49190 Opn excision/destruction ntra-abd >30 centimeters
Also known as: abdominal tumor excision, tumor removal >30cm, open mass excision
Open excision and destruction of intra-abdominal neoplasm measuring greater than 30 centimeters.
In Plain Language
surgical removal of giant abdominal tumor; excision of tissue growth larger than 30cm
Clinical Context
Open surgical removal of very large intra-abdominal neoplasms. Used for primary tumor resection or metastatic disease when malignancy is suspected or confirmed.
RVU Breakdown
| Work RVU | 48.75 |
| Total RVU | 48.75 |
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 48.75, this code ranks in the 99th percentile among Surgery codes — 6.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49190?
CPT 49190 (Opn excision/destruction ntra-abd >30 centimeters) is a Surgery code. Open excision and destruction of intra-abdominal neoplasm measuring greater than 30 centimeters.
What is the wRVU value for CPT 49190?
The work RVU for CPT 49190 is 48.75. This code is primarily used by General Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 49190 used?
Open surgical removal of very large 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.