49187 Opn excision/destruction ntra-abd 5.1-10
Also known as: abdominal tumor excision, tumor removal 5-10cm, open mass excision
Open excision and destruction of intra-abdominal neoplasm measuring 5.1 to 10 centimeters.
In Plain Language
surgical removal of medium abdominal tumor; excision of tissue growth 5-10cm
Clinical Context
Open surgical removal of intermediate-sized intra-abdominal neoplasms. Used for primary tumor resection or metastatic disease when malignancy is suspected or confirmed.
RVU Breakdown
| Work RVU | 27.93 |
| Total RVU | 27.93 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.93, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49187?
CPT 49187 (Opn excision/destruction ntra-abd 5.1-10) is a Surgery code. Open excision and destruction of intra-abdominal neoplasm measuring 5.1 to 10 centimeters.
What is the wRVU value for CPT 49187?
The work RVU for CPT 49187 is 27.93. This code is primarily used by General Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 49187 used?
Open surgical removal of intermediate-sized intra-abdominal neoplasms. Used for primary tumor resection or metastatic disease when malignancy is suspected or confirmed.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.