Key CPT Codes
| CPT | Descriptor | wRVU | Medicare estimate | Global |
|---|---|---|---|---|
| 49000 | Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) | 12.23 | $728.81 | 90 |
| 49002 | Reopening of recent laparotomy | 17.19 | $974.30 | 90 |
| 49014 | Reexploration pelvic wound | 6.56 | $346.03 | 0 |
| 49900 | Suture secondary wound dehiscence, abdominal wall | 12.1 | $800.29 | 90 |
| 49999 | Unlisted procedure, abdomen (e.g., temporary abdominal closure with NPWT) | 0 | $0.00 | YYY |
| 97605 | Negative pressure wound therapy (wound VAC), ≤50 sq cm | 0.54 | $42.09 | 0 |
| 97606 | Negative pressure wound therapy (wound VAC), >50 sq cm | 0.59 | $50.44 | 0 |
Coding Decision Points
- Reopening a recent laparotomy is not the same as the initial exploratory laparotomy.
- Temporary abdominal closure may require unlisted abdomen code or wound therapy codes depending on payer and documentation.
- Document staged return, source control, washout, packing, temporary closure method, and planned re-exploration.
Common Documentation Gaps
The note should name the indication for re-entry, whether the abdomen was intentionally left open, type of temporary closure, wound dimensions for NPWT, and whether bowel or organ repair was separately performed.
FAQ
Is there one CPT code for open abdomen?
No. Coding depends on whether the work is exploratory laparotomy, reopening a recent laparotomy, wound dehiscence repair, temporary closure, or NPWT.
Does open abdomen closure bundle everything?
No. Separately documented organ repair, bowel work, or drainage may change the code set.