49407 Image catheter fluid trns/vgnl
Also known as: image-guided catheter placement, transvaginal drainage, transgastric drainage
Image-guided percutaneous catheter placement in transvaginal or transgastric fluid collection for drainage.
In Plain Language
drainage through vagina or stomach under imaging; endoscopic drain insertion
Clinical Context
Percutaneous or endoscopic catheter placement via transvaginal or transgastric approach for drainage of fluid collections. Used for pancreatic pseudocysts or pelvic collections.
RVU Breakdown
| Work RVU | 4.14 |
| Total RVU | 4.14 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.14, this code ranks in the 28th percentile among Surgery codes — 1.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49407?
CPT 49407 (Image catheter fluid trns/vgnl) is a Surgery code. Image-guided percutaneous catheter placement in transvaginal or transgastric fluid collection for drainage.
What is the wRVU value for CPT 49407?
The work RVU for CPT 49407 is 4.14. This code is primarily used by Interventional Radiology, Gastroenterology.
When is CPT 49407 used?
Percutaneous or endoscopic catheter placement via transvaginal or transgastric approach for drainage of fluid collections. Used for pancreatic pseudocysts or pelvic collections.
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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.