49418 Insert tun inpatient catheter percutaneous
Also known as: peritoneal dialysis catheter, percutaneous IP catheter, tunneled peritoneal cath
Insertion of tunneled intraperitoneal catheter via percutaneous approach without subcutaneous port component.
In Plain Language
placement of dialysis tube through skin; insertion of peritoneal catheter
Clinical Context
Percutaneous placement of tunneled intraperitoneal catheter for peritoneal dialysis. Used in chronic kidney disease patients requiring dialysis therapy.
RVU Breakdown
| Work RVU | 3.86 |
| Total RVU | 3.86 |
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 3.86, this code ranks in the 27th percentile among Surgery codes — 2.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49418?
CPT 49418 (Insert tun inpatient catheter percutaneous) is a Surgery code. Insertion of tunneled intraperitoneal catheter via percutaneous approach without subcutaneous port component.
What is the wRVU value for CPT 49418?
The work RVU for CPT 49418 is 3.86. This code is primarily used by Nephrology, General Surgery, Interventional Radiology.
When is CPT 49418 used?
Percutaneous placement of tunneled intraperitoneal catheter for peritoneal dialysis. Used in chronic kidney disease patients requiring dialysis therapy.
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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.