49426 Revise abdomen-venous shunt
Also known as: peritoneovenous shunt revision, shunt revision, shunt repair
Revision or repositioning of venous shunt catheter from abdominal cavity with repair of obstruction or malfunction.
In Plain Language
repair of abdominal-to-vein tube; revision of draining shunt
Clinical Context
Revision of peritoneovenous shunt for malfunction, obstruction, or displacement. Indications include loss of shunt function or recurrent ascites.
RVU Breakdown
| Work RVU | 10.15 |
| Total RVU | 10.15 |
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 10.15, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49426?
CPT 49426 (Revise abdomen-venous shunt) is a Surgery code. Revision or repositioning of venous shunt catheter from abdominal cavity with repair of obstruction or malfunction.
What is the wRVU value for CPT 49426?
The work RVU for CPT 49426 is 10.15. This code is primarily used by General Surgery, Vascular Surgery. It has a 90-day global period.
When is CPT 49426 used?
Revision of peritoneovenous shunt for malfunction, obstruction, or displacement. Indications include loss of shunt function or recurrent ascites.
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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.