49419 Insert tun inpatient catheter with port
Also known as: peritoneal dialysis catheter with port, IP catheter with port, Tenckhoff catheter
Insertion of tunneled intraperitoneal catheter with subcutaneous port for peritoneal dialysis via percutaneous approach.
In Plain Language
placement of dialysis tube with access port; insertion of permanent dialysis access
Clinical Context
Percutaneous placement of tunneled intraperitoneal catheter with subcutaneous port for peritoneal dialysis. Used in chronic kidney disease patients requiring reliable dialysis access.
RVU Breakdown
| Work RVU | 6.90 |
| Total RVU | 6.90 |
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 6.90, this code ranks in the 45th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49419?
CPT 49419 (Insert tun inpatient catheter with port) is a Surgery code. Insertion of tunneled intraperitoneal catheter with subcutaneous port for peritoneal dialysis via percutaneous approach.
What is the wRVU value for CPT 49419?
The work RVU for CPT 49419 is 6.90. This code is primarily used by Nephrology, General Surgery, Interventional Radiology. It has a 90-day global period.
When is CPT 49419 used?
Percutaneous placement of tunneled intraperitoneal catheter with subcutaneous port for peritoneal dialysis. Used in chronic kidney disease patients requiring reliable dialysis access.
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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.