October 18, 2018
Is there a specific CPT code for trauma laparotomy?
No. if an exploratory laparotomy is performed and no injuries are detected and repaired, Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure) is coded. If the retroperitoneum is also explores code 49010 Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) instead of 49000. Both codes would never be reported together.
Note that each laparotomy code is designated as a separate procedure, meaning they are bundled if any more complex procedure is perfumed. So if the spleen is removed, the liver repaired, small bowel resections are performed, etc., only those definite procedures would be reported.
*This response is based on the best information available as of 10/18/18.