49425 Insert abdomen-venous drainage
Also known as: peritoneovenous shunt, abdominal-venous shunt, LeVeen shunt
Insertion of venous shunt catheter from abdominal cavity to venous system for drainage of ascites (peritoneovenous shunt).
Clinical Context
Surgical insertion of catheter or shunt between peritoneal cavity and venous system for refractory ascites. Used in cirrhosis or malignant ascites unresponsive to medical therapy.
RVU Breakdown
| Work RVU | 11.91 |
| Practice Expense RVU | 7.26 |
| Malpractice RVU | 3.18 |
| Total RVU | 22.35 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.