November 16, 2017

Question:
Can add-on code 49905 (omental flap) be  reported for buttressing an incision or anastomosis?  For example after a colectomy?  Or is the intent of the code, reconstruction of a defect only.

49905 Omental flap, intra-abdominal (List separately in addition to code for primary procedure)

Answer:
No, buttressing a formed anastomosis (made by staples or sutures) with extra suture, mesenteric fat, or even fibrin sealant is all considered inherent to the creation of that anastomosis and would not be separately reported.

*This response is based on the best information available as of 11/16/17.