49904 Omental flap extra-abdom
Also known as: omental flap, omental flap reconstruction, extra-abdominal omental flap
Mobilization of omentum and creation of omental flap for reconstruction of extra-abdominal defect.
In Plain Language
use of fatty tissue to cover external wound; omental pedicle flap for wound coverage
Clinical Context
Surgical mobilization of omentum and creation of pedicled flap for reconstruction of defects outside abdominal cavity. Used for complex wound coverage.
RVU Breakdown
| Work RVU | 21.79 |
| Total RVU | 21.79 |
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 21.79, this code ranks in the 85th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 49904?
CPT 49904 (Omental flap extra-abdom) is a Surgery code. Mobilization of omentum and creation of omental flap for reconstruction of extra-abdominal defect.
What is the wRVU value for CPT 49904?
The work RVU for CPT 49904 is 21.79. This code is primarily used by General Surgery, Plastic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 49904 used?
Surgical mobilization of omentum and creation of pedicled flap for reconstruction of defects outside abdominal cavity. Used for complex wound coverage.
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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.