open insertion of tunneled peritoneal dialysis catheter (4.10 wRVUs)
  • CPT 49422 — Removing a tunneled catheter from the abdominal cavity (3.90 wRVUs)
  • CPT 49423 — Exchange of tunneled drainage catheter (1.42 wRVUs)
  • CPT 49424 — Contrast injection to assess abscess or cyst cavity (0.74 wRVUs)
  • CPT 49425 — Insertion of peritoneovenous shunt (11.91 wRVUs)
  • CPT 49426 — Revision of peritoneovenous shunt (10.15 wRVUs)
  • CPT 49427 — Injection for peritoneovenous shunt patency study (0.87 wRVUs)
  • CPT 49428 — Ligation of peritoneovenous shunt (6.70 wRVUs)
  • CPT 49429 — Removal of peritoneovenous shunt (7.25 wRVUs)
  • CPT 49435 — Add-on: subcutaneous extension of peritoneal catheter (2.19 wRVUs)
  • CPT 49436 — Delayed exit-site creation for embedded peritoneal catheter (2.65 wRVUs)
  • CPT 49440 — Placing a feeding tube directly into the stomach through the skin (with imaging) (3.83 wRVUs)
  • CPT 49441 — Percutaneous placement of duodenostomy or jejunostomy tube (4.41 wRVUs)
  • CPT 49442 — Percutaneous placement of cecostomy tube (3.66 wRVUs)
  • CPT 49446 — Percutaneous conversion of G-tube to G-J tube (2.98 wRVUs)
  • CPT 49450 — Percutaneous replacement of gastrostomy or cecostomy tube (1.33 wRVUs)
  • CPT 49451 — Percutaneous replacement of duodenostomy or jejunostomy tube (1.79 wRVUs)
  • CPT 49452 — Percutaneous replacement of G-J tube (2.79 wRVUs)
  • CPT 49460 — Mechanical or fluoroscopic evaluation of GI tube (0.94 wRVUs)
  • CPT 49465 — Fluoroscopic contrast study of gastrostomy or cecostomy tube (0.60 wRVUs)
  • CPT 49491 — Repair of inguinal hernia in preemie, reducible (12.22 wRVUs)
  • CPT 49492 — Repair of inguinal hernia in preemie, incarcerated (15.04 wRVUs)
  • CPT 49495 — Repair of inguinal hernia in infant, reducible (6.05 wRVUs)
  • CPT 49496 — Repair of inguinal hernia in infant, incarcerated (9.18 wRVUs)
  • CPT 49500 — Initial repair of inguinal hernia, reducible, child under 5 (5.69 wRVUs)
  • CPT 49501 — Initial repair of inguinal hernia, incarcerated, child under 5 (9.13 wRVUs)
  • CPT 49505 — Open initial inguinal hernia repair, age 5 or older (7.76 wRVUs)
  • CPT 49507 — Repair of an inguinal hernia in a patient over 5 years old, initially incarcerated (8.86 wRVUs)
  • CPT 49520 — Repeat repair of a recurrent inguinal hernia, reducible (9.74 wRVUs)
  • CPT 49521 — Recurrent repair of inguinal hernia, incarcerated (11.19 wRVUs)
  • CPT 49525 — Repair of sliding inguinal hernia (8.71 wRVUs)
  • CPT 49540 — Repair of lumbar hernia (10.47 wRVUs)
  • CPT 49550 — Initial repair of femoral hernia, reducible (8.77 wRVUs)
  • CPT 49553 — Initial repair of femoral hernia, incarcerated (9.67 wRVUs)
  • CPT 49555 — Recurrent repair of femoral hernia, reducible (9.16 wRVUs)
  • CPT 49557 — Recurrent repair of femoral hernia, incarcerated (11.33 wRVUs)
  • CPT 49591 — Repair of a first-time front-of-abdomen hernia under 3 cm, reducible (5.81 wRVUs)
  • CPT 49592 — Repair of a first-time front-of-abdomen hernia under 3 cm, incarcerated or strangulated (8.25 wRVUs)
  • CPT 49593 — Repair of a first-time front-of-abdomen hernia 3–10 cm, reducible (10.00 wRVUs)
  • CPT 49594 — Repair of a first-time front-of-abdomen hernia 3–10 cm, incarcerated or strangulated (13.12 wRVUs)
  • CPT 49595 — Repair of a first-time front-of-abdomen hernia larger than 10 cm, reducible (13.59 wRVUs)
  • CPT 49596 — Repair of a first-time front-of-abdomen hernia larger than 10 cm, incarcerated or strangulated (18.20 wRVUs)
  • CPT 49600 — Repair of small omphalocele or gastroschisis (11.26 wRVUs)
  • CPT 49605 — Repair of large omphalocele or gastroschisis, single stage (84.91 wRVUs)
  • CPT 49606 — Repair of large omphalocele or gastroschisis, staged (18.53 wRVUs)
  • CPT 49610 — Repair of omphalocele with silo, initial (10.64 wRVUs)
  • CPT 49611 — Repair of omphalocele with silo, subsequent stage (9.11 wRVUs)
  • CPT 49613 — Repair of recurrent anterior abdominal hernia under 3 cm, reducible (7.23 wRVUs)
  • CPT 49614 — Repairing a returning inguinal hernia that is not stuck or strangulated (patient under 5) (9.99 wRVUs)
  • CPT 49615 — Repair of a recurrent front-of-abdomen hernia 3–10 cm, reducible (11.17 wRVUs)
  • CPT 49616 — Repair of a recurrent front-of-abdomen hernia 3–10 cm, incarcerated or strangulated (15.16 wRVUs)
  • CPT 49617 — Repair of recurrent anterior abdominal hernia over 10 cm, reducible (15.63 wRVUs)
  • CPT 49618 — Repair of a recurrent front-of-abdomen hernia larger than 10 cm, incarcerated or strangulated (22.10 wRVUs)
  • CPT 49621 — Repair of a hernia next to a stoma (reducible) (13.36 wRVUs)
  • CPT 49622 — Repair of a hernia next to a stoma that is stuck or strangulated (16.63 wRVUs)
  • CPT 49623 — Removing infected mesh from a previous hernia repair (3.66 wRVUs)
  • CPT 49650 — Laparoscopic initial inguinal hernia repair (6.20 wRVUs)
  • CPT 49651 — Laparoscopic repair of a recurrent inguinal hernia (8.17 wRVUs)
  • CPT 49659 — Unlstd laps px hrnap hrnrphy
  • CPT 49900 — Suture repair of ruptured abdominal wall (12.10 wRVUs)
  • CPT 49904 — Extra-abdominal omental flap (21.79 wRVUs)
  • CPT 49905 — Add-on: intra-abdominal omental flap (6.38 wRVUs)
  • CPT 49906 — Free omental flap microvasc
  • CPT 49999 — Unlisted px abd pertm&omn

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